DOI QR코드

DOI QR Code

A modified device for intraoral radiography to assess the distal osseous defects of mandibular second molar after impacted third molar surgery

  • Ana, Faria-Inocencio (Stomatology Department, Faculty of Medicine and Dentistry, Santiago de Compostela University) ;
  • Mercedes, Gallas-Torreira (Comprehensive Adult Dental Care, Stomatology Department, Faculty of Medicine and Dentistry, Santiago de Compostela University)
  • 투고 : 2011.06.11
  • 심사 : 2011.07.21
  • 발행 : 2011.09.30

초록

Purpose : This article is to describe a modified device for intraoral radiography which was developed to obtain reproducible radiographic images for assessment of distal osseous defects of the mandibular second molar (2 Mm) after impacted third molar (3 Mm) surgery. Materials and Methods : A commercial available alignment system for posterior region was modified by adding a reference gauge pin (millimetric) and threading a hollow acrylic cylinder at the ring of the radiographic positioner to attach the X-ray collimator. The design included customized resin acrylic stent for the occlusal surface of the 2Mm in maximum intercuspal position, individualizing the biteblock positioner. Periapical radiographs were taken before and after surgical extraction of 3 Mm, employing the radiographic technique of parallelism described by Kugelberg (1986) with this modified film holder and inserting the gauge pin on the deepest bone probing depth point. Results : This technique permitted to obtain standardized periapical radiographs with a moderate to high resolution, repeatability, and accuracy. There was no difference between the measurements on the pre- and post-operative radiographs. This technique allowed better maintenance of the same geometric position compared with conventional one. The insertion of the gauge pin provided the same reference point and localized the deepest osseous defect on the two-dimensional radiographs. Conclusion : This technique allowed better reproducibility in posterior radiographic records (distal surface of 2 Mm) and more accurate measurements of radiographic bone level by the use of a millimetric pin.

키워드

참고문헌

  1. White SC, Pharoah MJ. Intraoral radiographic examinations. In: White SC, Pharoah MJ. Oral radiology; principles and interpretation. 5th ed. St. Louis: Mosby, 2004. p. 121-5.
  2. Benn DK. A review of the reliability of radiographic measurements in estimating alveolar bone changes. J Clin Periodontol 1990; 17 : 14-21. https://doi.org/10.1111/j.1600-051X.1990.tb01041.x
  3. Hausmann E. Radiographic and digital imaging in periodontal practice. J Periodontol 2000; 71 : 497-503. https://doi.org/10.1902/jop.2000.71.3.497
  4. Hausmann E, Allen K, Christersson L, Genco RJ. Effect of x-ray beam vertical angulation on radiographic alveolar crest level measurement. J Periodontal Res 1989; 24 : 8-19. https://doi.org/10.1111/j.1600-0765.1989.tb00852.x
  5. Jenkins SM, Dummer PM, Newcombe RG. Radiographic amelocemental junction and alveolar crest: effect of X-ray beam angulation. J Oral Rehabil 1995; 22 : 679-84. https://doi.org/10.1111/j.1365-2842.1995.tb01066.x
  6. Sewerin I, Andersen V, Stoltze K. Influence of projection angles upon position of cementoenamel junction on radiographs. Scand J Dent Res 1987; 95 : 74-81.
  7. Hausmann E, Allen K. Reproducibility of bone height measurements made on serial radiographs. J Periodontol 1997; 68 : 839-41. https://doi.org/10.1902/jop.1997.68.9.839
  8. Carpio LC, Hausmann E, Dunford RG, Allen KM, Christersson LA. Evaluation of a simple modified radiographic alignment system for routine use. J Periodontol 1994; 65 : 62-7. https://doi.org/10.1902/jop.1994.65.1.62
  9. Kugelberg CF, Ahlstrom U, Ericson S, Hugoson A. Periodontal healing after impacted lower third molar surgery. Precision and accuracy of radiographic assessment of intrabony defects. Int J Oral Maxillofac Surg 1986; 15 : 675-86. https://doi.org/10.1016/S0300-9785(86)80108-9
  10. Pell GJ, Gregory GT. Impacted mandibular third molars: classification and modified techniques for removal. Dent Dig 1933; 39 : 330-8.
  11. Winter GB. Principles of exodontia as applied to the impacted third molar: a complete treatise on the operative technic with clinical diagnoses and radiographic interpretations. St. Louis: American Medical Book; 1926. p. 21-58.
  12. Duckworth JE, Judy PF, Goodson JM, Socransky SS. A method for the geometric and densitometric standardization of intraoral radiographs. J Periodontol 1983; 54 : 435-40. https://doi.org/10.1902/jop.1983.54.7.435
  13. Rosling B, Hollender L, Nyman S, Olsson G. A radiographic method for assessing changes in alveolar bone height following periodontal therapy. J Clin Periodontol 1975; 2 : 211-7. https://doi.org/10.1111/j.1600-051X.1975.tb01744.x
  14. Larheim TA, Eggen S. Measurements of alveolar bone height at tooth and implant abutments on intraoral radiographs. A comparison of reproducibility of Eggen technique utilized with and without a bite impression. J Clin Periodontol 1982; 9 : 184-92. https://doi.org/10.1111/j.1600-051X.1982.tb02058.x
  15. Ortman LF, McHenry K, Hausmann E. Relationship between alveolar bone measured by 125I absorptiometry with analysis of standardized radiographs: 2. Bjorn technique. J Periodontol 1982; 53 : 311-4. https://doi.org/10.1902/jop.1982.53.5.311
  16. Schmidt EF, Webber RL, Ruttimann UE, Loesche WJ. Effect of periodontal therapy on alveolar bone as measured by subtraction radiography. J Periodontol 1988; 59 : 633-8. https://doi.org/10.1902/jop.1988.59.10.633
  17. Schei O, Waerhaug J, Lovdal A, Arno A. Alveolar bone loss as related to oral hygiene and age. J Periodontol 1959; 30 : 7-16. https://doi.org/10.1902/jop.1959.30.1.7
  18. Bjorn H. Radiographic assessment of periodontal disease. Int Dent J 1968; 18 : 611-9.
  19. Hausmann E, Allen K, Clerehugh V. What alveolar crest level on a bite-wing radiograph represents bone loss? J Periodontol 1991; 62 : 570-2. https://doi.org/10.1902/jop.1991.62.9.570
  20. Hausmann E, Allen K, Carpio L, Christersson LA, Clerehugh V. Computerized methodology for detection of alveolar crestal bone loss from serial intraoral radiographs. J Periodontol 1992; 63 : 657-62. https://doi.org/10.1902/jop.1992.63.8.657
  21. Eickholz P, Hausmann E. Accuracy of radiographic assessment of interproximal bone loss in intrabony defects using linear measurements. Eur J Oral Sci 2000; 108 : 70-3. https://doi.org/10.1034/j.1600-0722.2000.00729.x
  22. Jeffcoat MK, Reddy MS. A comparison of probing and radiographic methods for detection of periodontal disease progression. Curr Opin Dent 1991; 1 : 45-51.
  23. Grondahl K, Kullendorff B, Strid KG, Grondahl HG, Henrikson CO. Detectability of artificial marginal bone lesions as a function of lesion depth. A comparison between subtraction radiography and conventional radiographic technique. J Clin Periodontol 1988; 15 : 156-62. https://doi.org/10.1111/j.1600-051X.1988.tb01562.x
  24. Katsarsky JW, Levine MS, Allen KM, Hausmann E. Detection of experimentally induced lesions in subtraction images of cancellous alveolar bone. Oral Surg Oral Med Oral Pathol 1994; 77 : 674-7. https://doi.org/10.1016/0030-4220(94)90333-6
  25. Hausmann E. Digital subtraction radiography: then (1983) and now (1998). J Dent Res 1999; 78 : 7-10. https://doi.org/10.1177/00220345990780011101
  26. Jeffcoat MK, Reddy MS. Digital subtraction radiography for longitudinal assessment of peri-implant bone change: method and validation. Adv Dent Res 1993; 7 : 196-201. https://doi.org/10.1177/08959374930070021101

피인용 문헌

  1. Repeatability and accuracy of a paralleling technique for radiographic evaluation of distal bone healing after impacted third molar surgery. vol.42, pp.1, 2013, https://doi.org/10.1259/dmfr/78022535
  2. The “Red Line” Conundrum: A Concept Beyond Its Expiry Date? vol.13, pp.4, 2011, https://doi.org/10.1007/s12663-013-0556-x