Two-dimensional radiographs versus cone-beam computed tomography in planning mini-implant placement: a systematic review

• Gabriela-Franco-da Rosa Caetano ^[2] ; Mariana-Quirino-Silveira Soares ^[1] ; Luciana-Butini Oliveira ^[3] ; José-Luiz-Cintra Junqueira ^[4] ; Monikelly-do Carmo-Chagas Nascimento ^[2]
  1. [1] Universidade de São Paulo

     Universidade de São Paulo

     Brasil

     
  2. [2] Division of Oral Radiology, Faculdade São Leopoldo Mandic, Instituto de Pesquisas São Leopoldo Mandic, Campinas, São Paulo (SP), 13045-755, Brazil
  3. [3] São Leopoldo Mandic Institute and Research Center, Faculdade São Leopoldo Mandic, Rua José Rocha Junqueira, 13, Campinas, São Paulo, 13045-755, Brazil
  4. [4] Faculdade São Leopoldo Mandic, Instituto de Pesquisas, Division of Oral Radiology, Campinas, Brazil

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• Localización: Journal of Clinical and Experimental Dentistry, ISSN-e 1989-5488, Vol. 14, Nº. 8 (August), 2022, págs. 669-677
• Idioma: inglés
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• Resumen

  • This study aimed to compare two-dimensional radiographs and cone beam computed tomography (CBCT) images for mini-implant planning.

    A search was performed in PubMed, Embase, Web of Science, Cochrane Library and Google Scholar electronic databases according to PIRD strategy, on September 11, 2021. In vivo studies that compared two-dimensional imaging with CBCT for mini-implant planning were selected. The methodological quality of each study was assessed using the QUADAS-2 tool.

    The initial search identified 441 papers. Five studies were added following a manual research. Of the total 446 studies, 40 were selected after title evaluation, 29 remained after abstract evaluation, and 11 were left after full-text analysis. Final screening yielded a total of four studies that composed the narrative synthesis of this systematic review. When comparing the imaging systems for palatal mini-implants, lateral radiographs (LRs) showed approximately the same measurements of bone quantity as those of CBCT, hence bearing no influence on placement site selection. In determining image suitability for interradicular mini-implants, two-dimensional radiographs underestimated the available space.

    Lateral radiography is sufficient to quantify the available bone for planning mini-implants installed on the palate, in the median region of upper first premolars. CBCT enhances interradicular mini-implant planning by aiding in implantation site selection, and improving the installation success rate.