Volume 1, Issue 2 (6-2016)                   J Res Dent Maxillofac Sci 2016, 1(2): 15-22 | Back to browse issues page


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1- Oral and Maxillofacial Radiology Dept,Dental Branch of Tehran, Islamic Azad University, Tehran, Iran , LHafezzi@yahoo.com
2- Dentist
Abstract:   (5441 Views)

Background and aim: Considering the widespread development of implants in dental treatment plans, linear measurements on panoramic radiography are of especial importance. In the present study we investigated the effect of head misalignment up to 15° around vertical and horizontal axes on the magnification rate of digital panoramic radiography in each part of upper and lower jaws.

Materials and methods: In this in vitro experimental study, five edentulous human skulls were used. Steel globes with 4mm diameter were placed inside each dental socket. Each skull was exposed twice at standard panoramic position and at 5, 10 and 15° upward, downward, left and right deviated positions with NewTom GIANO radiographic system with the least amount of kVp and mAs. All 50 images were saved in true size and the maximum horizontal and vertical diameter of each globe was measured by an oral and maxillofacial radiologist using linear measurement software. Data were statistically analyzed by Chi- square and ANOVA tests.

Results: At standard panoramic position, linear measurements in both horizontal and vertical dimensions showed magnification and the results indicated 12-13% magnification in vertical dimension in all parts of both jaws. The least rate of horizontal magnification was seen in the molar area of both jaws (6%). (p<0.05)

At lateral head rotation, linear measurements in vertical dimension were less affected. (p>0.05) Linear measurements in horizontal dimension showed the highest variations especially in the posterior parts of the jaws. (p>0.05)

At upward and downward chin rotations, vertical measurements showed magnification rate comparable with that of standard panoramic position while horizontal measurements showed increased magnification at upward rotation and decreased magnification during downward rotation. (p>0.05)

Conclusions: Vertical and horizontal linear measurements show magnification at standard panoramic position and also at lateral head rotation around Y-axis and at upward and downward rotations. Furthermore, even at deviations up to 15°, no minimized measurements were recorded in the obtained panoramic radiographs.

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Type of Study: Original article | Subject: Radiology

References
1. Ogawa K, Langlais RP, McDavid WD, Noujeim M, Seki K, Okano T, et al. Development of a new dental panoramic radiographic system based on a tomosynthesis method. Dentomaxillofac Radiol 2010; 39(1): 47-53.
2. Siu AS, Chu FC, Li TK, Chow TW, Deng FL. Imaging modalities for preoperative assessment in dental implant therapy:an overview. Hong Kong Dent J 2010;7:23-30.
3. Berkhout WE, Beuger DA, Sanderink GC, Van der Stelt PF .The dynamic range of digital radiographic systems: dose reduction or risk of overexposure? Dentomaxillofac Radiol 2004;33(1): 1–5.
4. Tyndall DA, Brooks SL. Selection criteria for dental implant site imaging: a position paper of the American Academy of Oral and Maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 89(5):630-7.
5. Tronje G, Eliasson S, Julin P, Welander U. Image distortion in rotational panoramic radiography. II. Vertical distances. Acta radiologica: diagnosis 1981; 22(4): 449-55.
6. Volchansky A, Cleaton-Jones P, Drummond S, Bonecker M. Technique for linear measurement on panoramic and periapical radiographs: a pilot study. Quintessence Int 2006; 37(3): 191-7.
7. Vazquez L,Saulacic N,Belser U,Bernard JP.Efficacy of panoramic radiographs in the pre-operative planning of posterior mandibular implants:a prospective clinical study of 1527 consecutively treated patients. Clin Oral Implants Res 2008;19:81-85.
8. Pfeiffer P,Bewersdorf S,Schmage P.The effect of changes in head position on enlargement of structures during panoramic radiography. Int J oral Maxillofac Implants 2012;27(1):55-63.
9. Sadat-Khonsari R, Fenske C, Behfar L, Bauss O. Panoramic radiography: effects of head alignment on the vertical dimension of the mandibular ramus and condyle region. Eur J Orthod 2012; 34(2): 164-9.
10. Stramotas S, Geenty JP, Petocz P, Darendeliler MA. Accuracy of linear and angular measurements on panoramic radiographs taken at various positions in vitro. Eur J Orthod 2002; 24(1): 43-52.
11. Frei C, Buser D, Dula K. Study on the necessity for cross-section imaging of the posterior mandible for treatment planning of standard cases in implant dentistry. Clin Oral Implants Res 2004;15:490–497.
12. BouSerhal C, Jacobs R, Quirynen M, van Steenberghe D. Imaging technique selection for the pre-operative planning of oral implants: a review of the literature. Clin Implant Dent Relat Res 2002;4:156–172.
13. Guerrero M, Jacobs R, Loubele M, Schutyser F, Suetens P, van Steenberghe D. State-of-art on cone beam CT imaging for pre-operative planning of implant placement. Clin Oral Investig 2006;10:1–7.
14. Abdi nia M ; Ghorbanzadeh S,Jafari nadiki H. Effect of changes in Chin position in the plane vertical to the panoramic image magnification in different parts of the jaw. Journal of Isfahan Dental School 2012; 8 (4): 306-313
15. Kim YK, Park JY, Kim DG, Kim JS ,Kim JD, Magnification rate of digital panoramic radiographs and its effectiveness for pre-operative assessment of dental implants; Dentomaxillofacial Radiol 2011;40(2):76-83.
16. Schiff T, D'Ambrosio J, Glass BJ, Langlais RP, McDavid WD. Common positioning and technical errors in panoramic radiography J Am Dent Assoc 1986;113(3):422-6
17. Boeddinghaus R, Whyte A. Dental panoramic tomography: an approach for the general radiologist. Australas Radiol 2006;50(6):526-33.
18. Murray D, Whyte A. Dental panoramic tomography: what the general radiologist needs to know. Clin Radiol 2002;57(1):1-7.
19. Yeo DK, Freer TJ, Brockhurst PJ. Distortions in panoramic radiographs. Aust Orthod J 2002;18(2):92-8.
20. Sant'Ana LF, Giglio FP, Ferreira O Jr, Sant'ana E, Capelozza AL. Clinical evaluation of the effects of radiographic distortion on the position and classification of mandibular third molars. Dentomaxillofac Radiol 2005;34(2):96-101.
21. Peretz B, Gotler M ,Kaffe I. Common errors in digital panoramic radiographs of patients with mixed dentition and patients with permanent dentition. Int J Dent 2012;2012:584138.
22. Nikneshan S,Sharafi M,Emadi N. Evaluation of the accuracy of linear and angular measurement on panoramic radiographs taken at different positions. Imaging Sci Dent 2013;43(3):191-196.

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