Developing evidence-based clinical imaging guidelines of justification for radiographic examination after dental implant
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RESEARCH ARTICLE
Open Access
Developing evidence-based clinical imaging guidelines of justification for radiographic examination after dental implant installation Min-Ji Kim1, Sam-Sun Lee1* , Miyoung Choi2, Hwan Seok Yong3, Chena Lee4, Jo-Eun Kim1 and Min-Suk Heo1
Abstract Background: This study aimed to develop evidence-based clinical imaging guidelines to assess the proper implant location following implant surgery and identify potential complications during follow-up. Methods: The guideline development process employed an adaptation methodology in accordance with the Korean clinical imaging guidelines (K-CIG). Core (Ovid-Medline, Ovid-Embase, National Guideline Clearinghouse, and Guideline International Network) and domestic databases (KoreaMed, KMbase, and KoMGI) were searched used to retrieve guidelines, and two reviewers analyzed the retrieved articles. The articles were included in this review using well-established inclusion criteria. Results: Our online search identified 66 articles, of which 3 were selected for the development of the guidelines. Consequently, based on these three guidelines, we formulated distinct recommendations regarding the appropriate imaging modalities that should be used following implant placement. Conclusions: Conventional imaging (e.g., periapical or panoramic radiography) should be the first choice for assessing the implant following its placement and osseointegration. The metal artifacts in Cone Beam Computed Tomography (CBCT) should be considered. However, CBCT is recommended for patients with sensory abnormalities following dental implant surgery to evaluate and identify the underlying cause of implant complications and to determine the appropriate treatment. Keywords: Imaging guideline, Cone Beam Computed Tomography (CBCT), Dental implant, Implant complication
Background The use of dental implants has increased during the last few decades and has led to an increase in the number of related complications. Implant complications can be broadly divided as biological and technical. Biological complications include mucositis, peri-implantitis, and implant loss due to osseointegration failure, whereas * Correspondence: [email protected] 1 Department of Oral and Maxillofacial Radiology, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea Full list of author information is available at the end of the article
technical complications involve fractures of implant prostheses, screw loosening, and loss of screw hole sealing [1]. In the event of a technical complication, the patient has the opportunity to notice the respective issue, and therefore treatment is feasible. In contrast, biological complications can be serious, including the need for removal of the implant fixture or development of severe mental damage stemming from irreversible nerve damage. Biological complications result in greater sequelae compared with technical complications. Early diagnosis through periodic follow-up reduces the severity of complicat
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