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Program including abstracts as pdf available here

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OP 56<br />

Title<br />

CbCT REFORMATTED PANORAMIC IMAGING – HIGHLy PRECISE QuANTITATIVE EVALuATION<br />

uSING AN IMPLANT MODEL<br />

Authors<br />

b. RIECKE 1 , D. SCHuLzE 2 , R. E. FRIEDRICH 1 , M. bLESSMANN 1 , CLEMENS LOOS 3 ,<br />

M. HEILAND 1 , J. WIKNER 1<br />

Affiliations<br />

1 OCMF Surgery University Medical Center Hamburg Eppendorf, Hamburg, GERMANY, 2 Centre<br />

of Oral and Maxillofacial Radiology, Freiburg i.B., GERMANY, 3 Institute for Media and Imaging<br />

Technology, University of Applied Sciences¬, Cologne, GERMANY<br />

Body<br />

Objectives:<br />

Magnification, superimposition of neighbouring structures and other problems are in<strong>here</strong>nt<br />

problems of panoramic radiography (PR). Since accurate information of bony structures is of<br />

decisive importance the cone beam computed tomography (CBCT) seems to be a promising imaging<br />

modality. It carries the option to generate reformatted panoramic images. In this study<br />

we evaluated the precision of the reformatted panoramic image in displaying spatial relationships<br />

and compared it with conventional digital panoramic radiography.<br />

Methods:<br />

A special developed implant model w<strong>as</strong> mounted on a highly precise goniometer-rotationtable.<br />

CBCTs and PRs were taken using a promax 3D device (planmeca, finland). The implant<br />

model w<strong>as</strong> shifted, rotated and tilted precisely and retraceable in 5 mm deposition or 5°<br />

deviation, respectively. Semi-automated digital image analysis w<strong>as</strong> performed with the image j<br />

software.<br />

Results:<br />

The CBCT reformatted panoramic images outperformed the conventional digital PR if observed<br />

dynamically.<br />

Conclusions:<br />

A reformatted panoramic image out of a three dimensional data set should not be evaluated<br />

separately but rather comprehended dynamically taking the adjacent planes into account.<br />

Procedure specific immanent limitations are deducible.<br />

On the b<strong>as</strong>is of the presented data an unrestricted recommendation of three dimensional imaging<br />

for spatial evaluation <strong>as</strong> superior in all <strong>as</strong>pects should be questioned.<br />

Keywords<br />

panoramic radiography, cone beam computed tomography, reformatted panoramic image<br />

64

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