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Preoperative radiological evaluation of missing single teeth: A review
European Journal of Oral Implantology
|June 18, 2016
Summary
For missing single teeth treated with dental implants, cross-sectional imaging may not be necessary for simple cases. However, strong evidence is lacking to guide imaging choices in more complex situations.
Area of Science:
- Dentistry
- Radiology
- Oral Implantology
Background:
- Preoperative radiological evaluation for missing single teeth varies.
- Controversy exists regarding the necessity of cross-sectional imaging for dental implant treatment.
Purpose of the Study:
- To determine if cross-sectional imaging impacts diagnostic thinking, treatment planning, or outcomes compared to conventional imaging alone for dental implants.
- To assess diagnostic efficacy, radiation dose, economic factors, and selection criteria for imaging.
Main Methods:
- Systematic review of studies comparing conventional and cross-sectional imaging for implant placement.
- Searches conducted in PubMed/MEDLINE, OVID/Embase, and Cochrane central register up to June 2015.
- Qualitative synthesis of twelve included 'before-after' studies.
Main Results:
- Methodological issues were present in most studies.
- Results regarding the impact of cross-sectional imaging were sometimes contradictory.
- Only three studies focused on single implant treatments, and none on immediate implants.
Conclusions:
- Cross-sectional imaging may not be required for straightforward single missing tooth implant cases.
- Insufficient strong evidence exists to guide imaging choices beyond simple cases.
- Current guidelines for preoperative imaging of missing single teeth lack unanimous recommendations.
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