Open hour: senin - sabtu 09:00:00 - 20:00:00; minggu & tanggal merah tutup

Fig. 2. a Panoramic radiography with area of inter...

Fig. 2. a Panoramic radiography with area of interest (maxillary sinus) and b, c examples of corresponding images in cone beam computed tomography Fig. 2. a Panoramic radiography with area of interest (maxillary sinus) and b, c examples of corresponding images in cone beam computed tomography

Fig. 1. a Panoramic radiography with area of inter...

Fig. 1. Fig. 1. a Panoramic radiography with area of interest (maxillary sinus) and b, c examples of corresponding images in cone beam computed tomography

Table 5 Results of the question “Is there an add...

Question General practitioner (n = 2) Junior maxillofacial surgeon (n = 2) Senior maxillofacial surgeon (n = 3) p value* ...

Table 4 Description of incidental findings in PAN ...

Additional incidental findings in panoramic radiography Relative incidence (%) in relation to total number of therapy affecting findings Retained third molar/follicular cyst 22 ...

Table 3 Number of additional incidental findings i...

Number of cases General practitioner (n = 2) Junior maxillofacial surgeon (n = 2) Senior maxillofacial surgeon (n = 3) p value*   ...

Table 2 Results of the question “An additional s...

Question General practitioner (n = 2) Junior maxillofacial surgeon (n = 2) Senior maxillofacial surgeon (n = 3) p value* ...

Table 1 Results of the question “Based on PAN, t...

Question General practitioner (n = 2) Junior maxillofacial surgeon (n = 2) Senior maxillofacial surgeon (n = 3) p value* ...

About this article : Evaluation of symptomatic max...

Dau, M., Marciak, P., Al-Nawas, B. et al. Evaluation of symptomatic maxillary sinus pathologies using panoramic radiography and cone beam computed tomography—influence of professional training. Int J Implant Dent 3, 13 (2017). https://doi.org/10.1186/s40729-017-0075-5 Download citation Received: 10 December 2016 Accepted: 12 March 2017 Published: 05 April 2017 DOI: http...

Rights and permissions : Evaluation of symptomatic...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...

Author information : Evaluation of symptomatic max...

Department of Oral, Maxillofacial and Plastic Surgery, University Medical Center, Schillingallee 35, 18057, Rostock, Germany Michael Dau, Bernhard Frerich & Peer Wolfgang Kämmerer Department of Oral and Maxillofacial Surgery, Plastic Surgery, University Medical Centre, Mainz, Germany Paul Marciak & Bial Al-Nawas Private Dental Praxis Dr. Rossa, Ludwigshafen, Germany Henning Staedt Depa...

References : Evaluation of symptomatic maxillary s...

Quintero JC, et al. Craniofacial imaging in orthodontics: historical perspective, current status, and future developments. Angle Orthod. 1999;69(6):491–506. Tadinada A, et al. Radiographic evaluation of the maxillary sinus prior to dental implant therapy: a comparison between two-dimensional and three-dimensional radiographic imaging. Imaging Sci Dent. 2015;45(3):169–74. Ritter L, et al. Pre...

References : Evaluation of symptomatic maxillary s...

Rivis M, Valeanu AN. Giant maxillary cyst with intrasinusal evolution. Rom J Morphol Embryol. 2013;54(3 Suppl):889–92. Yilmaz SY, Misirlioglu M, Adisen MZ. A diagnosis of maxillary sinus fracture with cone-beam CT: case report and literature review. Craniomaxillofac Trauma Reconstr. 2014;7(2):85–91. Lana JP, et al. Anatomic variations and lesions of the maxillary sinus detected in cone beam ...

References : Evaluation of symptomatic maxillary s...

Gang TI, et al. The effect of radiographic imaging modalities and the observer’s experience on postoperative maxillary cyst assessment. Imaging Sci Dent. 2014;44(4):301–5. Batra PS, et al. Computed tomography imaging practice patterns in adult chronic rhinosinusitis: survey of the American Academy of Otolaryngology-Head and Neck Surgery and American Rhinologic Society Membership. Int Forum Al...

References : Evaluation of symptomatic maxillary s...

Dragan E, et al. Maxillary sinus anatomic and pathologic CT findings in edentulous patients scheduled for sinus augmentation. Rev Med Chir Soc Med Nat Iasi. 2014;118(4):1114–21. Raghav M, et al. Prevalence of incidental maxillary sinus pathologies in dental patients on cone-beam computed tomographic images. Contemp Clin Dent. 2014;5(3):361–5. Lyros I, et al. An incidental finding on a diagno...

Conclusions : Evaluation of symptomatic maxillary ...

Depending on the observers’ clinical and radiological experience, PAN alone may not be sufficient for evaluation of pathologies of the maxillary sinus. On the contrary, significant benefits of sFOV-CBCT for diagnosing symptomatic maxillary sinus pathologies were reported. Having sFOV-CBCT seems to have added additional information and confidence in comparison to PAN alone. Nonetheless, also with...

Discussion : Evaluation of symptomatic maxillary s...

The influence of clinical experience of evaluation of PAN [34] as well as the clinical experience and routine analysis of 3D radiographs (as assumed for maxillofacial surgeons when compared to those for general practitioners) strongly influence the diagnostic value of additional three-dimensional imaging. The number of incidental findings in CBCT in addition to those seen in PAN was not of major d...

Discussion : Evaluation of symptomatic maxillary s...

In dentistry, PAN is a widely available, useful, and important diagnostic tool for diagnosis and general preoperative planning [32] with less radiation exposure then CBCT [21]. While most dentists have used it routinely successful for years and gained significant experience in doing so [33], there are certain limitations in dependence of the region to be examined [10]. The high number of “not vi...

Results : Evaluation of symptomatic maxillary sinu...

This study focused on three different aspects in our analysis—PAN, PAN and CBCT, as well as the influence of the different clinical and radiological experience (examples in Figs. 1 and 2). Panoramic radiography (PAN) When assessing PAN, the ratings were significantly lower at “good visible and can be evaluated” (9.9%) compared to “visible but cannot be evaluated” (39.5%; p 

Methods : Evaluation of symptomatic maxillary sinu...

The first question for PAN addressed the imaging quality in the clinical relevant area of interest (clinical data were given). Three answers were possible: 1 = good visibility and can be evaluated, 2 = visible but cannot be evaluated, and 3 = not visible. The second question asked for an additional need for CBCT scans. Three answers were possible: 1 = required, 2 = reasonable, and 3 = not required...

Methods : Evaluation of symptomatic maxillary sinu...

In an experimental diagnostic comparison, radiographic images of 15 female and 13 male patients were assessed. Patients’ radiographs were selected from the Department of Oral, Maxillofacial and Facial Plastic Surgery of the University Medical Centre of Mainz and Rostock, Germany. All patients have had referrals to the hospitals with symptomatic maxillary sinus pathologies and received PAN (Ortho...

Background : Evaluation of symptomatic maxillary s...

In order to justify CBCT use for clinical examination and diagnosis of the maxillary sinus, the aim of this study was to compare the subjective quality rating of PAN and PAN together with a small field of view (sFOV) CBCT to evaluate symptomatic maxillary sinus by clinicians with different training and clinical experience.

Background : Evaluation of symptomatic maxillary s...

Non-symptomatic abnormalities of the maxillary sinus such as mucosal thickening, retention cysts, and opacification are reported to occur in up to 74% of all cases [1–6]. For diagnosis of symptomatic pathologies of the maxillary sinus like retention cysts, polyps, and tumors, panoramic radiographies (PAN) are commonly used and widely available. In PAN, not every area of interest is accurately de...

Abstract : Evaluation of symptomatic maxillary sin...

A comparison of panoramic radiography (PAN) alone and PAN together with small field of view cone beam computed tomography (sFOV-CBCT) for diagnosis of symptomatic pathologies of the maxillary sinus was carried out by clinicians of different experience. Corresponding radiographic images (PAN/sFOV-CBCT) of 28 patients with symptomatic maxillary sinus pathologies were chosen and analyzed by two gene...

Fig. 2. a Panoramic radiography with area of inter...

Fig. 2. xillary sinus) and b, c examples of corresponding images in cone beam computed tomography Fig. 2. a Panoramic radiography with area of interest (maxillary sinus) and b, c examples of corresponding images in cone beam computed tomography

Fig. 1. a Panoramic radiography with area of inter...

Fig. 1. maxillary sinus) and b, c examples of corresponding images in cone beam computed tomography Fig. 1. a Panoramic radiography with area of interest (maxillary sinus) and b, c examples of corresponding images in cone beam computed tomography

Table 5 Results of the question “Is there an add...

Question General practitioner (n = 2) Junior maxillofacial surgeon (n = 2) Senior maxillofacial surgeon (n = 3) p value* ...

Table 4 Description of incidental findings in PAN ...

Additional incidental findings in panoramic radiography Relative incidence (%) in relation to total number of therapy affecting findings Retained third molar/follicular cyst 22 ...

Table 3 Number of additional incidental findings i...

Number of cases General practitioner (n = 2) Junior maxillofacial surgeon (n = 2) Senior maxillofacial surgeon (n = 3) p value*   ...

Table 2 Results of the question “An additional s...

Question General practitioner (n = 2) Junior maxillofacial surgeon (n = 2) Senior maxillofacial surgeon (n = 3) p value* ...

Table 1 Results of the question “Based on PAN, t...

Question General practitioner (n = 2) Junior maxillofacial surgeon (n = 2) Senior maxillofacial surgeon (n = 3) p value* ...

About this article : Evaluation of symptomatic max...

Dau, M., Marciak, P., Al-Nawas, B. et al. Evaluation of symptomatic maxillary sinus pathologies using panoramic radiography and cone beam computed tomography—influence of professional training. Int J Implant Dent 3, 13 (2017). https://doi.org/10.1186/s40729-017-0075-5 Download citation Received: 10 December 2016 Accepted: 12 March 2017 Published: 05 April 2017 DOI: http...

Rights and permissions : Evaluation of symptomatic...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...

Author information : Evaluation of symptomatic max...

Department of Oral, Maxillofacial and Plastic Surgery, University Medical Center, Schillingallee 35, 18057, Rostock, Germany Michael Dau, Bernhard Frerich & Peer Wolfgang Kämmerer Department of Oral and Maxillofacial Surgery, Plastic Surgery, University Medical Centre, Mainz, Germany Paul Marciak & Bial Al-Nawas Private Dental Praxis Dr. Rossa, Ludwigshafen, Germany Henning Staedt Depa...

References : Evaluation of symptomatic maxillary s...

Quintero JC, et al. Craniofacial imaging in orthodontics: historical perspective, current status, and future developments. Angle Orthod. 1999;69(6):491–506. Tadinada A, et al. Radiographic evaluation of the maxillary sinus prior to dental implant therapy: a comparison between two-dimensional and three-dimensional radiographic imaging. Imaging Sci Dent. 2015;45(3):169–74. Ritter L, et al. Pre...

References : Evaluation of symptomatic maxillary s...

Rivis M, Valeanu AN. Giant maxillary cyst with intrasinusal evolution. Rom J Morphol Embryol. 2013;54(3 Suppl):889–92. Yilmaz SY, Misirlioglu M, Adisen MZ. A diagnosis of maxillary sinus fracture with cone-beam CT: case report and literature review. Craniomaxillofac Trauma Reconstr. 2014;7(2):85–91. Lana JP, et al. Anatomic variations and lesions of the maxillary sinus detected in cone beam ...

References : Evaluation of symptomatic maxillary s...

Gang TI, et al. The effect of radiographic imaging modalities and the observer’s experience on postoperative maxillary cyst assessment. Imaging Sci Dent. 2014;44(4):301–5. Batra PS, et al. Computed tomography imaging practice patterns in adult chronic rhinosinusitis: survey of the American Academy of Otolaryngology-Head and Neck Surgery and American Rhinologic Society Membership. Int Forum Al...

References : Evaluation of symptomatic maxillary s...

Dragan E, et al. Maxillary sinus anatomic and pathologic CT findings in edentulous patients scheduled for sinus augmentation. Rev Med Chir Soc Med Nat Iasi. 2014;118(4):1114–21. Raghav M, et al. Prevalence of incidental maxillary sinus pathologies in dental patients on cone-beam computed tomographic images. Contemp Clin Dent. 2014;5(3):361–5. Lyros I, et al. An incidental finding on a diagno...

Conclusions : Evaluation of symptomatic maxillary ...

Depending on the observers’ clinical and radiological experience, PAN alone may not be sufficient for evaluation of pathologies of the maxillary sinus. On the contrary, significant benefits of sFOV-CBCT for diagnosing symptomatic maxillary sinus pathologies were reported. Having sFOV-CBCT seems to have added additional information and confidence in comparison to PAN alone. Nonetheless, also with...

Discussion : Evaluation of symptomatic maxillary s...

The influence of clinical experience of evaluation of PAN [34] as well as the clinical experience and routine analysis of 3D radiographs (as assumed for maxillofacial surgeons when compared to those for general practitioners) strongly influence the diagnostic value of additional three-dimensional imaging. The number of incidental findings in CBCT in addition to those seen in PAN was not of major d...

Discussion : Evaluation of symptomatic maxillary s...

In dentistry, PAN is a widely available, useful, and important diagnostic tool for diagnosis and general preoperative planning [32] with less radiation exposure then CBCT [21]. While most dentists have used it routinely successful for years and gained significant experience in doing so [33], there are certain limitations in dependence of the region to be examined [10]. The high number of “not vi...

Results : Evaluation of symptomatic maxillary sinu...

This study focused on three different aspects in our analysis—PAN, PAN and CBCT, as well as the influence of the different clinical and radiological experience (examples in Figs. 1 and 2). Panoramic radiography (PAN) When assessing PAN, the ratings were significantly lower at “good visible and can be evaluated” (9.9%) compared to “visible but cannot be evaluated” (39.5%; p 

Methods : Evaluation of symptomatic maxillary sinu...

The first question for PAN addressed the imaging quality in the clinical relevant area of interest (clinical data were given). Three answers were possible: 1 = good visibility and can be evaluated, 2 = visible but cannot be evaluated, and 3 = not visible. The second question asked for an additional need for CBCT scans. Three answers were possible: 1 = required, 2 = reasonable, and 3 = not required...

Methods : Evaluation of symptomatic maxillary sinu...

In an experimental diagnostic comparison, radiographic images of 15 female and 13 male patients were assessed. Patients’ radiographs were selected from the Department of Oral, Maxillofacial and Facial Plastic Surgery of the University Medical Centre of Mainz and Rostock, Germany. All patients have had referrals to the hospitals with symptomatic maxillary sinus pathologies and received PAN (Ortho...

Background : Evaluation of symptomatic maxillary s...

In order to justify CBCT use for clinical examination and diagnosis of the maxillary sinus, the aim of this study was to compare the subjective quality rating of PAN and PAN together with a small field of view (sFOV) CBCT to evaluate symptomatic maxillary sinus by clinicians with different training and clinical experience.

Background : Evaluation of symptomatic maxillary s...

Non-symptomatic abnormalities of the maxillary sinus such as mucosal thickening, retention cysts, and opacification are reported to occur in up to 74% of all cases [1–6]. For diagnosis of symptomatic pathologies of the maxillary sinus like retention cysts, polyps, and tumors, panoramic radiographies (PAN) are commonly used and widely available. In PAN, not every area of interest is accurately de...

Abstract : Evaluation of symptomatic maxillary sin...

A comparison of panoramic radiography (PAN) alone and PAN together with small field of view cone beam computed tomography (sFOV-CBCT) for diagnosis of symptomatic pathologies of the maxillary sinus was carried out by clinicians of different experience. Corresponding radiographic images (PAN/sFOV-CBCT) of 28 patients with symptomatic maxillary sinus pathologies were chosen and analyzed by two gene...

Fig. 2. PTG observed in radiographs at the 8-year ...

Fig. 2. PTG observed in radiographs at the 8-year follow-up Fig. 2. PTG observed in radiographs at the 8-year follow-up

Fig. 1. Consort flowchart : Porous titanium granul...

Fig. 1. Consort flowchart Fig. 1. Consort flowchart

Table 2 Data at baseline, 12 months and 7 years ...

Patient/implants Radiographic defect height at deepest site (mm) The site with the deepest PPD (mm) PlI BoP ...

Table 1 Characteristics of the subjects at the 7-y...

Characteristic Case (PTG) group (n = 6) Control group (n = 6) Age (year), mean ± SD 67 ± 12.9 range, 45–79 ...

About this article : Porous titanium granules in t...

Andersen, H., Aass, A.M. & Wohlfahrt, J.C. Porous titanium granules in the treatment of peri-implant osseous defects—a 7-year follow-up study. Int J Implant Dent 3, 50 (2017). https://doi.org/10.1186/s40729-017-0106-2 Download citation Received: 03 July 2017 Accepted: 12 October 2017 Published: 04 December 2017 DOI: https://doi.org/10.1186/s40729-017-0106-2

Rights and permissions : Porous titanium granules ...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...

Ethics declarations : Porous titanium granules in ...

The present study was approved by the Regional Committee for Medical and Health Research Ethics, South East Norway (REK 2015/90). A writen informed consent was signed by all study participants Dr. Johan Caspar Wohlfahrt has received lecture fees from the producers of the material used in the study and is a previous shareholder in the company (Tigran AB, Malmoe, Sweden). Heidi Andersen and Anne Me...

Author information : Porous titanium granules in t...

Department of Periodontology, Institute of Clinical Dentistry, University of Oslo, Pb. 1109 Blindern, 0317, Oslo, Norway Heidi Andersen, Anne Merete Aass & Johan Caspar Wohlfahrt You can also search for this author in PubMed Google Scholar You can also search for this author in PubMed Google Scholar You can also search for this author in ...

Acknowledgements : Porous titanium granules in the...

The authors would like to thank Dr. Christine Dæhli Oppedal for her participation in the data collection phase of the study and Dr. Janet M. Østrem for English proof-reading of the manuscript.

References : Porous titanium granules in the treat...

Roccuzzo M, et al. Surgical therapy of peri-implantitis lesions by means of a bovine-derived xenograft: comparative results of a prospective study on two different implant surfaces. J Clin Periodontol. 2011;38(8):738–45. Download references

References : Porous titanium granules in the treat...

Jepsen K, et al. Reconstruction of peri-implant osseous defects: a multicenter randomized trial. J Dent Res. 2016;95(1):58–66. Serino G, Turri A. Outcome of surgical treatment of peri-implantitis: results from a 2-year prospective clinical study in humans. Clin Oral Implants Res. 2011;22(11):1214–20. Faggion CM Jr, Listl S, Tu YK. Assessment of endpoints in studies on peri-implantitis treatm...

References : Porous titanium granules in the treat...

Mombelli A, et al. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol. 1987;2(4):145–51. Lindhe J, Meyle J. Peri-implant diseases: consensus report of the Sixth European Workshop on Periodontology. J Clin Periodontol. 2008;35(8 Suppl):282–5. Zitzmann NU, Berglundh T. Definition and prevalence of peri-implant diseases. J Clin Periodo...

Findings : Porous titanium granules in the treatme...

This long-term follow-up of surgical treatment of peri-implant osseous defects showed unpredictable results. Loss of implants was only recorded in PTG-treated patients.

Findings : Porous titanium granules in the treatme...

The present study used a non-resorbable, alloplastic material (PTG) in intra-osseous defects as a reconstructed material. This technique attempts to fill the osseous defect and not solve the disease. With regard to defect fill, it is very important to keep in mind that a non-resorbable graft material such as PTG will be left unresorbed. In this study, PTG graft particles were easily seen on radiog...

Findings : Porous titanium granules in the treatme...

A strict maintenance program every 3–6 months followed by a high standard of oral hygiene may hold a stable peri-implant condition after peri-implantitis surgery [16]. In the present study, access to perform sufficient plaque control at the treated implants was considered acceptable due to previous corrections of the prostheses. The frequency of supportive periodontal care (SPT) was reported t...

Findings : Porous titanium granules in the treatme...

Few studies report long-term results after treatment of peri-implantitis. In this context, it is important to remember that the only true end point for such therapies will be the loss of implants, but most studies solely report clinical and subclinical parameters which are only surrogate markers for the disease state and true result of the performed therapy [17]. In a meta-analysis by Khoskham et...

Findings : Porous titanium granules in the treatme...

Radiographic findings demonstrated similar values after 7 years as the baseline regarding defect depth height in 6/12 treated implants. Three implants, one in the PTG group and two in the OFD group, had progression of radiographic defect depth height, measured at the deepest site, compared to baseline. Assessing the results after 12 months, five of the implants in the PTG group and five of the ...

Findings : Porous titanium granules in the treatme...

Three different manufactures represented the implants included in the analysis. Seven subjects had Brånemark implants, four subjects had been treated with Astra Tech implants and one subject had a Straumann implant. Eleven subjects had periodontal supportive care performed by their hygienist or general dentist at a frequency of 6 months to once yearly. One subject reported sporadic visits. About...

Findings : Porous titanium granules in the treatme...

For each radiograph, the width of the implant was used for image calibration. The defect height was measured from a well-defined reference point at the most coronal part of the implant body, on radiographs taken at baseline, 12 months and 7 years. The radiographic measurements were performed by one investigator (AMA), blinded to the examination timepoint. The changes in vertical defect depth we...

Findings : Porous titanium granules in the treatme...

After 7 years (7.3 years [6.7–8]), all patients who completed the original study were invited for a re-examination. After a multitude of recall strategies including telephone and letters, 17 subjects responded and were recalled to the university dental clinic between April and November 2015. After signing the written informed consent, medical and dental history were recorded and a clinical exa...

Findings : Porous titanium granules in the treatme...

In 2012, the same group of researchers presented results from a randomized parallel arm case-control clinical study, using porous titanium granules as a bone substitute in the corrective surgical treatment of peri-implant osseous defects. Grafting of the defects with PTG was compared with open flap debridement alone. No clinical differences between groups were found after 12 months, but a better ...

Findings : Porous titanium granules in the treatme...

Peri-implantitis was suggested [1] as an infectious and pathological site-specific disease in surrounding peri-implant tissues. At the 6th European Workshops on Periodontology, consensus was made on the definitions related to the peri-implant diseases, peri-implant mucositis and peri-implantitis, respectively [2]. Peri-implant mucositis describes an established inflammatory lesion in the soft ti...

Abstract : Porous titanium granules in the treatme...

A great number of different treatment protocols for peri-implantitis have been suggested but there is no consensus regarding the most effective intervention. The aim of the present study was to evaluate the long-term clinical and radiographic results from a study on peri-implant osseous defect reconstruction. Patients having participated in a randomized clinical study 7 years earlier were invit...

Lamina dura

Figure 9. Lamina dura The radiographic term for alveolar bone proper is lamina dura. This structure appears more dense than adjacent bone on radiographs. Widening or disruption of the lamina dura may indicate periodontal pathology.