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Dentomaxillofacial Radiology, Vol 29, Issue 2 65-69, Copyright © 2000 by British Institute of Radiology


ARTICLES

Interrelationship between cross-sectional and sagittal imaging in computer-assisted dental implant tomography

K. H. Thunthy
Department of Oral Diagnosis, Medicine and Radiology, School of Dentistry, Louisiana State University, 110 Florida Avenue, New Orleans, Louisiana, LA 70119-2799, USA.

OBJECTIVE: To determine what changes may occur in computer-assisted dental tomography to cross-sectional and sagittal slices when the positions of one or both slices are adjusted. METHODS: A human skull with a ball bearing attached to the mandibular first molar was positioned off-centre in a CommCAT (Imaging Sciences International, Hatfield, PA, USA) tomographic machine. An occlusal projection of the mandibular dental arch was scanned into the computer. Correction measurements obtained from scout cross-sectional and sagittal slices were used to 'customize' cross-sectional and sagittal slices simultaneously and also individually. RESULTS: The resulting changes in position and blur of the ball bearing were analysed. When simultaneously and correctly customized, the resultant slices were at the correct locations with a sharp image of the marker. When the sagittal slice only was adjusted, the blur of the marker changed, but its position remained unchanged; at the same time, the blur of the marker in the cross-sectional slice remained unchanged, but its position changed. When the cross-sectional slice only was adjusted, the blur changed, but its position remained unchanged; at the same time, the blur of the marker in the sagittal slice remained unchanged, but its position changed. CONCLUSIONS: It is important for dentists evaluating tomograms for implant placement to be aware that with the CommCAT tomographic machine an interrelationship exists between cross-sectional and sagittal slices and that adjustment in one type of slice produces changes in either the blur or position of the marker in the adjusted and unadjusted slices.





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