Caetano Gabriela-Franco-da Rosa, Soares Mariana-Quirino-Silveira, Oliveira Luciana-Butini, Junqueira José-Luiz-Cintra, Nascimento Monikelly-do Carmo-Chagas
Division of Oral Radiology, Faculdade São Leopoldo Mandic, Instituto de Pesquisas São Leopoldo Mandic, Campinas, São Paulo (SP), 13045-755, Brazil.
Departamento de Cirurgia, Estomatologia, Patologia e Radiologia, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, São Paulo, Brasil.
J Clin Exp Dent. 2022 Aug 1;14(8):e669-e677. doi: 10.4317/jced.59384. eCollection 2022 Aug.
This study aimed to compare two-dimensional radiographs and cone beam computed tomography (CBCT) images for mini-implant planning.
A search was performed in PubMed, Embase, Web of Science, Cochrane Library and Google Scholar electronic databases according to PIRD strategy, on September 11, 2021. In vivo studies that compared two-dimensional imaging with CBCT for mini-implant planning were selected. The methodological quality of each study was assessed using the QUADAS-2 tool.
The initial search identified 441 papers. Five studies were added following a manual research. Of the total 446 studies, 40 were selected after title evaluation, 29 remained after abstract evaluation, and 11 were left after full-text analysis. Final screening yielded a total of four studies that composed the narrative synthesis of this systematic review. When comparing the imaging systems for palatal mini-implants, lateral radiographs (LRs) showed approximately the same measurements of bone quantity as those of CBCT, hence bearing no influence on placement site selection. In determining image suitability for interradicular mini-implants, two-dimensional radiographs underestimated the available space.
Lateral radiography is sufficient to quantify the available bone for planning mini-implants installed on the palate, in the median region of upper first premolars. CBCT enhances interradicular mini-implant planning by aiding in implantation site selection, and improving the installation success rate. Systematic Review, Cone beam computed tomography, Radiography, Orthodontic mini-implant, Dental planning.
本研究旨在比较二维X线片和锥形束计算机断层扫描（CBCT）图像在微种植体植入计划中的应用。
于2021年9月11日，根据PIRD策略在PubMed、Embase、Web of Science、Cochrane图书馆和谷歌学术电子数据库中进行检索。选取比较二维成像与CBCT用于微种植体植入计划的体内研究。采用QUADAS-2工具评估每项研究的方法学质量。
初步检索共识别出441篇论文。经手工检索又补充了5项研究。在总共446项研究中，标题评估后筛选出40项，摘要评估后剩余29项，全文分析后留下11项。最终筛选出4项研究，构成了本系统评价的叙述性综合分析。比较腭部微种植体的成像系统时，侧位X线片（LRs）显示的骨量测量值与CBCT大致相同，因此对种植位点的选择没有影响。在确定根间微种植体的图像适用性时，二维X线片低估了可用空间。
侧位X线摄影足以量化在上颌第一前磨牙正中区域腭部植入微种植体时的可用骨量。CBCT有助于选择植入位点，提高植入成功率，从而增强根间微种植体植入计划。系统评价、锥形束计算机断层扫描、X线摄影、正畸微种植体、牙科计划。
