Taking a photo of the jawbone before implanting a dental implant is one of the necessities of the implant. In the past decades, with the advancement of technology and the dental industry, the use of dental implants to treat toothlessness has increased, and it is currently known as the best and most popular method of treating missing teeth. This treatment method is superior to traditional, movable and fixed prostheses. Several factors have a direct and high impact on the success of implant treatment. One of the most effective and important of these is the density and volume of the jaw bone. For this reason, radiology photographs provide the dentist with the most accurate method of evaluating the morphology of the jaw ridge.
Currently, in most dental clinics, radiological photographs are taken, called periapical, panoramic and cephalometric photographs. Periapical radiography is almost universally known, taking images of several teeth simultaneously on a small radiographic film that is placed inside the mouth; But there are other specialized radiology images in two-dimensional and three-dimensional forms that help the doctor during implant placement. Finally, the dentist must choose the best radiology system for the condition of the patient who wants to implant.
What is a dental implant?
Dental implant is a restorative treatment method that consists of several parts, it is fixed, and you should also know that this treatment is performed under a surgical procedure, which is invasive. The implant has a duration of treatment of 3 to 6 months, in this surgery, the gum is cut to reveal the jawbone, and then, using a drill and special dental equipment, the jaw is pierced and the base of the implant is inserted into the bone. They put a jaw.
Then, the gum is sutured around it so that the jawbone grows and covers the implant base, this makes the implant base strong and keeps the crown of the tooth stable without movement. Without the need for the dental crown to rest on natural teeth, these implant bases are made of titanium so that the human body does not treat it like a foreign body and react to it. This is what causes the jaw bone to fuse with the implant base, in fact, this implant base acts like a tooth root and restores and restores the function of the tooth root. After the treatment has been completed well, the patient has fully recovered and the implant base is strengthened, the main crown of the dental implant is installed on the base.
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The reason for the necessity of dental implant photography
The most important reasons that make radiological imaging necessary before dental implant implantation are the following: assessment of the height and thickness of the alveolar bone (in cases of atrophy or thinness of the organ), checking the location and conditions of the structures for the correct implantation of the implant (from including the maxillary sinus, opening the maxillary sinus duct, nasal cavity) diagnosis and treatment plan in maxillary surgery, examination after implant implantation and bone grafting and prediction of bone loss and root preservation and evaluation of various lesions of the facial skeleton.
Timing for dental implant photography
Implant radiography is performed in 4 stages and these stages are as follows:
- Phase 1 (imaging before implant surgery): The aim is to check the amount and quality of bone and the relationship with nearby vital structures, to plan the best treatment and also to place the implant in the right position.
- Phase 2 (imaging during implant surgery): It is used if necessary and its purpose is to check the correct orientation and position of the implant and correct potential defects.
- Phase 3 (imaging after the repair of the surgical area): It is done during the second stage of the implant (healing closure) and before molding the prosthesis, and its purpose is to check the success of the implant and the adjacent bone surface. At this stage, you can choose the right abutment for the implant.
- Phase 4 (imaging after the implant prosthesis): After the delivery of the implant prosthesis, in order to ensure the complete seating of the implant prosthesis components and to check the bone changes, you may need these graphs in the regular consultation sessions after the veneer delivery.
Types of dental implant photography
Periapical
Generally, in phase two, imaging is used to check the condition and angle of the implant. Also, in phase 4, imaging is also suitable for examining the bone around the implant base. The advantage of this imaging is its availability and its disadvantage is the small area it covers.
Cephalometry
It gives a very good picture of the alveolar bone in the front of the jaw and the connection of the buccal and palatal bone plates and gives a kind of view of the thickness of the bone. This type of imaging is suitable for patients who are completely toothless. Its disadvantages include its 10% magnification, as well as the limitation of information to the anterior maxillary region and the high imaging sensitivity.
panoramic
This imaging is the most common type of imaging that is prescribed before dental implant placement. It is available and it is prepared in the least time and it is also cheap. Its main disadvantage is the magnification of about 20%, which reduces the accuracy of the image in measuring the dimensions.
CBCT
It is a type of CT imaging (cbct) which, in addition to being used in dentistry, is very common and useful in head and neck imaging. In order to plan the treatment before the implant, examination of jaw lesions and temporomandibular joint problems and facial and skull fractures and the exact amount of existing bone are used. One of its biggest advantages is that it receives very little radiation and the accuracy of the image is very high, and the disadvantages of this type of imaging are that it is time-consuming and expensive.
OPG
In general, panoramic radiography (opg) is the most common type of imaging used by dentists for dental implants.
Xonography, computed tomography and traditional tomography are other imaging methods used by dentists for dental implant placement.
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