Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Dentisterie --- Geintegreerde ossale tandimplanten --- Geintegreerde prothesen in de weefsels --- Implanten [Geintegreerde ossale tand-] --- Implants dentaires osseux intégrés --- Implants osseux dentaires intégrés --- Osseointegrated dental implants --- Osseointegrated dentures --- Osteointegrated dental implants --- Osteointegrated dentures --- Prothèses intégrées aux tissus --- Tandheelkunde --- Tandimplanten [Geintegreerde ossale ] --- Tissue-integrated implants --- Tissue-integrated prostheses --- Tissue-integrated prosthesis --- Tissus [Prothèses integrées aux ] --- Weefsels [Geintegreerde prothesen in de ] --- Osseointegration. --- Dental Implantation, Endosseous. --- Academic collection --- Peri-implant Endosseous Healing --- Endosseous Healing, Peri-implant --- Endosseous Healings, Peri-implant --- Healing, Peri-implant Endosseous --- Healings, Peri-implant Endosseous --- Peri implant Endosseous Healing --- Peri-implant Endosseous Healings --- Bone-Implant Interface --- Endosseous Dental Implantation --- Implantation, Endosseous --- Implantation, Endosseous Dental --- Implantation, Osseointegrated Dental --- Dental Implantation, Osseointegrated --- Endosseous Implantation --- Osseointegrated Dental Implantation --- Osseointegration --- Resonance Frequency Analysis --- Nervous system --- Regeneration --- Tissues --- Innervation --- Bone-Anchored Prosthesis --- Dental Implantation, Endosseous

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Colloques --- Colloquia --- Dentisterie --- Imagerie médicale --- Medische beeldvorming --- Tandheelkunde --- Radiography, Dental, Digital. --- Academic collection --- Dental Radiovisiography --- Digora --- Radiovisiography, Dental --- Scanora --- Sens-A-Ray --- Visualix --- Dental Digital Radiography --- Digital Dental Radiography, Direct --- Digital Radiography, Dental --- Digoras --- Radiography, Dental Digital --- Scanoras --- Sens A Ray --- SensARay --- Visualices --- Radiography, Dental, Digital

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

In orthodontic treatment, for many decades, panoramic radiographs and lateral cephalograms are considered the standard two-dimensional radiographic techniques required for treatment planning and follow up. Nevertheless, both imaging techniques present with several limitations such as geometric distortion and superimposition of anatomical structures. During recent years, there has been an upward trend in utilizing 3D images, especially from CBCT, as an aid in orthodontic diagnosis and treatment planning but the scientific evidence is still lacking in many aspects. Therefore, the primary goal of this doctoral thesis was to investigate the use of 3D images in orthodontics compared to conventional 2D modalities including panoramic radiography and lateral cephalography. Subsequently, an attempt was made to develop 3D reference systems to increase the reproducibility of several crucial cephalometric landmarks in 3 dimensions. Finally, the Frankfort horizontal plane was revisited, focusing more on its 3D version.This thesis begins with Chapter 1, explaining the general principles of orthodontic treatment planning and imaging modalities traditionally used to achieve the information needed to perform an orthodontic treatment. At the end of the chapter, the overall aims and hypotheses of this doctoral project were presented in detail. In Part I: Chapter 2, a systematic review on 3D cephalometry was presented. This systematic review focused on the scientific evidence for the diagnostic efficacy of 3D cephalometry, especially for landmark identification and measurement accuracy. It was clearly observed that this topic is fairly new and the scientific evidence of the diagnostic efficacy of 3D cephalometry is still limited and more concrete studies need to be performed. Methods of conducting research in this area are very crucial as radiation exposure to young patients is one of the main factors for ethical concern.In Part II, it was aimed to investigate and compare the use of panoramic radiography and the 3D data. In the first chapter of part II, Chapter 3, an attempt was made to compare in vitro subjective image quality and diagnostic validity of reformatted panoramic views from CBCT with digital panoramic radiographs, regarding orthodontic treatment planning. Results revealed that although digital panoramic radiograph still showed better image quality, some reformatted panoramic view from particular CBCT devices could achieve comparable image quality and visualization of anatomical structures. Next in this panoramic imaging part, the agreement between CBCT and panoramic radiographs for initial orthodontic evaluation was assessed. Chapter 4 showed that the agreement between CBCT and panoramic radiograph was good and CBCT could offer the same amount of information necessary for initial orthodontic evaluation.Subsequently, cephalometric imaging modalities were investigated in Part III of this doctoral thesis, beginning with Chapter 5. In thischapter, the linear measurement accuracy of three imaging modalities: two lateral cephalograms and one 3D model from CBCT data, was evaluated. The results showed better observer agreement for 3D measurements. The accuracy of the measurements based on CBCT and 1.5-meter SMD cephalogram was better than a 3-meter SMD cephalogram. These findings have confirmed that the linear measurements accuracy and reliability of 3D measurements based on CBCT data was good when compared to 2D techniques. Chapters 6, 7 and 8 concentrated on the reproducibility of cephalometric landmarks in 3 dimensions and attempted to develop a more robust system for 3D cephalometry. In Chapter 6, a new reference system was designed in Maxilim® software to improve the reproducibility of the sella turcica landmark in 3D. The results showed that the new reference system offered high precision and reproducibility for sella turcica identification in 3 dimensions.In Chapter 7, this time, a new reference system was developed in order to systematically improve the reproducibility of mandibular cephalometric landmarks (Pog, Gn, Me and point B) in 3D. It offered moderate to good overall precision and reproducibility for mandibular cephalometric midline landmark identification.Chapter 8 was the last study on 3D cephalometry in this doctoral thesis. The aim was to evaluate the Frankfort horizontal plane (FH), which is widely used in 3D cephalometric analysis. In this chapter, the precision and reproducibility of landmarks that form the Frankfort horizontal plane (Po, Or) and newly chosen landmarks (IAF, ZyMS) was investigated. The angular differences of optional planes compared to the Frankfort plane in 3D were measured. It was demonstrated that the precision and reproducibility of Po and Or was moderate. IAM and ZyMS showed good precision and reproducibility. From the newly proposed planes, the ones closest to the original FH are the plane formed by connecting Or-R, Or-L and mid-IAF (Plane 3) and the plane formed by connecting Po-R, Po-Land mid-ZyMS (Plane 4). This study demonstrated the possibility of using new planes when traditional FHs were not feasible.Lastly, in Chapter 9, the general discussion and conclusions were thoroughly discussed and presented. The findings of the present doctoral thesis elaborated the use of 2D and 3D images for orthodontic treatment and showed the possibility and new development to improve the use of 3D cephalometry. Although the scientific evidence on clinical use of 3D cephalometry is still limited, this project helps to provide a solid base for future studies. New studies should focus on the implementation of 3D cephalometry in clinical practice and evaluate how this new technology may improve the treatment outcome of orthodontic patients. In the near future, one ultra-low dose CBCT scan may be able to yield all necessary information and replace a cascade of 2D radiographic images while still keeping the ALARA principle. Whether those strategies are equally valid, remains to be proven.

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

This Master’s Thesis is centered on the validation of cone beam computed tomography (CBCT) for objective bone quality classification and finite element analysis (FEA) in dental practices. The first purpose of the present study was to develop and validate a new automatic radiological method to objectively calculate the bone quality of potential implant sites based on 3D morphometric parameters using CBCT. Twenty dry human dental mandibles were scanned and analyzed and 3Dmorphometric parameters were calculated. These parameters were then used as feature vectors for the bone quality classifier. The second purpose was to validate highresolution CBCT images for the FEA on trabecular and cortical bone structures in comparison with the gold standard micro-CT. Six dry human edentulous mandibular bone pieces, comprised of posterior teeth regions (premolar, first and second molar) were used which did not contain any implants. These scans were processed and used as input to a finite element analysis for the comparison between the CBCT and the gold standard micro-CT. Results: The subjective bone quality evaluation agreement between observers was significantly lower than the performance of the classifier, which correctly classified 82% of the samples. The overall strain patterns in the finite element analysis between the micro-CT and the CBCT are similar. The effective strain reaches slightly higher values in the CBCT-based models due to the overestimation of the trabecular thickness in this modality. Conclusion The accuracy of the classifier method was evaluated using clear bone types (dense, sparse, atrabecular). However, it is important to be aware that, if unclear cases are included, results could be poor or fair. Within the study limitations, the method was able to remove subjectivity in evaluating bone quality by training a classifier with finite training observations and using this algorithm for other data. The next step would be to test this method with a training data containing higher sample variability. Edentulous bone samples were used as they contain a clear trabecular bone network without interference of teeth, which facilitated the comparison process and resulted in comparable strain patterns. However, dental bone samples behave differently under identical loadings by means of the periodontal ligament and should be incorporated in further research.

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)