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CC BY 4.0 · Eur J Dent 2025; 19(02): 337-345
DOI: 10.1055/s-0044-1788613
Original Article

The Precision of All-on-Four Implant Position Recorded from Three Different CBCT Machines

Osamah Alsulimani 
1   Department of Oral Diagnostic Sciences, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
,
Abdulrahman Alhaddad
2   Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
,
Mosa Altassan
2   Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
,
Asmaa Bukhari
2   Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
,
Lulu Munshi
3   Internship program, Faculty of Dentistry King Abdulaziz University, Jeddah, Saudi Arabia
,
Ghalia Sabir
3   Internship program, Faculty of Dentistry King Abdulaziz University, Jeddah, Saudi Arabia
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Abstract

Objective To investigate the dimensional discrepancy and degree of deviation of All-on-Four implant position between different cone-beam computed tomography (CBCT) machines.

Materials and Methods Four implants (4.5 × 10 mm Superline II, Dentium, South Korea) were placed in an All-on-Four style in an artificial mandible. The jaw was radiated 30 times using three different CBCT machines (Rainbow CT, Dentium; Veraview X800, Morita, Japan; Planmeca Viso G3, Planmeca OY, Finland). A total of 30 Digital Imaging and Communications in Medicine (DICOM) files were exported, n = 10. All-on-Four implants from each DICOM file were segmented and exported as an STL file (three-dimensional image) using Blue Sky Plan software (version 4.12.13/Blue Sky Bio, United States). All-on-Four implant zone dimensions (X, Y, and Z axes) and the total degree of deviation between All-on-Four implants per CBCT machine were measured using Autodesk Meshmixer software (version 3.5.474/California, United States). The data distribution's normality and variances' equality were tested with Shapiro–Wilk's and Levene's tests, respectively (p-value < 0.05). Data were analyzed using Brown–Forsythe one-way analysis of variance and Tamhane's post hoc tests to compare the differences between the groups (p-value <0.05).

Results The respective X, Y, and Z mean dimensions of the All-on-Four implant zone were: Dentium (34.95, 14.71, and 9.97); Morita (34.88, 14.74, and 10.56); and Planmeca (34.73, 15.15, and 12.33). Significant differences between CBCT machines were found in all axes (p-value < 0.05); however, the Z-axis had the most differences. Notably, Planmeca exhibited the highest standard deviation (SD) in all axes (0.16–0.35), exhibiting the lowest consistency in the CBCT machines' readings. The Dentium exhibited the lowest deviation in the implant position, with the lowest SD (0.61). A significant difference in the total degree of deviation was spotted when only Morita was included in the comparison (p-value < 0.05).

Conclusion This study's findings are of significant importance as they reveal that the implant position recorded from the CBCT machines was most discrepant in the buccolingual dimension (Z-axis). Planmeca exhibited the least implant-dimensional accuracy of the CBCT machines, while Dentium exhibited the highest implant position accuracy. These results could significantly impact the choice of CBCT machine for implant placement, especially since an accurate CBCT image is crucial for digital implant planning.

Keywords

CBCT - All-on-Four - precision - degree of deviation


Publication History

Article published online:
23 July 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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