Abstract
BackgroundThis study aimed to develop evidence-based clinical imaging guidelines to assess the proper implant location following implant surgery and identify potential complications during follow-up.MethodsThe guideline development process employed an adaptation methodology in accordance with the Korean clinical imaging guidelines (K-CIG). Core (Ovid-Medline, Ovid-Embase, National Guideline Clearinghouse, and Guideline International Network) and domestic databases (KoreaMed, KMbase, and KoMGI) were searched used to retrieve guidelines, and two reviewers analyzed the retrieved articles. The articles were included in this review using well-established inclusion criteria.ResultsOur online search identified 66 articles, of which 3 were selected for the development of the guidelines. Consequently, based on these three guidelines, we formulated distinct recommendations regarding the appropriate imaging modalities that should be used following implant placement.ConclusionsConventional imaging (e.g., periapical or panoramic radiography) should be the first choice for assessing the implant following its placement and osseointegration. The metal artifacts in Cone Beam Computed Tomography (CBCT) should be considered. However, CBCT is recommended for patients with sensory abnormalities following dental implant surgery to evaluate and identify the underlying cause of implant complications and to determine the appropriate treatment.
Highlights
This study aimed to develop evidence-based clinical imaging guidelines to assess the proper implant location following implant surgery and identify potential complications during follow-up
Because no clear guideline on what type of modality is the first choice to assess this situation following dental implant surgery, this study aimed to develop evidencebased clinical imaging guidelines (CIGs) for this process
Pico The PICO guideline was deduced based on key questions
Summary
This study aimed to develop evidence-based clinical imaging guidelines to assess the proper implant location following implant surgery and identify potential complications during follow-up. Implant complications can be broadly divided as biological and technical. Biological complications include mucositis, peri-implantitis, and implant loss due to osseointegration failure, whereas. Diagnostic possibility of nerve injury (inferior alveolar nerve) treatment [2]. Many of these complications are diagnosed on postsurgical imaging [3]. Radiological examinations for diagnosing the complications include panoramic radiography, periapical radiography, and cone-beam computed tomography (CBCT). These imaging modalities can help diagnosis of potential bone loss around the implant, osseointegration (implant-bone interface), and facilitate evaluation of the relationship between the surrounding anatomical structures and the implant [4,5,6]
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