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conferenceseries
.com
Volume 2, Issue 2 (Suppl)
Dent Implants Dentures, an open access journal
ISSN: 2572-4835
Dental Medicine 2017
October 16-18, 2017
October 16-18, 2017 New York, USA
29
th
Annual World Congress on
Dental Medicine & Dentistry
A three-dimensional virtual analysis versus two-dimensional analysis in evaluation of the complex
impactions
Ghada Amin Khalifa
Al-Azhar University, Egypt
Introduction:
The radiographic images play a major role in detecting the position of the impacted teeth, shape, orientation, and
their relation to the adjacent vital structure. Thus, they facilitate their surgical removal with minimal trauma and minimize the post-
operative complications. Plain radiographs provide two-dimensional images that have certain drawbacks. In complex impactions, the
missing of certain data may lead to postoperative complications.
Objectives:
The aim of this study is to compare between the radiographic results of three-dimensional computed tomography (3DCT)
which inserted into Simplant software and that of two-dimensional orthopantomograms(OPGs).
Material & Methods:
A total of 50 abnormally positioned impacted teeth were studied. The shape, position, orientation, and the
relation to the adjacent vital structures were studied by using OPGS and 3DCT scans. The correlation between the surgical findings
during surgeries and radiographic results was also done. The dataset of the 3DCT scans was inserted and manipulated by Simplant
technology to virtually visualize the impacted teeth.
Results:
Thirty cases were lower impacted wisdom molars, 10 cases were upper impacted third molar, while the impacted upper
canine found in 5 cases, and the other 5 cases were impacted lower second premolar. There were no differences between the OPGs
and 3DCT scans regarding the orientation of impactions. 3DCT scans were much more precise in determination of the exact location
of the teeth in the jaw. The buccal, palatal, or lingual position of the teeth were difficult to be determined in OPGs. The configuration
of the roots was better seen by using 3DCT scans. The results of 3DCT scans were also correlated with the surgical findings, during
surgeries, more than those of OPGs.
Conclusion:
It could be concluded that the data which is obtained from 3DCT scans can meet the objectives of the diagnostic images
much more than OPGs in diagnosis and determination of the surgical panning for the removal of the complex impacted teeth. Thus,
they facilitate their surgical removal with minimal complications, and amplify the documentations that provided to the patient in the
consent.
Biography
Ghada Amin Khalifa is an Associate Professor of Oral and Maxillofacial Surgery at the Faculty of Dental Medicine, Al Azhar University, Cairo, Egypt since 2012. She has
received her BDS, MSc and MD from Faculty of Oral and Dental Medicine Cairo University in 1993, 2000 and 2007 respectively. In addition to teaching, she is regularly
doing Oral and Maxillofacial surgeries at Al Zahraa Hospital with a Maxillofacial team work.
ghadaamin@ymail.comGhada Amin Khalifa, Dent Implants Dentures 2017, 2:2 (Suppl)
DOI: 10.4172/2572-4835-C1-003