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A new bite block for panoramic radiographs of anterior edentulous patients: A technical report

  • Park, Jong-Woong (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Symkhampha, Khanthaly (Division of Oral and Maxillofacial Radiology, Department of Basic Science, Faculty of Dentistry, University of Health Sciences) ;
  • Huh, Kyung-Hoe (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Yi, Won-Jin (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Heo, Min-Suk (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Lee, Sam-Sun (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Choi, Soon-Chul (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University)
  • Received : 2015.02.02
  • Accepted : 2015.03.15
  • Published : 2015.06.30

Abstract

Purpose: Panoramic radiographs taken using conventional chin-support devices have often presented problems with positioning accuracy and reproducibility. The aim of this report was to propose a new bite block for panoramic radiographs of anterior edentulous patients that better addresses these two issues. Materials and Methods: A new panoramic radiography bite block similar to the bite block for dentulous patients was developed to enable proper positioning stability for edentulous patients. The new bite block was designed and implemented in light of previous studies. The height of the new bite block was 18 mm and to compensate for the horizontal edentulous space, its horizontal width was 7 mm. The panoramic radiographs using the new bite block were compared with those using the conventional chin-support device. Results: Panoramic radiographs taken with the new bite block showed better stability and bilateral symmetry than those taken with the conventional chin-support device. Patients also showed less movement and more stable positioning during panoramic radiography with the new bite block. Conclusion: Conventional errors in panoramic radiographs of edentulous patients could be caused by unreliability of the chin-support device. The newly proposed bite block for panoramic radiographs of edentulous patients showed better reliability. Further study is required to evaluate the image quality and reproducibility of images with the new bite block.

Keywords

References

  1. Dhillon M, Raju SM, Verma S, Tomar D, Mohan RS, Lakhanpal M, et al. Positioning errors and quality assessment in panoramic radiography. Imaging Sci Dent 2012; 42: 207-12. https://doi.org/10.5624/isd.2012.42.4.207
  2. Glass BJ, Seals RR Jr, Williams EO. Common errors in panoramic radiography of edentulous patients. J Prosthodont 1994; 3: 68-73. https://doi.org/10.1111/j.1532-849X.1994.tb00131.x
  3. Batenburg RH, Stellingsma K, Raghoebar GM, Vissink A. Bone height measurements on panoramic radiographs: the effect of shape and position of edentulous mandibles. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 84: 430-5. https://doi.org/10.1016/S1079-2104(97)90044-5
  4. Kogon S, Bohay R, Stephens R. A survey of the radiographic practices of general dentists for edentulous patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 80: 365-8. https://doi.org/10.1016/S1079-2104(05)80396-8
  5. Spyropoulos ND, Patsakas AJ, Angelopoulos AP. Findings from radiographs of the jaws of edentulous patients. Oral Surg Oral Med Oral Pathol 1981; 52: 455-9. https://doi.org/10.1016/0030-4220(81)90350-9
  6. Swenson HM, Hudson JR. Roentgenographic examination of edentulous patients. J Prosthet Dent 1967; 18: 304-7. https://doi.org/10.1016/S0022-3913(67)80004-0
  7. Ortman LF, Hausmann E, Dunford RG. Skeletal osteopenia and residual ridge resorption. J Prosthet Dent 1989; 61: 321-5. https://doi.org/10.1016/0022-3913(89)90137-6
  8. Soikkonen K, Ainamo A, Xie Q. Height of the residual ridge and radiographic appearance of bony structure in the jaws of clinically edentulous elderly people. J Oral Rehabil 1996; 23: 470-5. https://doi.org/10.1111/j.1365-2842.1996.tb00881.x
  9. Wical KE, Swoope CC. Studies of residual ridge resorption. I. Use of panoramic radiographs for evaluation and classification of mandibular resorption. J Prosthet Dent 1974; 32: 7-12. https://doi.org/10.1016/0022-3913(74)90093-6
  10. Kaffe I, Ardekian L, Gelerenter I, Taicher S. Location of the mandibular foramen in panoramic radiographs. Oral Surg Oral Med Oral Pathol 1994; 78: 662-9. https://doi.org/10.1016/0030-4220(94)90182-1
  11. Scarfe WC, Eraso FE, Farman AG. Characteristics of the Orthopantomograph OP 100. Dentomaxillofac Radiol 1998; 27: 51-7. https://doi.org/10.1038/sj.dmfr.4600310
  12. Park JW, Huh KH, Yi WJ, Heo MS, Lee SS, Choi SC. Comparison of the reproducibility of panoramic radiographs between dentulous and edentulous patients. Imaging Sci Dent 2014; 44: 95-102. https://doi.org/10.5624/isd.2014.44.2.95
  13. Volchansky A, Cleaton-Jones P. Clinical crown height (length)- a review of published measurements. J Clin Periodontol 2001; 28: 1085-90. https://doi.org/10.1034/j.1600-051X.2001.281201.x
  14. Tong H, Kwon D, Shi J, Sakai N, Enciso R, Sameshima GT. Mesiodistal angulation and faciolingual inclination of each whole tooth in 3-dimensional space in patients with near-normal occlusion. Am J Orthod Dentofacial Orthop 2012; 141: 604-17. https://doi.org/10.1016/j.ajodo.2011.12.018
  15. Sato M, Motoyoshi M, Hirabayashi M, Hosoi K, Mitsui N, Shimizu N. Inclination of the occlusal plane is associated with the direction of the masticatory movement path. Eur J Orthod 2007; 29: 21-5. https://doi.org/10.1093/ejo/cjl036
  16. Canger EM, Celenk P. Radiographic evaluation of alveolar ridge heights of dentate and edentulous patients. Gerodontology 2012; 29: 17-23. https://doi.org/10.1111/j.1741-2358.2010.00391.x