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The aim of this study is to evaluate the efficacy of zero echo time magnetic resonance imaging (ZTE MRI) as an ionizing radiation-free diagnostic method to evaluate both hard and soft tissues and maxillary sinus region before dental implants in the posterior maxillary region.
Today, cone beam computed tomography (CBCT) is routinely used to evaluate the bone structure of the surgical area, to define the anatomical landmarks in the area, to detect variations, if any, and to evaluate the presence of pathologies before dental implant treatment. However, soft tissue evaluations, which are an important factor in treatment planning and the success of the treatment, cannot be performed adequately on CBCT images, and in addition, there is a significant increase in the exposure of patients to ionizing radiation. Using zero echo time magnetic resonance imaging (ZTE MRI) as a diagnostic tool that does not involve ionizing radiation in dentistry may provide a solution to this situation.
The aim of the present project is to evaluate the efficacy of ZTE MRI as an ionizing radiation-free diagnostic method to evaluate both hard and soft tissues and the maxillary sinus region before dental implants in the posterior maxillary region. For this purpose, it is planned to examine CBCT and ZTE MRI images of patients planned for dental implant treatment, to perform digital measurements with an intraoral scanner and intraoral direct measurements during surgery and to compare the results of bone and soft tissue measurements obtained.
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| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of maxillary sinus area with ZET-MR | These maxillary sinus evaluations will be conducted on both ZTE MR and CBCT images:
| Baseline-18 months |
| Evaluation of alveolar bone dimensions in maxillary premolar and molar areas with ZET-MR, CBCT and directly | These assessments will be conducted on both preoperative CBCT and zero echo time MR images, as well as directly during surgery using a caliper.
| Baseline-18 months |
| Evaluation of soft tissue for dental implant planning Evaluation of gingival tissue dimensions in maxillary premolar and molar areas with ZET-MR and directly during surgery | Gingival thickness measurements will be performed at 2, 4, and 6 mm apically from the alveolar crest through to apical area with three different methods:
| Baseline -18 months |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with missing teeth in the maxillary premolar and molar regions who applied to Faculty of Dentistry Department of Periodontics for dental implant treatment and who had cone beam computed tomography images for pre-surgical bone evaluation.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Guliz Nigar Guncu, DDS PhD | Contact | +905337717415 | gngun1@gmail.com | |
| Ustun Aydingoz, MD | Contact | +905326231139 | ustunaydingoz@yahoo.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Periodontology, Faculty of Dentistry, Hacettepe University, | Recruiting | Ankara | 06100 | Turkey (Türkiye) |
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| Hacettepe University Faculty of Medicine | Recruiting | Ankara | 06230 | Turkey (Türkiye) |
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