Our oral and maxillofacial radiologists evaluate bone quality, nerve anatomy, and potential challenges, so you place with precision and plan with confidence.
The AAOMR recommends CBCT as the modality of choice for preoperative cross-sectional imaging of potential implant sites.¹ Here's what our radiologists address most commonly when that imaging arrives.
The site itself is measured: vertical bone height, buccolingual width, and mesiodistal dimensions when compromised, with bone quality at the site assessed.
The site's relationship to the inferior alveolar canal, foramina, sinuses, nasal fossae, and submandibular fossae is documented, along with the maxillary sinus and ostiomeatal unit when applicable, and pathologic conditions at or near the site.
Implant fields can capture more than the site. The whole volume is screened, incidental findings are documented, and the report closes with explicit confirmation of negative findings for the site in question. Questions go to the radiologist through Rad Chats.
1 AAOMR position paper on CBCT in implant dentistry. Read the position statement
Odontogenic inflammation extending into the desired implant site.
Example 2Included images provide measurements and also distances to the IAN canal and vital structures.
Example 3Included emphasis on detecting anatomical variants such as sinus septations in maxilla related to implant treatment planning.
Radiology ReportImplant evaluation for site #8 in the maxillary anterior region.
Grafting material and woven bone were identified in a remodeling extraction socket at #8 with well-maintained alveolar dimensions. Osseous rarefaction from endodontically treated #7 extended to the superior aspect of the grafting material. External invasive resorption (class III) was also identified at #11.
Resolution of the odontogenic inflammation from #7 is recommended prior to implant placement, as the rarefaction may result in retrograde peri-implantitis. Correlation with clinical history is recommended for #7 and #11.
Radiology ReportGeneral review with attention to existing implants in the lower left quadrant (#19i and #20i).
Moderate bone loss was identified buccal, mesial, and distal to #20i. Mild bone loss was noted mesial and distal to #19i. The mental foramen was located 3 mm from the mesial outline of #20i, with 11.3 mm from the alveolar crest to the mental foramen.
Bone loss patterns around the lower left implants were documented with measurements. Calcified atheromas were identified intracranially in the circle of Willis area, and cardiovascular risk evaluation was recommended.
Radiology ReportImplant evaluation for site #3 in the posterior maxilla with attention to sinus anatomy and ridge dimensions.
No radiographic signs of bone pathology were noted at site #3. A septation was identified in the sinus apical to the site. The left ostiomeatal complex was not patent, and moderate to severe mucosal thickening was noted in the left maxillary sinus. Subantral height measured approximately 4.21 mm. Calcified atheromas were noted in the internal carotid arteries intracranially within the circle of Willis area.
Site #3 showed no bone pathology, though the sinus septation should inform implant planning. Sinusitis cannot be ruled out from the left maxillary sinus given the mucosal thickening and non-patent ostiomeatal complex. Medical history evaluation is suggested to assess cardiovascular risk.
Submit with an implant study purpose and your radiologist measures the site itself, then evaluates everything around it that could shape or restrict your plan.
Vertical bone height, buccolingual width, saddle length, and bone quality, with mesiodistal dimensions when compromised.
The site's relationship to the inferior alveolar canal, foramina, sinuses, nasal fossae, submandibular fossae, and adjacent and opposing teeth.
Ridge morphology and orientation, plus local anatomic and pathologic conditions that could restrict placement, including maxillary sinus and ostiomeatal assessment when applicable.
Panoramic reconstruction, plus cross-sectional and multiplanar views of the site with the nerve or sinus floor identified where applicable, and explicit confirmation of negative findings for the site in question.
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