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100 1 _ |a Ruetters, Maurice
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245 _ _ |a Dental photon-counting computed tomography for the assessment of Peri-Implant structures.
260 _ _ |a Heidelberg
|c 2025
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520 _ _ |a To assess the diagnostic performance of photon-counting computed tomography (PCCT) in the imaging of peri-implant bone structures and to compare it quantitatively and qualitatively to cone-beam computed tomography (CBCT).Thirty titanium implants were placed in ten porcine mandibles. CBCT and PCCT scans were acquired and compared quantitatively regarding image noise and CT-values. Additionally bone thickness was compared to a gold standard at 60 standardized locations by one calibrated investigator in both modalities. Measurement accuracy was assessed by Bland-Altman analysis. Two experienced raters performed qualitative assessments of anatomic structures around the implant using a 5-point visibility scale. These included the bone-implant interface around the implant surface, the bone at the implant shoulder as well as the oral and vestibular bone lamella. Inter-rater agreement was assessed using ICC.Across all evaluated implants, CT-values in a soft-tissue region of interest adjacent to the implant increased by 11.7 ± 3.9% for CBCT acquisitions, whereas they decreased by 5.3 ± 1.3% for PCCT acquisitions. Similarly, image noise in the respective ROIs is increased by a factor of 63 ± 13% in case of CBCT acquisitions and only by 23 ± 5% in case of PCCT acquisitions. Bone thickness deviations were smaller for PCCT (mean ± SD: 0.06 ± 0.08 mm) than for CBCT (0.39 ± 0.34 mm). Qualitative assessments consistently favored PCCT (p < 0.05) with excellent inter-rater reliability (ICC > 0.75 ) in almost all categories.PCCT enables superior visualization of peri-implant bone structures with fewer artifacts and improved diagnostic accuracy.
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650 _ 7 |a 3D dental imaging
|2 Other
650 _ 7 |a CBCT
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650 _ 7 |a Image quality
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650 _ 7 |a Implant diagnostics
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650 _ 7 |a Metal artifacts
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650 _ 7 |a Peri-implant bone
|2 Other
650 _ 7 |a Photon-counting CT
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650 _ 7 |a Dental Implants
|2 NLM Chemicals
650 _ 2 |a Animals
|2 MeSH
650 _ 2 |a Swine
|2 MeSH
650 _ 2 |a Cone-Beam Computed Tomography: methods
|2 MeSH
650 _ 2 |a Dental Implants
|2 MeSH
650 _ 2 |a Mandible: diagnostic imaging
|2 MeSH
650 _ 2 |a Mandible: surgery
|2 MeSH
650 _ 2 |a Tomography, X-Ray Computed: methods
|2 MeSH
650 _ 2 |a Photons
|2 MeSH
700 1 _ |a Mertens, Christian
|b 1
700 1 _ |a Gehrig, Holger
|b 2
700 1 _ |a Sen, Sinan
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700 1 _ |a Kim, Ti-Sun
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700 1 _ |a Schlemmer, Hans-Peter
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700 1 _ |a Schoenberg, Stefan
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700 1 _ |a Froelich, Matthias
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700 1 _ |a Kachelrieß, Marc
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700 1 _ |a Sawall, Stefan
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773 _ _ |a 10.1186/s40729-025-00640-8
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|t International journal of implant dentistry
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Marc 21