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Application of a Cone-Beam Computed Tomography-Based Index for Evaluating Surgical Sites Prior to Sinus Lift Procedures—A Pilot Study

OBJECTIVES: Radiography-based indices can help surgeons perform detailed examinations of the surgical site and predict the surgical difficulty of cases. We aimed to develop and validate a novel CBCT-based index that can predict the surgical difficulty of sinus-augmentation procedures. MATERIALS AND...

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Autores principales: Shetty, Shishir Ram, Arya, Satyavrat, Kamath, Vinayak, Al-Bayatti, Saad, Marei, Hesham, Abdelmagyd, Hossam, El-Kishawi, Mohamed, Al Shehadat, Saaid, Al Kawas, Sausan, Shetty, Raghavendra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8741360/
https://www.ncbi.nlm.nih.gov/pubmed/35005022
http://dx.doi.org/10.1155/2021/9601968
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author Shetty, Shishir Ram
Arya, Satyavrat
Kamath, Vinayak
Al-Bayatti, Saad
Marei, Hesham
Abdelmagyd, Hossam
El-Kishawi, Mohamed
Al Shehadat, Saaid
Al Kawas, Sausan
Shetty, Raghavendra
author_facet Shetty, Shishir Ram
Arya, Satyavrat
Kamath, Vinayak
Al-Bayatti, Saad
Marei, Hesham
Abdelmagyd, Hossam
El-Kishawi, Mohamed
Al Shehadat, Saaid
Al Kawas, Sausan
Shetty, Raghavendra
author_sort Shetty, Shishir Ram
collection PubMed
description OBJECTIVES: Radiography-based indices can help surgeons perform detailed examinations of the surgical site and predict the surgical difficulty of cases. We aimed to develop and validate a novel CBCT-based index that can predict the surgical difficulty of sinus-augmentation procedures. MATERIALS AND METHODS: In the first stage, five experienced dental specialists performed a review of the literature and closed group discussions and designed the novel index. In the next stage, the index was validated. CBCT scans of 30 patients scheduled for sinus-augmentation procedures were evaluated and assigned presurgical CBCT evaluation scores (PSCESs) by five examiners. Subsequently, one oral surgeon performed sinus augmentation using the lateral antrostomy technique and assigned surgical difficulty scores (SDSs) to each of the 30 cases along with 2 observers. The PSCESs and SDSs were statistically analysed to determine the interrater reliability and validity of the index. RESULTS: The interrater agreement of the PSCES among the five presurgical evaluators was 0.85. The PSCES of the five evaluators had highly significant correlation (P < 0.001, r = 0.68 to 0.76) with the SDS. Regression analysis revealed that for every unit increase in the PSCES, there is 0.46 to 0.57 increase in the SDS value. CONCLUSION: The results of this pilot study revealed that a novel CBCT-based index can be used as a reliable tool for predicting the surgical difficulty of sinus-augmentation procedures. However, the novel index needs to be tested on a larger sample of patients and evaluators for a more concrete validity and reliability.
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spelling pubmed-87413602022-01-08 Application of a Cone-Beam Computed Tomography-Based Index for Evaluating Surgical Sites Prior to Sinus Lift Procedures—A Pilot Study Shetty, Shishir Ram Arya, Satyavrat Kamath, Vinayak Al-Bayatti, Saad Marei, Hesham Abdelmagyd, Hossam El-Kishawi, Mohamed Al Shehadat, Saaid Al Kawas, Sausan Shetty, Raghavendra Biomed Res Int Research Article OBJECTIVES: Radiography-based indices can help surgeons perform detailed examinations of the surgical site and predict the surgical difficulty of cases. We aimed to develop and validate a novel CBCT-based index that can predict the surgical difficulty of sinus-augmentation procedures. MATERIALS AND METHODS: In the first stage, five experienced dental specialists performed a review of the literature and closed group discussions and designed the novel index. In the next stage, the index was validated. CBCT scans of 30 patients scheduled for sinus-augmentation procedures were evaluated and assigned presurgical CBCT evaluation scores (PSCESs) by five examiners. Subsequently, one oral surgeon performed sinus augmentation using the lateral antrostomy technique and assigned surgical difficulty scores (SDSs) to each of the 30 cases along with 2 observers. The PSCESs and SDSs were statistically analysed to determine the interrater reliability and validity of the index. RESULTS: The interrater agreement of the PSCES among the five presurgical evaluators was 0.85. The PSCES of the five evaluators had highly significant correlation (P < 0.001, r = 0.68 to 0.76) with the SDS. Regression analysis revealed that for every unit increase in the PSCES, there is 0.46 to 0.57 increase in the SDS value. CONCLUSION: The results of this pilot study revealed that a novel CBCT-based index can be used as a reliable tool for predicting the surgical difficulty of sinus-augmentation procedures. However, the novel index needs to be tested on a larger sample of patients and evaluators for a more concrete validity and reliability. Hindawi 2021-12-31 /pmc/articles/PMC8741360/ /pubmed/35005022 http://dx.doi.org/10.1155/2021/9601968 Text en Copyright © 2021 Shishir Ram Shetty et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Shetty, Shishir Ram
Arya, Satyavrat
Kamath, Vinayak
Al-Bayatti, Saad
Marei, Hesham
Abdelmagyd, Hossam
El-Kishawi, Mohamed
Al Shehadat, Saaid
Al Kawas, Sausan
Shetty, Raghavendra
Application of a Cone-Beam Computed Tomography-Based Index for Evaluating Surgical Sites Prior to Sinus Lift Procedures—A Pilot Study
title Application of a Cone-Beam Computed Tomography-Based Index for Evaluating Surgical Sites Prior to Sinus Lift Procedures—A Pilot Study
title_full Application of a Cone-Beam Computed Tomography-Based Index for Evaluating Surgical Sites Prior to Sinus Lift Procedures—A Pilot Study
title_fullStr Application of a Cone-Beam Computed Tomography-Based Index for Evaluating Surgical Sites Prior to Sinus Lift Procedures—A Pilot Study
title_full_unstemmed Application of a Cone-Beam Computed Tomography-Based Index for Evaluating Surgical Sites Prior to Sinus Lift Procedures—A Pilot Study
title_short Application of a Cone-Beam Computed Tomography-Based Index for Evaluating Surgical Sites Prior to Sinus Lift Procedures—A Pilot Study
title_sort application of a cone-beam computed tomography-based index for evaluating surgical sites prior to sinus lift procedures—a pilot study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8741360/
https://www.ncbi.nlm.nih.gov/pubmed/35005022
http://dx.doi.org/10.1155/2021/9601968
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