Imaging Sci Dent.  2021 Mar;51(1):1-7. 10.5624/isd.20200094.

Assessment of the efficiency of a pre- versus post-acquisition metal artifact reduction algorithm in the presence of 3 different dental implant materials using multiple CBCT settings: An in vitro study

Affiliations
  • 1Department of Diagnostic Sciences, Division of Oral and Maxillofacial Radiology, Texas A&M College of Dentistry, Dallas, TX, USA
  • 2Department of Comprehensive Dentistry, Division of Oral and Maxillofacial Radiology, University of Texas Health Science Center, San Antonio, TX, USA
  • 3Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center, San Antonio, TX, USA
  • 4Private Practice, Oral and Maxillofacial Radiology, Orlando, FL, USA
  • 5Department of General Dental Sciences, Division of Oral and Maxillofacial Radiology, Marquette University School of Dentistry, Milwaukee, WI, USA

Abstract

Purpose
The aim of this study was to assess artifacts generated in cone-beam computed tomography (CBCT) of 3 types of dental implants using 3 metal artifact reduction (MAR) algorithm conditions (pre-acquisition MAR, postacquisition MAR, and no MAR), and 2 peak kilovoltage (kVp) settings.
Materials and Methods
Titanium-zirconium, titanium, and zirconium alloy implants were placed in a dry mandible. CBCT images were acquired using 84 and 90 kVp and at normal resolution for all 3 MAR conditions. The images were analyzed using ImageJ software (National Institutes of Health, Bethesda, MD) to calculate the intensity of artifacts for each combination of material and settings. A 3-factor analysis of variance model with up to 3-way interactions was used to determine whether there was a statistically significant difference in the mean intensity of artifacts associated with each factor.
Results
The analysis of all 3 MAR conditions showed that using no MAR resulted in substantially more severe artifacts than either of the 2 MAR algorithms for the 3 implant materials; however, there were no significant differences between pre- and post-acquisition MAR. The 90 kVp setting generated less intense artifacts on average than the 84 kVp setting. The titanium-zirconium alloy generated significantly less intense artifacts than zirconium. Titanium generated artifacts at an intermediate level relative to the other 2 implant materials, but was not statistically significantly different from either.
Conclusion
This in vitro study suggests that artifacts can be minimized by using a titanium-zirconium alloy at the 90 kVp setting, with either MAR setting.

Keyword

Cone-Beam Computed Tomography; Artifacts; Dental Implants
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