Comparison of radiation dose for implant imaging using conventional spiral tomography, computed tomography, and cone-beam computed tomography.
OBJECTIVE
The objective of this study was to compare typical patient radiation dose delivered in implant imaging with spiral computed tomography (CT), conventional spiral tomography, and cone-beam CT (CBCT).


METHODS
The Scanora (Orion Corporation Soredex, Helsinki, Finland), Spiral HiSpeed/Fxi (General Electric, Milwaukee, WI), and Classic iCAT (Imaging Sciences International, Hatfield, PA) units were selected to represent conventional spiral tomography, spiral CT, and CBCT, respectively. Thermoluminescent dosimeters were used in a Rando phantom to measure radiation-absorbed doses to the lenses, parotid glands, submandibular glands, sublingual gland, and the thyroid for maxillary and mandibular implant imaging techniques.


RESULTS
Spiral CT delivered the highest absorbed dose, whereas CBCT delivered the lowest in both maxillary and mandibular implant scans. The salivary glands received the highest absorbed doses. Scanora delivered lower radiation doses than CBCT when the anterior region of the maxilla or mandible was irradiated.


CONCLUSIONS
In implant imaging, CT delivers the highest radiation dose to the salivary glands, whereas the CBCT system studied delivers the lowest dose. Irrespective of imaging modality, during implant imaging as conducted for this study, salivary glands receive most radiation.
Chau
Anson C M
AC
Oral Radiology, Faculty of Dentistry, The University of Hong Kong, Hong Kong. ansonc@hku.hk
Fung
Karl
K
D054893:Cone-Beam Computed Tomography; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D006801:Humans; D007908:Lens, Crystalline / Q000000981:diagnostic imaging; D008334:Mandible / Q000000981:diagnostic imaging*; D019047:Phantoms, Imaging; D011829:Radiation Dosage; D011861:Radiography, Dental / Q000379:methods*; D012796:Sialography; D013819:Thermoluminescent Dosimetry; D013961:Thyroid Gland / Q000000981:diagnostic imaging; D036542:Tomography, Spiral Computed / Q000379:methods
D015921:Dental Implants