Abstract :
Introduction: Dental implants are widely used, but their success relies on healthy peri-implant bone. Peri-implantitis can cause bone loss and implant failure, making early detection crucial. Intraoral radiography is commonly used due to its convenience and low cost but lacks accuracy in detecting certain defects. CBCT offers detailed 3D imaging and better detection of bone changes but raises concerns over cost, radiation, and image artefacts. A systematic review is needed to compare the diagnostic accuracy of CBCT and intraoral imaging, helping clinicians choose the best method for managing peri-implant bone health.Materials and Methods: The study protocol was registered on PROSPERO database. The PROSPERO registration number for protocol for this study is CRD42024510593.The focused PICO question was: Is there a Difference between the diagnostic accuracy of CBCT and intraoral imaging for peri-implant bone defect.Results: Electronic search of PubMed (including MEDLINE), COCHRANE CENTRAL, and science direct search engines for articles published from 01/07/2006 to 01/07/2022 was conducted.The terms mentioned in the concept table were used to formulate a search strategy.Discussion: Imaging alone cannot fully capture peri-implant bone conditions; clinical data such as probing depth, bleeding, and suppuration are essential for early detection and management of peri-implant diseases. While intraoral (IO) radiography remains the standard for long-term follow-up, it lacks the ability to accurately assess buccal and lingual bone levels. CBCT offers three-dimensional insights and may aid in complex cases, but its current limitations—such as image artifacts, especially from metal implants, and overestimation of bone density—restrict its use. Studies show mixed findings: CBCT may outperform IO imaging in detecting specific defects found IO radiographs more reliable. Future research should focus on optimizing low-dose, artifact-free CBCT protocols tailored to clinical needs, following ALARA and ALADIP principles.
Keyword :
Introduction: Dental implants are widely used, but their success relies on healthy peri-implant bone. Peri-implantitis can cause bone loss and implant failure, making early detection crucial. Intraoral radiography is commonly used due to its convenience a