Applying the paralleling technique in intraoral periapical radiographs for Japanese patients by analyzing CT images

• Published in: Oral radiology 2021-04, Vol.37 (2), p.311-320
• Main Authors: Taguchi, Miharu, Wamasing, Peerapong, Watanabe, Hiroshi, Sakamoto, Junichiro, Kurabayashi, Tohru
• Format: Article
• Language: English
• Subjects: Alveolar bone; Cheek; Computed tomography; Dentistry; Humans; Image processing; Imaging; Japan; Maxilla; Medicine; Molar; Mucosa; Oral and Maxillofacial Surgery; Original Article; Radiography; Radiology; Tomography, X-Ray Computed; Tooth
• ISSN: 0911-6028; 1613-9674
• DOI: 10.1007/s11282-020-00454-x

Objectives The aim of this study was to investigate the size of the teeth and palatal heights to determine if it is possible to apply the paralleling technique in the upper molar region in Japanese patients. Methods The medical computed tomography (CT) data of ten patients were analyzed. A minimum intensity projection image with 8-mm slice thickness was created for each second premolar, first molar, and second molar tooth. We traced the tooth, the alveolar bone, the plate bone surface, and the cheek skin surface on a tracing paper. Tooth length (TL), palatal height (PH), distance between a tip of the cheek and each tooth (D1), and distance between each tooth and the receptor (D2) were measured. The measurements were performed by two observers, and the measurements were repeated twice by each observer. Two potential situations were considered for application of the paralleling technique. Results We analyzed whether there was a possibility for application of the paralleling technique comparing the TL and the PH for each case by considering the magnification rate calculated from D1 and D2, the palatal mucosa thickness, and the safety margin within the resultant image. The data suggested that applying the paralleling technique was impossible in 95% of cases. In the cases where application of the paralleling technique was impossible, the incident angle of X-ray increased by 31.6°. Conclusions We concluded that the paralleling technique could not be applied in Japanese patients due to insufficient space for the image receptor in the upper maxilla region.