ReviewDento maxillo facial radiology2015
CBCT-based bone quality assessment: are Hounsfield units applicable?
Review in Dento maxillo facial radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 197 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
197 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Do patients with different craniofacial patterns have differences in upper airway volume? A systematic review with network meta-analysis.European journal of orthodontics · 2024Pooled it
- Can gray values be converted to Hounsfield units? A systematic review.Dento maxillo facial radiology · 2022Pooled it
- Indications for 3-D diagnostics and navigation in dental implantology with the focus on radiation exposure: a systematic review.International journal of implant dentistry · 2021Pooled it
- Developing evidence-based clinical imaging guidelines of justification for radiographic examination after dental implant installation.BMC medical imaging · 2020Pooled it
- Capability of CBCT to identify patients with low bone mineral density: a systematic review.Dento maxillo facial radiology · 2017Pooled it
- Impact of three miniplate configurations on mental nerve integrity in parasymphyseal mandibular fractures: a blinded randomized trial.BMC oral health · 2026Trial
- Comparative analysis of insertion torque and radiological texture analysis following sinus lift surgery between allograft and xenograft materials: a randomized clinical trial.Oral and maxillofacial surgery · 2025Trial
- Evaluation of bone repair with platelet-rich fibrin following the extraction of impacted third molars - randomized clinical trial.Medicina oral, patologia oral y cirugia bucal · 2023Trial
- Tomographic evaluation of the effect of simvastatin topical use on alveolar bone microarchitecture, pain and swelling after mandibular third molar extraction: a randomized controlled trial.Clinical oral investigations · 2022Trial
- The effect of post-extraction socket preservation laser treatment on bone density 4 months after extraction: Randomized controlled trial.Clinical implant dentistry and related research · 2021Trial
- Whole-axis versus odontoid process CBCT radiomics for forensic sex estimation: a retrospective paired-ROI model-development study.International journal of legal medicine · 2026Article
- A narrative review of artificial intelligence in dental imaging: from dataset design to clinical translation.Oral radiology · 2026Review
- Transformer and generative models in dental and maxillofacial imaging: Narrative review of clinical evidence and future directions.Imaging science in dentistry · 2026Review
- Frequency and Systemic Associations of Focal Low-Trabeculation/Low-Density Intramedullary Jawbone Findings: A Retrospective CBCT Study.Journal of clinical medicine · 2026Article
- Influence of Implant-Specific Characteristics on Insertion Torque and Primary Stability: An Ex Vivo Comparison of Two Implant Systems with a Shared Macrodesign.Dentistry journal · 2026Article
- Radiographic indicators of favorable second permanent molar eruption are infrequently present at the time of first permanent molar extraction: a retrospective study.BMC oral health · 2026Article
- Definite Implant Position as Novel Readout for Effectiveness of Ridge Preservation Indicates to Beneficial Effect of Combined Treatment with Platelet-Rich Fibrin (PRF) and Xenogenic Biomaterial in Bone Regeneration.Bioengineering (Basel, Switzerland) · 2026Article
- Deep learning for automatic segmentation of the inferior alveolar nerve using a hybrid CNN-transformer framework.Scientific reports · 2026Article
- Correlations between early ultrasound markers and the outcomes of staged lateral guided bone regeneration.Journal of periodontal & implant science · 2026Article
- Evaluation of the Effectiveness of the Socket Preservation Technique Using Allogeneic and Xenogeneic Materials: A Randomized Controlled Trial.Journal of functional biomaterials · 2026Article
137 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
CBCT is a widely applied imaging modality in dentistry. It enables the visualization of high-contrast structures of the oral region (bone, teeth, air cavities) at a high resolution. CBCT is now commonly used for the assessment of bone quality, primarily for pre-operative implant planning. Traditionally, bone quality parameters and classifications were primarily based on bone density, which could be estimated through the use of Hounsfield units derived from multidetector CT (MDCT) data sets. However, there are crucial differences between MDCT and CBCT, which complicates the use of quantitative gray values (GVs) for the latter. From experimental as well as clinical research, it can be seen that great variability of GVs can exist on CBCT images owing to various reasons that are inherently associated with this technique (i.e. the limited field size, relatively high amount of scattered radiation and limitations of currently applied reconstruction algorithms). Although attempts have been made to correct for GV variability, it can be postulated that the quantitative use of GVs in CBCT should be generally avoided at this time. In addition, recent research and clinical findings have shifted the paradigm of bone quality from a density-based analysis to a structural evaluation of the bone. The ever-improving image quality of CBCT allows it to display trabecular bone patterns, indicating that it may be possible to apply structural analysis methods that are commonly used in micro-CT and histology.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.