whenever we examine patients we check clinically and then advise radiographs be is OPG, IOPA, CBCT or CT scans to check defect in bone. we check the radiolucency size to determine level and extent of bone loss. we make decisions based on radiolucency such as what type of surgery and how much reconstruction need to be done.
But many a times when we oen defect during surgery we see that the defect is actully larger in size and extent. Now this is because in order to detect bone loss in radiographs there should be actual bone loss of 20 to 30 % before we can see it on radiographs.
Are there any techniques where in this 20 to 30 % has been reduced to 2 to 5 % so that planning of surgery and reconstruction will be more effective.
are there any studies regarding this?
because at time of radiolucency detection whatever we see on radiographs it is actually 20 to 30 % worse off already.
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