CBCT and virtual implant helps the clinician in assessing the implant positioning with nearby vital structures and in planning the implant surgical procedures. Thus, the current study aims to evaluate the anterior sagittal root position and assess labial bone perforations in CBCT images. This study was carried out using CBCT scans of 140 samples involving 1338 teeth. The DICOM files were imported into Care stream 3D Imaging software for analysis. All measurements were made in the appropriate section slice of 200 micro thickness in a darkened room. A standardized orientation was established by two examiners. The sagittal root positions (SRP) were assessed in maxillary and mandibular anterior teeth.LabialBone perforation (LBP) was assessed usingtapered implants in the virtual implant software. Overall, Class I SRP was highest (81.48 % &amp;amp; 38.49%) in both sextants. SRP class I was most prevalent in canine teeth in both arches (87.96% and 56.45%), followed by incisors in other types in maxillary arch. In mandibular arch, both incisors were in Class IV and I. The overall LBP was 4.26% and more likely in the mandibular arch (5.64%) than in the maxillary arch (2.8%). The mandibular central incisors showed the highest rate of perforation (8.5 &amp;ndash; 11.93 %). The SRP and LBP did not show a statistically significant difference between right and left sides in both arches. The correlation coefficient between SRP and LBP showed a statistically significant results (p<0.01).Class I SRP was the most prevalent in maxillary and mandibular arches. Significantly more number of perforations occurred with mandibular anterior teeth and in Class IV SRP types (approx. 10-30 %) suggesting implant placement requires careful presurgical planning and regenerative approaches or delayed implant placement may be considered.

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