One of the critical factors for dental implant success is accurate clinical and radiological assessment. Cone-beam computed tomography systems (CBCT) allow surgeons to determine the quality and quantity before surgery, aiding in treatment planning. This study highlights the importance of such an assessment Materials and Methods A total of 40 patients were referred to CBCT scanning for pre-dental implant assessment in the Oral and Maxillofacial Radiology department at Al-Shaheed Gazi Al Hariri Hospital from 2021 to 2022. The patients were between 18 and 50 years old. All data were analyzed with on-demand 3D software (Kavo OP 3D: Cone Beam 3D imaging Germany). Results: Regarding the ridge shape: In the upper anterior and posterior regions, the rectangular shape had the highest percentages of (62.5%) and (75%) respectively. In the lower anterior and posterior regions, the pyramidal shape had the highest percentages of (55%) and (60%), respectively, and the hourglass shape was the lowest in all areas. Regarding bone density: The highest bone density percentage in the anterior upper region was D3 (67%), while in the upper posterior region, D4 had the highest percentage (77.5%). In the lower anterior region, D2 had a more prominent percentage (52.5%), while in the lower posterior, D3 was predominant (82.6%). Conclusion: From this study, it can be suggested that CBCT is the best modality for pre-implant radiographic assessment, and ridge shape and bone density are easily assessed using this method.
