CBCT underestimated bone height. No statistically significant differences were found for bone thickness. Regions of thin bone tissue may not be visualized on CBCT images. There are risks of underestimating bone measurements with CBCT and assuming bone loss that does not exist clinically. Although the difference of the bone height measurement was small, the clinical relevance must be analyzed on how to interpret CBCT.
INTRODUCTION: The consensus about the relationship between TMD and orthodontic treatment has
gone from a cause and effect association between TMD and orthodontic treatment to
the idea that there is no reliable evidence supporting this statement. OBJECTIVE: To assess the beliefs, despite scientific evidence, of Brazilian orthodontists
about the relationship between TMD and orthodontic treatment with regards to
treatment, prevention and etiology of TMD. METHODS: A survey about the relationship between TMD and orthodontic treatment was
prepared and sent to Brazilian orthodontists by e-mail and social networks.
Answers were treated by means of descriptive statistics and strong associations
between variables were assessed by qui-square test. RESULTS: The majority of orthodontists believe that orthodontic treatment not only is not
the best treatment option for TMD, but also is not able to prevent TMD.
Nevertheless, the majority of orthodontists believe that orthodontic treatment can
cause TMD symptoms. CONCLUSION: This study suggests that orthodontists' beliefs about the relationship between
orthodontic treatment and TMD are in accordance with scientific evidence only when
referring to treatment and prevention of TMD. The majority of orthodontists
believe that, despite scientific evidence, orthodontic treatment can cause TMD.
Pycnodysostosis (OMIM 265800) is an uncommon hereditary disorder characterized by osteosclerosis of the skeleton, short stature, and bone fragility. The syndrome was first described by Maroteaux and Lamy (1962). Facial dysmorphology, hypoplasia of the mandible,dysplasia of the skull, bones with delayed closure of the cranial sutures, clavicular dysplasia, acroosteolysis or partial aplasia of the terminal phalanges, and abnormal tooth eruption have also been reported (Gelb et al., 1995). An autosomal recessive mode of inheritance has been also suggested and the locus of the disease was initially mapped to human chromosome 1q21 by genetic linkage (Bernard et al., 1980). Since then, several mutations on unrelated patients and consanguineous families have been identified in the cathepsin K gene (CTSK), affecting osteoclast function.Only two previous reports have demonstrated the presence of craniosynostosis in patients with pycnodysostosis(Fleming et al., 2007; Osimani et al., 2010). The purpose of this case report is to describe the craniofacial and dental features of a 12-year-old boy with pycnodysostosisand an uncommon association with craniosynosotosis.
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