3D Imaging in Diagnosis and Treatment Planning of Craniofacial Anomalies

Oberoi, Snehlata; Nervina, Jeanne M.; Vargervik, Karin

doi:10.1002/9781118674888.ch23

Cited by 4 publications

(4 citation statements)

References 94 publications

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“…Although conventional 2D radiographs have been used for these purposes, the ability to discern the precise volume of the post-expansion defect and therefore optimally plan the surgery and amount of donor tissue needed may provide relative advantages of using CBCT over 2D radiographs. CBCT images are valuable for determining the volume of the alveolar defect and, therefore, the amount of bone needed for grafting in patients with CL/P and for determining the success of bone fill following surgery [96][97][98] (Figure 9). In comparing CBCT with panoramic radiographs, it has been shown that while the panoramic radiograph enables the approximation of vertical bone height of the bone bridge, it does not permit determination of the buccal-palatal width of the bone both of which can be discerned with CBCT.…”

Section: Utilization Of Cbct For Orthodontic Treatment Outcomes Diagmentioning

confidence: 99%

“…Finally, CBCT can be useful for diagnosis and treatment of impacted canines that are common in patients with CL/P and their paths of eruption through grafted bone sites. 95,96,[98][99][100][101][102] Temporomandibular joint morphology and pathology contributing to malocclusion: Limited opening or excursive movements, joint pain and joint sounds are indicators of various TMJ pathologies, including osteoarthritis, rheumatoid arthritis, idiopathic condylar resorption and other less common TMJ disorders. The progressive radiographic changes common to most of these TMJ diseases include irregular and/or thickened cortical outlines (sclerosis), erosions, osteophyte formation, subchondral cysts, and flattening and narrowing of the joint space.…”

Section: Utilization Of Cbct For Orthodontic Treatment Outcomes Diagmentioning

confidence: 99%

“…In this context, studies confirm that CBCT contributes to enhanced diagnosis, changes in treatments and greater confidence in treatment decisions by clinicians in cases with impactions, CL/P or severe skeletal birpublications.org/dmfr Dentomaxillofac Radiol, 44,20140282 CBCT in orthodontics SD Kapila and JM Nervina malocclusions. [40][41][42][95][96][97][98][99][100][101][102]150 It is likely that future research will provide evidence for efficacy of CBCT in additional clinical situations further addressing the question of when CBCT should be used, and also will help for enhanced diagnosis and detailed treatment planning of specific types of cases. For example, while CBCT scans are valuable for accurate 3D localization of impacted teeth, it is becoming increasingly clear that this information is equally valuable for optimizing the biomechanics plan to ensure that the direction of traction travels the shortest possible path while minimizing damage to adjacent teeth.…”

Section: Areas Requiring Further Studymentioning

confidence: 99%

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CBCT in orthodontics: assessment of treatment outcomes and indications for its use

Kapila

Nervina

2015

Dentomaxillofacial Radiology

323

222

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Since its introduction into dentistry in 1998, CBCT has become increasingly utilized for orthodontic diagnosis, treatment planning and research. The utilization of CBCT for these purposes has been facilitated by the relative advantages of three-dimensional (3D) over two-dimensional radiography. Despite many suggested indications of CBCT, scientific evidence that its utilization improves diagnosis and treatment plans or outcomes has only recently begun to emerge for some of these applications. This article provides a comprehensive and current review of key studies on the applications of CBCT in orthodontic therapy and for research to decipher treatment outcomes and 3D craniofacial anatomy. The current diagnostic and treatment planning indications for CBCT include impacted teeth, cleft lip and palate and skeletal discrepancies requiring surgical intervention. The use of CBCT in these and other situations such as root resorption, supernumerary teeth, temporomandibular joint (TMJ) pathology, asymmetries and alveolar boundary conditions should be justified on the basis of the merits relative to risks of imaging. CBCT has also been used to assess 3D craniofacial anatomy in health and disease and of treatment outcomes including that of root morphology and angulation; alveolar boundary conditions; maxillary transverse dimensions and maxillary expansion; airway morphology, vertical malocclusion and obstructive sleep apnoea; TMJ morphology and pathology contributing to malocclusion; and temporary anchorage devices. Finally, this article utilizes findings of these studies and current voids in knowledge to provide ideas for future research that could be beneficial for further optimizing the use of CBCT in research and the clinical practice of orthodontics.

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Section: Utilization Of Cbct For Orthodontic Treatment Outcomes Diagmentioning

confidence: 99%

Section: Utilization Of Cbct For Orthodontic Treatment Outcomes Diagmentioning

confidence: 99%

Section: Areas Requiring Further Studymentioning

confidence: 99%

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CBCT in orthodontics: assessment of treatment outcomes and indications for its use

Kapila

Nervina

2015

Dentomaxillofacial Radiology

323

222

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“…Незважаючи на те, що для цих цілей до теперішнього часу використовували звичайні 2D-рентгенограми, здатність визначити точний об'єм дефекту після розширення, оптимально спланувати етапність операції, кількість необхідної донорської тканини, використання КПКТ забезпечує відносні переваги. Зображення КПКТ є цінними для визначення об'єму альвеолярного дефекту та, як наслідок, кількості кістки, необхідної для трансплантації у пацієнтів із CL/P, а також для визначення успішності наповнення (місця незрощення) кісткою після операції [61][62][63]. Порівняння КПКТ з панорамною рентгенограмою показало, що, хоча панорамна рентгенограма дає змогу приблизно визначити вертикальну висоту кістки, вона не дозволяє визначити її щічно-піднебінну ширину, обидві з яких можна розпізнати за допомогою КПКТ [64].…”

Section: кількісна оцінка дефектів незрощення губи і піднебіння та ре...unclassified

The use of CBCT of the skull in orthodontics (Review article)

Burlakov,

Flis

2024

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Actuality. Diagnostics in orthodontics is one of the most important stages, because the establishment of the final diagnosis and the choice of treatment methods directly depend on it. According to the diagnostic protocols of orthodontic patients, CBCT is currently not the gold standard, and is the method of choice. The goal is to analyze the available publications on the study of indications for CBCT and the impact of the information obtained on the choice of treatment method and/or control of the treatment. Materials and methods. Retrospective analysis of available publications on the resources https://pubmed.ncbi.nlm.nih. gov/ and https://www.sciencedirect.com/ and https://scholar.google.com/ and the formation of categories of indications for conducting CBCT in orthodontic practice and possible development trends in diagnostics based on CBCT The results. More than 200 publications were analyzed and 82 published in scientific publications in the period from 1998 to 2023 were selected, and the obtained data were systematized into the main groups of indications for conducting CBCT, namely: (1) assessment of the volume of the alveolar process for planning the possibility of tooth movement; (2) accurate determination of the localization of retained and overcomplete teeth; (3) assessment of the degree of ossification of the palatine suture for choosing a method of maxillary expansion; (4) study of angulation, morphology or root resorption; (5) quantification of nonunion defects of the lip and palate; (6) evaluation of the selection of TADs sizes and optimal areas for their installation; (7) help in determining the possible etiological factors of the occurrence of a pathological bite, for example, anomalies of the TMJ. Conclusions. The development of technologies and diagnostics of patients does not stand still, including 3D technologies in orthodontics as well, and the information that the doctor receives from CBCT influences the choice of treatment method and the evaluation of the conducted, which helps to improve the provision of orthodontic care and treatment, and we hope that in soon CBCT as a diagnostic method will take its place in diagnostic protocols and replace the gold standard, which is currently OPTG and TRG (cephalometry). Key words: cone-beam computed tomography, CBCT, orthodontics, diagnosis, canine retention, repid palatal expiation (RME), temporo-mandibular joint (TMJ), occlusion, articulator, treatment planning, treatment outcames.

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