Influence of cone beam computed tomography versus panoramic radiography on the surgical technique of third molar removal: a systematic review

Araujo, G. de Toledo Telles; Peralta-Mamani, Mariela; Silva, A. de Fatima Moraes da; Rubira, Cássia Maria Fischer; Honório, Heitor Marques; Rubira-Bullen, Izabel Regina Fischer

doi:10.1016/j.ijom.2019.04.003

Cited by 36 publications

(25 citation statements)

References 30 publications

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“…They stated that the CBCT images did not change the surgical treatment plan in mandibular third molar removal. In addition, Araujo et al (2019) reported that no statistically significant changes were present between CBCT and panoramic images in mandibular third molar removal. Nevertheless, Ghaeminia et al (2009) reported that CBCT images before mandibular third molar surgery had a dramatic effect in surgical planning in the direction of tooth removal regarding buccolingual relationship between tooth and mandibular canal.…”

Section: Discussionmentioning

confidence: 99%

“…In previous studies, the authors compared CBCT and OPG on many different aspects such as: surgical technique of maxillary and mandibular third molar, classifying of lower third molar, upper molar root protrusion into maxillary sinus, relation of impacted mandibular third molars to the inferior alveolar nerve, presurgical evaluation of bony implant sites, impacted maxillary canines, and anatomical characteristics and visibility of mental foramen and accessory mental foramen (Ghaeminia et al,2009;Aravindaksha et al, 2015;Lorenzo et al, 2015;Pico et al, ;Araujo et al, 2019;Hermann et al, 2019;Brasil et al, 2019;Themkumkwun et al, 2019;Nirmalendu et al, 2019;Fortes et al, 2019). None of the prior studies compared CBCT and OPG films taken after the marsupialization of odontogenic cysts in terms of evaluating whether the odontogenic cyst volume allows enucleation.…”

Section: Discussionmentioning

confidence: 99%

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Planning of Large Odontogenic Cysts Treatment Using Panoramic and CBCT Images.

Yanık¹,

Polat

2020

Middle Black Sea Journal of Health Science

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Objective: We explored the utility of Cone Beam Computed Tomography (CBCT) and Orthopantomography (OPG) in terms of treatment planning to determine which form of radiography can more reliably assess cyst volume. Methods: 'We evaluated the panoramic and CBCT images of nine patients who consulted our clinic for treatment of large cystic lesions. Overall, 27 images were reviewed and analyzed by 21 oral and maxillofacial surgeons. We asked five questions (detailed in the main text). Results: We evaluated the 189 answers in the questionnaire. The surgeons recommended marsupialization followed by enucleation, marsupialization, and enucleation (70.89 %, 14.28 %, and 14.81 %, respectively). The answers to the reasons of these treatment choices showed that the size of the cysts and relationship with the adjacent anatomical structures are the most effective factors. In after marsupialization challenges, 85.71% of the answers considered that the lesion had shrunk sufficiently to allow enucleation according to OPG's, however, this rate decreased to 42.23% when the same surgeons evaluated the CBCT images of the patients after marsupialization. Ninety-nine percent of the responses reported that CBCT was much more reliable than OPG. Conclusion: In this study, we concluded that OPG imaging method can be used for the diagnosis and followup of cystic lesions, but in order to determine the accuracy of timing, adequacy of new bone formation and whether the cyst has shrunk sufficiently in volume, during the transition from the marsupialization process to the enucleation process, it is necessary to use CBCT imaging method. Further clinical trials should be conducted to define the effects of three dimensions images regarding surgical treatments of different kinds of oral and maxillofacial region cystic lesions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Planning of Large Odontogenic Cysts Treatment Using Panoramic and CBCT Images.

Yanık¹,

Polat

2020

Middle Black Sea Journal of Health Science

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“…In this study, the Romero-Ruiz clinical-radiographic scale (17) was used and variables such as location, surgical time, sex, age, and presence of complications were added. Data were obtained from panoramic radiographs that, despite not being the gold standard, as argued by various authors (28)(29)(30), are the most widely used diagnostic method in the Latin American community and especially in the public sector of Ecuador. In this sense, Alvira and Juodbalyz (9,31) consider that the economic component is a very important factor in the use and prescription of diagnostic methods.…”

Section: Discussionmentioning

confidence: 99%

Predictive Factors to Assess the Difficulty to Extract Retained Lower Third Molars

2020

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Background: Third molar eruption occurs in a very limited space. Several difficulty scales have been used to determine the complexity when extracting retained molars, which are key for surgical planning and prediction. A scale including indicators such as quality of mucosa and bone, as well as shape and number of roots is introduced. Purpose: Evaluate the difficulty in extracting retained lower third molars, using the scale proposed by Romero-Ruiz, and thus estimate the presence of intraoperative complications and surgical time. Methods: An observational descriptive cross-sectional study was carried out, with a sample of 100 extractions of retained lower third molars in patients between 16 and 40 years of age. The following variables were evaluated: spatial relationship, depth, relationship with mandible ramus/space, integrity of bone and mucosa, roots, dental follicle, and surgical time. The data were summarized in absolute frequency tables and analyzed with Pearson's Chi2 test (p < 0.05). Results: 71 % of third molars were classified as “difficult” on the scale. There were significant differences in terms of surgical time-age (p = 0.002), presence of complications-location of the third molar (p = 0.015), presence of complications-follicle size (p = 0.022), difficulty-sex (p = 0.011 ), difficulty-age (p = 0.068). Conclusions: This scale can be used to plan extraction treatments for retained lower third molars to reduce surgical times and anticipate complications.

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“…Com base nisso, nem sempre se pode prever com precisão a presença ou ausência dos riscos de dano ao NAI com as radiografias panorâmicas, por causa de suas limitações de imagem, sendo necessário, muitas vezes, indicar exames de diagnóstico mais detalhados e aprofundados. Araujo et al 27 mostraram que a TCCB, com imagens nos planos coronal, sagital e axial, contribui para uma avaliação ótima dos riscos e, como consequência, para um planejamento cirúrgico mais adequado, comparado à radiografia panorâmica, embora não altere a abordagem cirúrgica quando comparada à radiografia panorâmica; no entanto, a tomografia CB é considerada um método de imagem útil para entender a relação entre os terceiros molares inferiores e canal mandibular. Aliado à maior disponibilidade da tecnologia 3D atualmente, os profissionais passaram a indicar a tomografia CB mais frequentemente e, eventualmente, de forma incorreta, expondo o paciente a uma dose excessiva de radiação.…”

Section: Revisão Da Literatura O Causas Das Parestesiasunclassified

Terapia a laser de baixa potência no tratamento de lesões periféricas do nervo trigêmio em Odontologia: revisão de literatura

et al. 2021

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A parestesia é um distúrbio neurossensorial decorrente de lesão nervosa que ocorre após uma intervenção odontológica e leva à perda de sensibilidade prolongada de uma região específica da face, além de outros sintomas, podendo ser resolvida espontaneamente após alguns dias ou meses, mas dependendo da extensão e tipo de lesão nervosa, este dano pode ser permanente. Com o avanço da tecnologia, os lasers vêm se popularizando na Odontologia, juntamente com os avanços em pesquisas. A terapia de fotobiomodulação com laser de baixa potência tem se mostrado como uma opção favorável ao tratamento de distúrbios neurossensoriais e aceleração do processo de reparo tecidual. Foi realizada uma revisão da literatura, a partir de buscas nas bases de dados do PubMed/MEDLINE, Biblioteca Virtual em Saúde (BVS), The Cochrane Library e Scielo, entre os anos de 2010 a 2020. O presente estudo tem como objetivo analisar a eficácia, a utilização terapêutica, e os mecanismos de ação da terapia a laser de baixa potência (LLLT), como também causas e fatores de risco relacionados aos procedimentos mais comuns de injúria nervosa. As recentes pesquisas envolvendo o uso da terapia de fotobiomodulação evidenciam a capacidade do laser em promover aceleração do processo de reparo tecidual, com fenômenos analgésicos, anti-inflamatórios, cicatrizantes e regenerativos. Embora tenha havido grandes descobertas nos últimos anos, a literatura ainda carece de protocolos e ensaios clínicos sobre o uso do laser, verificando e comprovando seus efeitos sobre lesões nervosas, devendo este ser o foco de pesquisas futuras.

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Influence of cone beam computed tomography versus panoramic radiography on the surgical technique of third molar removal: a systematic review

Cited by 36 publications

References 30 publications

Planning of Large Odontogenic Cysts Treatment Using Panoramic and CBCT Images.

Planning of Large Odontogenic Cysts Treatment Using Panoramic and CBCT Images.

Predictive Factors to Assess the Difficulty to Extract Retained Lower Third Molars

Terapia a laser de baixa potência no tratamento de lesões periféricas do nervo trigêmio em Odontologia: revisão de literatura

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