Importance of 3D CT imaging of the skull in diagnosis of maxillofacial anomalies
DOI:
https://doi.org/10.14739/2310-1210.2021.2.228778Keywords:
3D CT scan, skull, cone beam computed tomography, teleradiography, orthopantomogram, maxillofacial anomaliesAbstract
Knowledge of radiological diagnostic capabilities and application of the principles designed to minimize exposure to radiation nowadays are the basics of qualified dentistry. At the present stage, radiographic methods occupy a leading place in the complex of patient examination to diagnose dental diseases.
The aim of the work is to optimize the diagnosis of maxillofacial anomalies by a comprehensive examination of anatomical structures and parameters of the skull using 3D computed tomography.
Materials and methods. In total, 39 patients aged 10 to 23 years with maxillofacial anomalies were examined. The study used clinical and radiographic methods of examination. Radiography included only orthopantomogram and lateral teleradiography in 28 patients, 3D CT scanning of the skull was performed in 11 patients.
Results. The conducted study has revealed that 3D CT imaging of the skull can be used for the most complete diagnosis of maxillofacial anomalies, reveal sensitive differential diagnostic signs of pathological conditions as well as allow the principle of continuity between specialists to be adhered to at the stage of planning individual complex treatment for patients with maxillofacial anomalies.
Conclusions. 3D CT scanning of the skull is an integrated imaging technique that allows obtaining a complete image of the jaws, teeth, temporal-mandible joints, sinuses in one single examination, assessing the respiratory tract and chewing apparatus state as a whole, as well as carrying out cephalometric measurements of lateral and frontal teleradiography. This method is the most informative as it provides the possibility to precisely diagnose dental anomalies and choose an optimal treatment plan.
References
Sarment, D. (Ed.). (2016). Konusno-luchevaya komp'yuternaya tomografiya: prikladnoe ispol'zovanie v stomatologii i smezhnykh oblastyakh meditsiny [Cone beam computed tomography: practical use in dentistry and related areas of medicine]. TARKOMM. [in Russian].
Petrovskaya, V. V., & Batova, M. A. (2017). 2. Analiz antropometricheskikh parametrov litsevogo otdela cherepa po dannym konusno-luchevoi tomografii [Cone-Beam Computed Tomography in Analyzing Anthropometric Measures of Maxillofacial Area (Lecture)]. Radiologiya - Praktika, (3), 54-65. [in Russian].
Petrovskaya, V. V., Potrakhov, N. N., & Vasil’ev, A. Yu. (2019). Konusno-luchevaya komp'yuternaya tomografiya v analize endodonticheskogo lecheniya zubov (v eksperimente) [Cone Beam Computed Tomography in the Analysis of Endodontic Treatment of Teeth (in an Experiment)]. Vestnik rentgenologii i radiologii, 100(2), 89-94. https://doi.org/10.20862/0042-4676-2019-100-2-89-94 [in Russian].
Averyanov, S. V., Avraamova, O. G., Akateva, G. G., Alpatova, V. G., Anokhina, A. V., Belyaev, V. V., Bimbas, E. S., Vasilev, A. Yu., Vasmanova, E. V., Gavrilova, O. A., Drobotko, L. N., Elizarova, V. M., Zakirov, T. V., Zoryan, E. V., Zueva, T. E., Ivanova, G. G., Kiseleva, E. G., Klyueva, L. P., Kovalchuk, M. A., … Yanovskaya, M. L. (2017). Detskaya terapevticheskaya stomatologiya [Pediatric therapeutic dentistry] (2nd ed.). GEOTAR-Media. [in Russian].
Nazarian, R., Fomenko, Y., Shcheblykin, N., Kolesova, T., Golik, N., & Suhostavets, E. (2015). Primenenie komp'yuternoi tomografii v terapevticheskoi stomatologii [The use of computed tomography in restorative dentistry]. Sovremennaya stomatologiya, (4), 24-26. [in Russian].
Ma, R. H., Ge, Z. P., & Li, G. (2016). Detection accuracy of root fractures in cone-beam computed tomography images: a systematic review and meta-analysis. International Endodontic Journal, 49(7), 646-654. https://doi.org/10.1111/iej.12490
Takeshita, W. M., Chicarelli, M., & Iwaki, L. C. (2015). Comparison of diagnostic accuracy of root perforation, external resorption and fractures using cone-beam computed tomography, panoramic radiography and conventional & digital periapical radiography. Indian Journal of Dental Research, 26(6), 619-626. https://doi.org/10.4103/0970-9290.176927
Leonardi Dutra, K., Haas, L., Porporatti, A. L., Flores-Mir, C., Nascimento Santos, J., Mezzomo, L. A., Corrêa, M., & De Luca Canto, G. (2016). Diagnostic Accuracy of Cone-beam Computed Tomography and Conventional Radiography on Apical Periodontitis: A Systematic Review and Meta-analysis. Journal of Endodontics, 42(3), 356-364. https://doi.org/10.1016/j.joen.2015.12.015
Serova, N. S. (2015). Luchevaya diagnostika v stomatologicheskoi implantologii [Diagnostic radiology in dental implantology]. GEOTAR-Media. [in Russian].
Blinov, V. S., Kartashov, М. V., Zholudev, S. E., & Zornikova, O. S. (2016). Otsenka vozmozhnostei konusno-luchevoi komp'yuternoi tomografii i panoramnoi tomografii zubnykh ryadov v diagnostike giperplotnykh obrazovanii chelyustno-litsevoi oblasti [Estimation of possibilities of the cone-beam computed tomography and panoramic tomography in diagnostics of radiopack lesions in the maxillo-facial region]. Problemy stomatologii, 12(2), 70-78. https://doi.org/10.18481/2077-7566-2016-12-2-70-78 [in Russian].
Selina, O. B., Nekrylov, D. V., Shalaev, O. Yu., Solov’eva, A. L., Mashkova, N. G., & Shvyreva, S. A. (2016). Sravnitel'nyi analiz dannykh traditsionnoi rentgenografii i dental'noi konusno-luchevoi komp'yuternoi tomografii pri diagnostike khronicheskogo granuliruyushchego periodontita [Comparative analysis of traditional dental radiography and cone beam computed tomography in the diagnosis of chronic granulating periodontitis]. Rossiiskii stomatologicheskii zhurnal, 20(4), 201-205. https://doi.org/10.18821/1728-2802 [in Russian].
Savrasova, N. A., Melnichenko, Y. M., Beletskaja, L. Y., & Tarasevich, O. M. (2016). Kontrol' luchevoi nagruzki pri konusno-luchevoi komp'yuternoi tomografii [Control of radiation exposure of cone-beam computed tomography]. Sovremennaya stomatologiya, (2), 19-26. [in Russian].
Vansvanov, M. M., Talimov, K. K., Il'yasov, A. M., Konkachev, E. A., & Ilyasova, A. M. (2015). Komp'yuterno-tomograficheskaya diagnostika patologii chelyustno-litsevoi oblasti [Сomputed tomographic diagnosis of pathology of the maxillofacial region]. Vestnik Kazakhskogo Natsional'nogo meditsinskogo universiteta, (1), 85-89. [in Russian].
Madsen, M. J., McDaniel, C. A., & Haug, R. H. (2008). A Biomechanical Evaluation of Plating Techniques Used for Reconstructing Mandibular Symphysis/Parasymphysis Fractures. Journal of Oral and Maxillofacial Surgery, 66(10), 2012-2019. https://doi.org/10.1016/j.joms.2008.06.013
Popov, N. V., Ishchenko, E. A., Novikova, E. V., & Limanova, L. V. (2019). Tsifrovye dannye komp'yuternoi tomografii kak fundament razvitiya tsifrovykh metodov rekonstruktsii kostnoi tkani cheloveka [Digital data of computer tomography as a basis for the development of digital methods of reconstruction of human bone tissue]. Vestnik meditsinskogo instituta «REAVIZ»: reabilitatsiya, vrach i zdorov'e, (3), 208-211. [in Russian].
Slabkovskaya, A. B., Kopetskiy, I. S., & Meskhiya, N. G. (2017). Luchevaya diagnostika zubochelyustnykh anomalii. Sovremennoe sostoyanie voprosa [Radiation diagnostics of dentoalveolar abnormalities. The current issue]. Zhurnal nauchnykh statei zdorov'e i obrazovanie v XXI veke, 19(10), 149-153. [in Russian].
Rossini, G., Cavallini, C., Cassetta, M., & Barbato, E. (2011). 3D cephalometric analysis obtained from computed tomography. Review of the literature. Annali di Stomatologia, 2(3-4), 31-39.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
