scholarly journals Evaluation of Midpalatal Suture Ossification Using Cone-Beam Computed Tomography: A Digital Radiographic Study

2020 ◽  
Vol 63 (4) ◽  
pp. 188-193
Author(s):  
Girish Katti ◽  
Syed Shahbaz ◽  
Chandrika Katti ◽  
Mohd Sabyasachi Rahman

Background: Cone beam computed tomography (CBCT) imaging techniques are the recent rage in the field of oral diagnostic imaging modality. It is noninvasive, faster and lacks anatomic superimposition. Earlier maxillary occlusal radiographs were used to assess and evaluate the mid palatal suture, but being a two dimensional imaging modality it could not assess the ossification process which takes place in multiple planes mostly due to curved nature of the palate. In this study we assessed the mid palatal suture morphology and classify them according to the variants using CBCT images. Materials and methods: A total of 200 CBCT scans (95 males and 105 females) were evaluated in the present study from the archives of an imaging center. As per Angelieri classification the midpalatal suture was classified into five categories (A–E) depending on the degree of ossification that had taken place. Statistical analysis was done by Chi Square test using SPSS version 23.0. Results: There is statistically significant difference present in the stages of maturity of mid palatal suture in various age groups with Stage B is most common in Group 1 (50%), Stage C most common in Group 2 (60%) and Group 3 (40%) and Stage E more common in Group 4 (50%). Conclusion: The results of the present study showed a wide variation in the initiation time and the degree of ossification and morphology of the midpalatal suture in different age groups. Although there was an increase in the closure of the suture with aging, age is not a reliable criterion for determining the open or closed nature of the suture. This finding is important in providing an idea as to how diverse is the ossification of maxillary sutures.

Author(s):  
Reza Omidi ◽  
Fariba Farhadi Birgani ◽  
Ali Asghar Parach ◽  
Hamed Zamani ◽  
Saman Dalvand ◽  
...  

Purpose: This study aimed to determine the Entrance Surface Dose (ESD) of sensitive organs in Cone-Beam Computed Tomography (CBCT) imaging of the maxillofacial region in the two age groups of adult and pediatric. Materials and Methods: In this work, the measurements were performed using Thermo Luminescent Dosimeters (TLD-GR200). The imaging was performed using a PROMAX 3D CBCT scanner for 30 adults and 20 pediatric patients. The ESD value for each patient in the region of eyes, thyroid, and parotid glands was measured by 15 TLDs during CBCT of maxillofacial. Results: The highest and lowest mean values of ESDs were related to the parotid and thyroid gland regions in adults, 4.77 ± 0.61 mGy and 0.37 ± 0.16 mGy, respectively. In addition, these values were obtained 2.97 ± 0.36 mGy and 0.35 ± 0.12 mGy in pediatric groups as the highest and lowest values in that order. The results showed that the ESD values of the parotid gland regions in maxilla and mandible examinations had a significant difference (P <0.05). In addition, there was a significant difference between the ESD values of the parotid gland regions among the adults and pediatric groups (P <0.05). Conclusion: According to the results, the ESD values in both age groups were higher in the parotid gland region during maxillofacial CBCT examinations. Therefore, it is recommended to set radiation parameters like mAs as low as possible for reducing the patient dose, especially pediatric patients due to the more sensitive organs.


2021 ◽  
Vol 9 (A) ◽  
pp. 1117-1122
Author(s):  
Sherif Shafik El-Bahnasy ◽  
Magdy Youakim ◽  
Mohamed Shamel ◽  
Hisham El Sheikh

AIM: The purpose of the study was to measure and compare the prevalence of mandibular canal (MC) location variations in regard to mandibular first molars in both genders at different age groups. METHODS: A retrospective study was performed on 80 cone-beam computed tomography scans. Distance between MC and apical apices of first molars, buccal and lingual cortical plates was measured in both sides. RESULTS: 80 scans with 160 sides were analyzed. Distances was measured bilaterally for all scans with mean (5.22 ± 0.77) in men versus (4.1 ± 0.7) in women at group age 31–40 apical to apices of first molars. The mean was (3.77 ± 0.62) in men versus (2.81 ± 0.47) in women at same age group at buccal side, lingually the mean was (4.02 ± 0.67) in men versus (3.67 ± 0.26) in women in the same age group. CONCLUSION: Our study showed that there were decrease in measurements in older age group in both genders and in female groups more than male groups but with no statistical significant difference.


2020 ◽  
Vol 10 (2) ◽  
pp. 30-35
Author(s):  
Mustafa Yalçın ◽  
Nihat Laçin

Purpose: The aim of this study was to evaluate the prevalence of antral pseudocysts(AP), maxillary sinus septas(MSS) and the relationship between AP and MSS by using cone-beam computed tomography(CBCT).Methodology: The CBCT scans of 466 patients (237 male, 229 female ranging in age between 13 and 83) were included in our study. The presence or absence of AP and MSS were confirmed at axial, sagittal, and coronal sections of CBCT images by considering gender and localization. For statistical analysis, Pearson chi-square and Spearman correlation tests were used.Results: One hundred-ninety eight out of 466 (42.49%) patients had AP in the right and left maxillary sinus. There was a significant difference in the prevalence of AP between men and women (p≤0.001). The prevalence of AP was higher in men than in women. Twenty-eight out of 237 patients in men(11.81%) and 35 out of 229 patients in women(15.28%) had MSS in the right and left maxillary sinus. Conclusion: The prevalence of AP and MSS was 42.49% and 13.52%, respectively and the prevalence of MSS was lower in our study than other studies. We did not determine the relationship between AP and MSS in the maxillary sinuses.   How to cite this article: Yalçın M, Laçin N. Evaluation of the antral pseudocysts and maxillary sinus septas by using cone-beam computed tomography. Int Dent Res 2020;10(2):30-35. https://doi.org/10.5577/intdentres.2020.vol10.no2.1   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.


2021 ◽  
Vol 25 (1) ◽  
pp. 53-57
Author(s):  
Ozkan Adiguzel ◽  
Suzan Cangul ◽  
Artemisa Adiguzel ◽  
Begum Erpacal ◽  
Zeki Akkus

Summary Background/Aim: The aim of this study was to evaluate the distance between the mental foramen and the upper and lower edges of the mandible in the Turkish population according to different gender and age groups. Material and Methods: A total of 1756 samples of 878 patients who presented at the Dentomaxillofacial Radiology Department of the Dentistry Faculty of Dicle University were included in the study for evaluation of the distance between the mental foramen and the upper and lower edges of the mandible. The cone beam computed tomography (CBCT) images were taken using an I-CAT Vision device (Imaging Science International, Hatfield, USA). Multiple variance analysis was used in the statistical analyses of the data. Results: A statistically significant difference was identified between the genders in respect of the distance of the external edge of the mental foramen from the upper edge of the mandible (p=0,000). In the evaluations of the different age groups, no statistically significant difference was determined. A statistically significant difference was determined between the gender and age groups in respect of the distance of the mental foramen from the lower edge of the mandible (p=0,000). Conclusions: The distance of the mental foramen from the upper and lower edges of the mandible can show variations according to age and gender. Therefore, the use of CBCT as a 3-dimensional imaging method with a low radiation dose is recommended.


2019 ◽  
Vol 7 (3) ◽  
pp. 89 ◽  
Author(s):  
Ahmad Abdelkarim

Unlike patients receiving implants or endodontic treatment, most orthodontic patients are children who are particularly sensitive to ionizing radiation. Cone-beam computed tomography (CBCT) carries risks and benefits in orthodontics. The principal risks and limitations include ionizing radiation, the presence of artifacts, higher cost, limited accessibility, and the need for additional training. However, this imaging modality has several recognized indications in orthodontics, such as the assessment of impacted and ectopic teeth, assessment of pharyngeal airway, assessment of mini-implant sites, evaluation of craniofacial abnormalities, evaluation of sinus anatomy or pathology, evaluation of root resorption, evaluation of the cortical bone plate, and orthognathic surgery planning and evaluation. CBCT is particularly justified when it brings a benefit to the patient or changes the outcome of the treatment when compared with conventional imaging techniques. Therefore, CBCT should be considered for clinical orthodontics for selected patients. Prescription of CBCT requires judicious and sound clinical judgment. The central question of this narrative review article is: when does CBCT add value to the practice of orthodontics? To answer this question, this article presents discussion on radiation dosage of CBCT and other imaging techniques used in orthodontics, limitations of CBCT in orthodontics, justifying the use of CBCT in orthodontics, and the benefits and evidence-based indications of CBCT in orthodontics. This review summarizes the central themes and topics in the literature regarding CBCT in orthodontics and presents ten orthodontic cases in which CBCT proved to be valuable.


2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Gülay Altan Şallı ◽  
Zeynep Öztürkmen

SummaryBackground/Aim: The aim of this study is to evaluate the prevalence of a canalis sinuosus (CS) in the anterior maxilla.Material and Methods: CBCT images of 673 patients (322 females and 351 males) were examined retrospectively with regard to age, gender, location of CS and relation to impacted canines. The age of the patients ranged from 14 to 82 years; the mean age of the female patients was 43.54 years and that of the males was 45.75 years. IBM SPSS 22 for Windows was used for statistical analysis of the results. Statistical comparisons between two categorical variables were conducted using chi-square tests. Significance was set at (p< 0.05).Results: It was observed that 8.17% of the patients in this study exhibited accessory canals (AC) of CS (n= 55). There was no significant difference in CS prevalence between ages, age groups, and location in our study (p> 0.5). There was significant difference in CS prevalence between the genders (p< 0.5). Conclusions: It is important to take into consideration the presence of AC of the CS during surgical procedures in the anterior maxilla. It was also found that CBCT is more helpful than other techniques in detecting accessory canals in the region of interest.


2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Avanesov Anatoly ◽  
Yuri Sedov ◽  
Evgeniya Gvozdikova ◽  
Oleg Mordanov ◽  
Liudmila Kruchinina ◽  
...  

Introduction. Cone-beam computed tomography (CBCT) is considered to be the most informative radiographic method for pre- and postoperative analysis of the maxillary anatomy and for avoiding further complication. Canalis sinuosus is one of such structures that damage can go along with bleeding and neurological symptomatology. The aim of the study was to investigate radiological and morphometric features of the canalis sinuosus in Russian population using CBCT technique. Materials and Methods. 150 CBCT scans of 61 males and 89 females aged from 24 to 80 years were retrospectively studied with different slice thickness and evaluated with regards to prevalence and diameter among age and gender groups in Russia. Results. CS prevalence in this study was 67%, and CS was most frequently presented in the lateral incisor region (33.5%). Women showed statistically higher CS prevalence (p<0.01) than the male group, and there was no statistically significant difference observed between occurrence and localization of CS and age groups. Conclusion. CBCT examination demonstrated good diagnostic efficiency in CS visualization, and the CS may have variations on its location and prevalence with statistically significant differences between the gender group and without significant differences among age groups and can depend on the population.


2017 ◽  
Vol 7 (1) ◽  
pp. 6 ◽  
Author(s):  
Ceren Aktuna Belgin ◽  
Ozkan Adiguzel ◽  
Marius Bud ◽  
Mehmet Colak ◽  
Zeki Akkus

Aim: Buccal bone thickness is an important factor in implant treatment, bone health after tooth extraction, apical surgery, and esthetic outcomes. We evaluated the distance from the mandibular premolar and molar teeth apices to the buccal cortical bone in southeastern Anatolian people using cone-beam computed tomography (CBCT). Methodology: This retrospective study was performed in 461 posterior teeth (220 premolars, 241 molars) of 133 patients (62 females, 64 males) at Dicle University, Faculty of Dentistry, Department of Oral and Maxillofacial Radiology. Data were analyzed using Student’s t-tests and Tukey HSD tests. Results: The mandibular buccal bone was thicker in men than in women, but the difference was not statistically significant (p>0.05). The thinnest point of the mandibular buccal bone was measured in women as 2.431 mm and in men as 2.491 mm in the first premolar teeth. The thickest point of the mandibular bone was measured in women as 7.940 mm and in men as 7.859 mm in the distal roots of mandibular second molar teeth. For the mandibular first and second premolars, there was no significant difference in buccal bone thickness among the 10–29-, 30–49-, and 50–69-year age groups. The difference between the first and second molar mesial and distal roots of the age groups was significant at the level of buccal root thickness (p<0.05). Conclusions: It is important to examine buccal bone thickness (with CBCT) before surgical dental procedures for appropriate implant planning and surgical endodontic treatment.  How to cite this article: Aktuna Belgin C, Adiguzel O, Bud M, Colak M, Akkus Z. Mandibular Buccal Bone Thickness In Southeastern Anatolian People: A Cone-Beam Computed Tomography Study. Int Dent Res 2017;7:6-12. Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.


2021 ◽  
Vol 24 (3) ◽  
Author(s):  
André Luiz Ferreira Costa ◽  
Ana Amelia Barbieri ◽  
Bianca Costa Gonçalves ◽  
Camila Felisbino Silva ◽  
Celso Massahiro Ogawa ◽  
...  

Objective: The aim of this study was to evaluate whether the volume of odontoid process of the second cervical vertebra on CBCT images can be used for sex estimation. Material and Methods: The volume of odontoid process on CBCT images of 138 subjects was measured. In addition, the patients were classified into five age groups. The comparisons between the groups in relation to sex and age were performed by using Mann-Whitney’s test and Kruskal-Wallis’ test, respectively. The ROC curve was used to assess the sensitivity and specificity of the volume to determine the sex.  Results: No statistically significant difference was observed between age and volume. Males had significantly larger volumes than females. Values of volume equal to or greater than 1.254 mm3 have sensitivity of 68.2% and specificity of 68.1% to determine male sex.  Conclusion: The volume of the odontoid process tends to be larger in males than in females and can be used as sex estimation. KEYWORDS Cone beam computed tomography; Diagnostic imaging; Sex determination processes; Image processing; Computer-assisted.


2021 ◽  
Author(s):  
Yeqing Yang ◽  
Chong Jiang ◽  
Ming Chen ◽  
Junkai Zeng ◽  
Buling Wu

Abstract Background: Cone-beam computed tomography (CBCT) was used to study the root canal system of mandibular anteriors (MAs) in a Cantonese population and to evaluate the correlation between the complicated root canal configurations of mandibular lateral incisors (MLIs) and the presence of distolingual roots (DLRs) in mandibular first molars (MFMs).Methods: A total of 11376 mandibular anterior teeth were scanned by CBCT. Those whose images met the inclusion criteria were first analysed according to Vertucci's root canal configuration and then grouped based on gender, age, and side, and their effects on root canal morphology were analysed. Finally, statistical analysis was used to evaluate the correlation between the complicated root canal configurations of MLIs and the existence of DLRs in MFMs. All statistical analyses were performed by using SPSS 21.0 software. Quantitative data are presented as the mean ± standard deviation. Student’s t tests were used to calculate statistical significance. P < 0.05 was considered statistically significant.Results: In MAs in the Cantonese population, all mandibular central incisors (MCIs) and MLIs had one root, and 0.37% of mandibular canines (MCs) had two roots. The most common Vertucci's root canal configuration was Vertucci I followed by Vertucci III. A total of 30.91% of MLIs and approximately 8% of MCIs and MCs have complicated root canal configurations. There were no significant differences in the prevalence of DLRs in MFMs and the incidence of complicated root canal configurations of MLIs between males and females or between the right and left teeth. However, a significant difference was found in different age groups of root canal configurations in MLIs. Moreover, significant ipsilateral and contralateral correlations between MFMs with DLRs and MLIs with complicated root canal configurations were observed on both sides.Conclusion: There is a correlation between the presence of DLRs in MFMs and complicated root canal morphology in MCIs in the Cantonese population.


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