scholarly journals Maxillary Buccal Alveolar Bone Assessment Following Orthodontic Alignment Without Extractions (Cone beam study)

2021 ◽  
Vol 8 (30) ◽  
pp. 56-64
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Kyungmin Lee ◽  
Gyu-Hyoung Lee

Abstract Background Radiographs are integral in evaluating implant space and inter-root distance. The purpose of this report is to introduce a method for evaluating the 3D root position with minimal radiation using a 3D tooth model composed of an intraoral-scanned crown and a cone-beam computed tomography (CBCT)-scanned root. Materials and methods Intraoral scan and CBCT scan of the patient were obtained before treatment. In the CBCT image, tooth segmentation was performed by isolating individual teeth from the maxillary and mandibular alveolar bone using software program. The 3D tooth model was fabricated by combining segmented individual teeth with the intraoral scan. Results A post-treatment intraoral scan was integrated into the tooth model, and the resulting position of the root could be predicted without additional radiographs. It is possible to monitor the root position after a pretreatment CBCT scan using a 3D tooth model without additional radiographs. Conclusion The application of the 3D tooth model benefits the patient by reducing repeated radiation exposure while providing the clinician with a precise treatment evaluation to monitor tooth movement.


Author(s):  
Marcin Stasiak ◽  
Anna Wojtaszek-Słomińska ◽  
Bogna Racka-Pilszak

Abstract Purpose The aims of this retrospective cross-sectional study were to measure and compare labial and palatal alveolar bone heights of maxillary central incisors in unilateral cleft lip and palate patients, following STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines. Patients and methods The study group consisted of 21 patients with a mean age of 16 years. High-resolution cone-beam computed tomography was performed at least one year after secondary alveolar bone grafting. The experimental side was the cleft side and the contralateral side without congenital cleft was the control. Measurements were performed on incisors’ midsagittal cross-sections. The Wilcoxon signed-rank test was used for intergroup comparisons. Results The labial and palatal distances between alveolar bone crests and cementoenamel junctions were significantly greater on the cleft side than on the noncleft side. Mean differences were 0.75 and 1.41 mm, respectively. The prevalence of dehiscences at the cleft side maxillary central incisors was 52% on the labial surface and 43% on the palatal surface. In the controls, it was 19% and 14%, respectively. Conclusion The cleft-adjacent maxillary central incisors had more apically displaced alveolar bone crests on the labial and palatal sides of the roots than the controls. Higher prevalence of dehiscences was found on the cleft side. Bone margin differences predispose to gingival height differences of the central incisors. These differences could increase the demands of patients to obtain more esthetic treatment results with orthodontic extrusion and periodontal intervention on the cleft side.


2011 ◽  
Vol 1 (2) ◽  
pp. 31
Author(s):  
Kishan G. Panicker ◽  
Anuroopa Pudukulangara Nair ◽  
Bipin Chandra Reddy

Cone beam CT (CBCT) produces threedimensional information on the facial skeleton, teeth and their surrounding tissues; and is increasingly being used in many of the dental specialties. This is usually achieved with a substantially lower effective dose compared with conventional medical computed tomography (CT). Periapical pathologies, root fractures, root canal anatomy and the true nature of the alveolar bone topography around teeth may be assessed. CBCT scans are desirable to assess posterior teeth prior to periapical surgery, as the thickness of the cortical and cancellous bone can be accurately determined as can the inclination of roots in relation to the surrounding jaw. The relationship of anatomical structures such as the maxillary sinus and inferior dental nerve to the root apices may also be clearly visualized. Measurements on CBCT are more accurate when compared with OPG. Therefore, CBCT permits the clinician to have all necessary information when planning dental implants. The purpose of this article is to provide an overview of the unique image display capabilities of maxillofacial CBCT systems and to illustrate specific applications in clinical practice.


2018 ◽  
Vol 33 (6) ◽  
pp. 1296-1304 ◽  
Author(s):  
Andrew Peterson ◽  
Mansen Wang ◽  
Shawneen Gonzalez ◽  
David Covell ◽  
James Katancik ◽  
...  

2021 ◽  
Vol 12 (3) ◽  
pp. 230-233
Author(s):  
Piyush Gupta ◽  
Nivedita Sahoo ◽  
Kavuda Nagarjuna Prasad ◽  
MS Rami Reddy ◽  
Saranya Sreedhar ◽  
...  

2020 ◽  
Vol 26 (2) ◽  
pp. 195-200
Author(s):  
Gamze NALCI ◽  
Tayfun ALAÇAM ◽  
Elshad SALMANOV ◽  
Muhsin Said KARATAŞ ◽  
Cemile Özlem ÜÇOK

2021 ◽  
Author(s):  
Ahmad Assari ◽  
Shereen Shokry ◽  
Dana Al-Senan ◽  
Tasnim Alsbaih ◽  
Mada Alanazi ◽  
...  

Abstract OBJECTIVE: To determine whether there is any relationship between the thickness of the labial alveolar bone wall in the anterior portion of the maxilla and arch shape.MATERIALS AND METHODS: Thirty patients (age, 12–53 years) were selected from archived cone beam computed tomography (CBCT) cases. All maxillary front teeth were present in all the cases. The distance between the cementoenamel junction (CEJ) and the facial bone crest and the thickness of the labial alveolar bone wall at distances of 1, 3, and 5 mm apical to the facial bone crest were measured.RESULTS: The distance between the CEJ and the facial bone crest ranged from 2.24 mm and 3.08 mm. No significant differences were found between the thickness of the bone wall at 1, 3, and 5 mm apical to the crest. A significant difference was found between the U-shaped arch on one side and the V-shaped and square-shaped arches on the other side. The U-shaped arch and labial bone wall thickness were correlated at the 1-mm distance (F = (8, 276) = 3.24, p = 0.002). U-shaped and V-shaped arches were common in women, whereas square-shaped arches were common in men (χ2 = 105.5, p = 0.000).CONCLUSION: Our study is the first to associate arch shape and labial alveolar bone wall thickness.CLINICAL RELEVANCE: The association between the U-shaped arch and bone wall thickness may constitute a new indicator for the tendency of the labial alveolar bone to resorb after extraction and placement of endo-osseous implants.


2021 ◽  
Author(s):  
Monique Cimão dos Santos ◽  
Lilian Cristina Vessoni Iwaki ◽  
José Valladares-Neto ◽  
Maristela Sayuri Inoue-Arai ◽  
Adilson Luiz Ramos

ABSTRACT Objectives The objectives were to evaluate and compare the presence of bone dehiscence before and after orthognathic surgery. Materials and Methods In this retrospective study, 90 cone-beam computed tomography (CBCT) scans from 45 patients were evaluated. Class II (n = 23) and Class III (n = 22) orthodontic patients who were being prepared for orthognathic surgery were measured. CBCT scans were obtained about 30 days prior to (T0) and 6 months after (T1) double jaw orthognathic surgery. The distance between the cemento-enamel junction (CEJ) and the alveolar bone crest was assessed at the buccal and lingual surfaces of all teeth, on both sides and arches, except for the second premolars and the second and third molars. A total of 1332 sites were measured for Class II (644) and Class III (688) patients. The software used was OsiriX (version 3.3 32-bit). Data were compared with Wilcoxon and McNemar tests at the 5% level. Results Bone dehiscence before surgery was present in 26% and 15% of the Class II and III groups, respectively. The presence of dehiscence increased to 31% in the Class II and 20% in the Class III patients after surgery (P < .05). Conclusions The prevalence of dehiscence increased slightly in Class II and Class III surgical-orthodontic patients after orthognathic surgery. Temporary vascular supply reduction and oral hygiene difficulties may explain these results; however, more studies are needed.


Sign in / Sign up

Export Citation Format

Share Document