Evaluation of Mandibular Ridge Lingual Concavity Using Cone Beam Computed Tomography

2019 ◽  
Vol 10 (1) ◽  
pp. 22-25
Author(s):  
Moiza Ijaz ◽  
Saira Ibrahim ◽  
Ayesha Aslam ◽  
Abdul Rehman ◽  
Sameena Younis ◽  
...  

Objective: To evaluate the type and depth of lingual concavity in posterior mandible using pre-treatment CBCT (Cone Beam Computed Tomography) images for dental implants. Study Design and Setting: A cross-sectional study was designed and conducted on pre-treatment CBCT scans of 75 patients at Armed Forces Institute of Dentistry, Rawalpindi, Pakistan from February 2018 to November 2018. Methodology: Pre-treatment CBCT scans of 75 patients were selected and following parameters were measured: type of ridge (undercut, parallel, convex), ridge width, ridge height, depth of lingual concavity, concavity angle, and location of the undercut. Data was analyzed using SPSS version .24. Post-stratification Mann-Whitney U test was used for effect modifiers, while Kruskal-Wallis test was used to compare study parameters between groups. P value <0.05 was taken as significant. Results: A mean concavity depth of 1.17±1.40 mm was observed while majority (46.7%) of the CBCT images presented with undercut type ridge. No significant difference was observed between males and females for any study parameter. Conclusion: Undercut ridges were frequently observed, posing a threat of lingual perforation during implant placement. Pre-operative assessment of implant site using CBCT can serve as a reliable method to avoid such complications

2020 ◽  
Vol 12 (3) ◽  
pp. 93-96
Author(s):  
Nasim Shams ◽  
Bahareh Shams ◽  
Zahra Sajadi

Background: The ostiomeatal complex (OMC) is not a separate anatomical structure although it is a functional unit of structures, including the middle meatus, uncinate process, infundibulum, maxillary sinus ostium, ethmoidal bulla, anterior ethmoid sinus ostium, and frontal recess. Concha bullosa is the pneumatization of the concha, which is one of the most common anatomical variations in the middle turbinate. Methods: This study was conducted using the cone-beam computed tomography (CBCT) images of 172 patients in the archives of the Department of Oral and Maxillofacial Radiology, Dentistry School, Ahvaz Jundishapur. Patient information including age and gender, presence or absence of concha bullosa, the involved side (left or right), and its type (i.e., extensive, lamellar, and bulbous) were collected in the information form. Finally, the chi-square test (with SPSS, version 22) was used to analyze the data, and P value less than 0.05 was considered statistically significant. Results: Patients with and without concha bullosa were 39.1 and 41.7 years, respectively, but it was no significant difference in terms of age (P = 0.321). Out of 52 patients with concha bullosa, 19 (36.5%) cases were males and 33 (63.5%) of them were females. The prevalence of concha bullosa was higher for the bilateral side (20 patients, 38.5%, P = 0.000). The prevalence of bulbulsand lamellar-shape was nearly the same (32.7% and 30.8%, respectively). Eventually, the extensive shape with 36.5% was more frequent for the shape of concha bullosa (P = 0.000). Conclusions: The prevalence of concha bullosa was high. There was no significant difference in terms of age (P = 0.321) and gender (P = 0.058) of patients with concha bullosa. The extensive type and the bilateral appearance of concha bullosa were more significant (P = 0.000).


2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Andre Luiz Ferreira Costa ◽  
Aline Kataki Paixão ◽  
Bianca Costa Gonçalves ◽  
Celso Massahiro Ogawa ◽  
Thiago Martinelli ◽  
...  

This study aimed to investigate the olfactory fossa according to the Keros classification using cone beam computed tomography. This cross-sectional study analysed cone beam computed tomography images selected from a database belonging to a radiology centre. The scans of 174 healthy patients were analysed by using the Xoran software. Gender, age, and side were correlated with the Keros classification. The mean age of the 174 patients was 45.3 years. The most prevalent Keros classification was type II (65.52%), followed by type III (20.69%) and type I (13.79%). No significant differences were found between Keros classification and the variables age, right side (pvalue = 0.4620), and left side (pvalue = 0.5709). There were also no significant differences between gender and the variables right side (pvalue = 0.1421) and left side (pvalue = 0.2136). Based on these results, we suggest that cone beam computed tomography can be recommended for analysis of the anterior skull base. Keros type II was the most prevalent type in our sample.


Author(s):  
Cristiane Martins Rodrigues Bernardes ◽  
Luiz Eduardo Gregoris Rabelo ◽  
Cyntia Rodrigues DE Araújo Estrela ◽  
Orlando Aguirre Guedes ◽  
Brunno Santos DE Freitas Silva ◽  
...  

Introduction: The prevalence of Apical Root Resorption (ARR) after orthodontic treatment is high. It is associated with several factors, such as tooth group, type and duration of treatment, applied force and root morphology. Aim: To evaluate the apical root morphology of maxillary incisors in a Brazilian subpopulation using Cone Beam Computed Tomography (CBCT) images. Materials and Methods: In this retrospective and cross-sectional study, 400 maxillary incisors from 167 patients registered in the data base of Dental Radiology Clinics between January 2012 and April 2017 were analysed. The apical root configuration was verified by navigating 0.1 mm/0.1 mm, in the three planes, axial, coronal, and sagittal sections on CBCT images, from the root canal entrance to the apical foramen, as well as from the apical direction to the crown. The standard reference for apical root form corresponded to the long axis of the tooth. The root forms and their frequency were characterised according to the classification proposed by Levander and Malmgren (1988). The qualitative variables were analysed by the Chi-square test. The level of significance was p-value <0.05. Results: A total of 400 maxillary anterior teeth (central and lateral incisors; n=200 each) from 167 patients (101 women; mean age was 41.8±16.20 years) were analysed. The most common apical root form presented in the central incisors was the blunt root {99 (49.5%)}, followed by pipette-shaped root {69 (34.5%)}. The less frequent was the short root {13 (6.5%)} (p-value <0.001). In the lateral incisors, the highest frequency presented was lacerated root {111 (55.5%)}, followed by blunt root {47 (23.5%)}, and pipette- shaped root {37 (18.5%)} (p-value <0.001). Conclusion: Maxillary central incisors had a higher frequency of rhomboid (blunt) root morphology, while lateral incisors had a higher frequency of curved (lacerated) root form.


2018 ◽  
Vol 22 (3) ◽  
pp. 150-156
Author(s):  
Melih Özdede ◽  
Elif Yıldızer Keriş ◽  
Bülent Altunkaynak ◽  
İlkay Peker

SummaryBackground/Aim: The morphology of the greater palatine canal (GPC) should be determined preoperatively to prevent possible complications in surgical procedures required maxillary nerve block anesthesia and reduction of descending palatine artery bleeding. The purpose of this investigation was to evaluate the GPC morphology.Material and Methods: In this retrospective cross-sectional study, cone-beam computed tomography images obtained for various causes of 200 patients (females, 55%; males, 45%) age ranged between 18 and 86 (mean age±standard deviation=47±13.6) were examined. The mean length, mean angles of the GPC and anatomic routes of the GPC were evaluated.Results: The mean length of the GPC was found to be 31.07 mm and 32.01 mm in sagittal and coronal sections, respectively. The mean angle of the GPC was measured as 156.16° and 169.23° in sagittal and coronal sections. The mean angle of the GPC with horizontal plane was measured as 113.76° in the sagittal sections and 92.94° in the coronal sections. The mean GPC length was longer in males than in females.Conclusions: The results of this study showed that the most common pathway of the GPC was “first inferior, and then anterior-inferior direction” in sagittal plane and “first medial-inferior, then inferior direction” in coronal plane.


2021 ◽  
Vol 25 (3) ◽  
pp. 170-177
Author(s):  
Taha Emre Köse ◽  
Onur Dinçer Köse ◽  
Gülay Altan Şallı

Summary Background/Aim: The purpose of this study was to assess the anterior buccal mandibular depressions (ABMD) prevalence and clinical characteristics at cone beam computed tomography images (CBCT). Material and Methods: 198 CBCT images with minimal depression between the mandibular molars were evaluated retrospectively. Presence and location of ABMD, its maximum depth, maximum width, cortical width, if any, alveolar crest width at maximum depth, the distance between maximum depth and alveolar crest apex and existing teeth in the relevant region were examined in cross-sectional views. Panoramic radiography of ABMD patients was evaluated for trabecular pattern and radiopacity to determine the area of interest. The possible lingual depression area on the maximum depth of ABMD slice was investigated and the same measurements for ABMD was performed. The presence of aperture / foramen in the ABMD area was also investigated. Results: The prevalence of ABMD was found as 43.43% where 82 cases were at bilateral side and 4 cases were only at left side. Lingual depression was observed in 20.7% right side and 30.2% left side of the ABMD cases. There was no statistically significant difference for maximum depth between different age groups. Most frequent location was observed in lateral and canine region (27.4%) followed by lateral-first premolar area (25.6%). Least frequent location was at canine-second premolar area (1.2%). Conclusions: ABMD is a lesser known area with a high prevalence observed on CBCT images. The detectability of the area on panoramic radiographs is limited. Clinicians should take into consideration ABMDs’ characteristics to avoid confusion with periapical pathologies. Failure to detect these areas before implant surgeries may cause complications. For this reason, it is important to be examined in detail for ABMD before surgery.


2014 ◽  
Vol 15 (6) ◽  
pp. 740-745
Author(s):  
Mojdeh Mehdizadeh ◽  
Navid Ahmadi ◽  
Mahsa Jamshidi

ABSTRACT Objectives Exact location of the inferior alveolar nerve (IAN) bundle is very important. The aim of this study is to evaluate the relationship between the mandibular third molar and the mandibular canal by cone-beam computed tomography. Study design This was a cross-sectional study with convenience sampling. 94 mandibular CBCTs performed with CSANEX 3D machine (Soredex, Finland) and 3D system chosen. Vertical and horizontal relationship between the mandibular canal and the third molar depicted by 3D, panoramic reformat view of CBCT and cross-sectional view. Cross-sectional view was our gold standard and other view evaluated by it. Results There were significant differences between the vertical and horizontal relation of nerve and tooth in all views (p < 0.001). Conclusion The results showed differences in the position of the inferior alveolar nerve with different views of CBCT, so CBCT images are not quite reliable and have possibility of error. How to cite this article Mehdizadeh M, Ahmadi N, Jamshidi M. Evaluation of the Relationship between Mandibular Third Molar and Mandibular Canal by Different Algorithms of Cone-beam Computed Tomography. J Contemp Dent Pract 2014;15(6):740-745.


2019 ◽  
Vol 10 (2) ◽  
pp. 132-136
Author(s):  
Tahmineh Razi ◽  
Nader Vahdani Manaf ◽  
Morteza Yadekar ◽  
Sedigheh Razi ◽  
Shiva Gheibi

Objectives: One of the most important problems of cone-beam computed tomography (CBCT) imaging technique is the presence of dense objects, such as implants, amalgam fillings, and metal veneers, which result in beam-hardening artifacts. With an increase in the application of CBCT images and considering the problems in relation to cupping artifacts, some algorithms have been presented to reduce these artifacts. The aim was to present an algorithm to eliminate cupping artifacts from axial and other reconstructed CBCT images. Materials and Methods: We used CBCT images of NewTom VG imaging system (Verona, Italy, at Dentistry Faculty, Medical Sciences University, Tabriz, Iran) in which every image has a resolution of 366 × 320 in DICOM format. 50 images of patients with cupping artifacts were selected. Using Sobel edge detector and nonlinear gamma correction coefficient, the difference was calculated between the density of axial images in the main image and the image resulting from nonlinear gamma correction at the exact location of the radiopaque dental materials detected by Sobel. The points at which this density difference was out of a definite limit were treated as image artifacts and were eliminated from the main image by the inpainting method. Results: The resultant axial images, for producing reconstructed cross-sectional, panoramic images without cupping artifacts, were imported into NTT viewer V5.6 and utilized. Conclusions: With comparison, acquired images observed that the offering algorithm is practical and effective for reducing the cupping artifacts and preserving the quality of the reconstructed images. This algorithm does not need any additional equipment.


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