EVALUATING THE POTENTIAL CLINICAL APPLICATIONS OF CONE BEAM COMPUTERISED TOMOGRAPHY IN ORAL AND MAXILLOFACIAL SURGERY: A REVIEW
Keywords:
Cone beam computerized tomography, conventional computed tomography, panoramic radiography, 3D imaging, oral and maxillofacial surgery
Abstract
While oral and maxillofacial surgeons have successfully practiced using panoramic radiography, the limitations of this imaging technique include variable magnification, distortion, superimposition of structures, and suboptimal imaging of structures not located in the focal trough. The introduction of Cone Beam Technology has dramatically changed how an oral and maxillofacial surgeon conducts his/her practice. This article is intended to discuss the potential clinical applications of Cone-beam computerized tomography as compared to conventional radiography and conventional computed tomography, in the field of Oral and Maxillofacial Surgery, as reported in the literature.
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References
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2. Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IA. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol 1998; 8: 1558–64.
3. Arai Y, Tammisalo E, Iwai K, Hashimoto K, Shinoda K. Development of a compact computed tomographic appara¬tus for dental use. DentomaxillofacRadiol 1999;28: 245–8
4. Kunihiko S, Kazuo Y, Kan U, et al: Development of dentomaxillofacial cone-beam X-ray CT system model CB MercuRay. Medix 2002; 37: 40.
5. Palomo JM, Kau CH, BahlPalomo L, et al: Three-dimensional cone beam computerized tomography in dentistry. Dent 2006; 25: 130
6. Nakagawa Y, Ishii H, Nomura Y, Watanabe NY, Hoshiba D, Kobayashi K, Ishibashi K. Third molar position: Reliability of panoramic radiography. J Oral Maxillofac Surg 2007;65(7): 1303-1308
7. Liu DG, Zhang WL, Zhang ZY, Wu YT, Ma XC. Localization of impacted maxillary canines and observation of adjacent incisor resorption with cone-beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 105(1): 91-98.
8. Tantanapornkul W, Okouchi K, Fujiwara Y, Yamashiro M, Maruoka Y, Ohbayashi N, Kurabayashi T. A comparative study of cone-beam computed tomography and conventional panoramic radiography in assessing the topographic relationship between the mandibular canal and impacted third molars. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 2007; 103(2): 253-259.
9. Walker L, Enciso R, Mah J. Three-dimensional localization of maxillary canines with conebeam computed tomography. Am J OrthodDentofacialOrthop 2005; 128(4): 418-423.
10. Shintaku WH, Venturin JS, Azevedo B, Noujeim M. Applications of cone-beam computed tomography in fractures of the maxillofacial complex. Dent Traumatol 2009; 25: 358–366.
11. Cevidanes LH, Bailey LJ, Tucker GR Jr, Styner MA, Mol A, Phillips CL, Proffit WR, Turvey T. Superimposition of 3D cone-beam CT models of orthognathic surgery patients. DentomaxillofacRadiol 2005;34(6):369-375.
12. Cevidanes LH, Bailey LJ, Tucker SF, Styner MA, Mol A, Phillips CL, Proffit WR, Turvey T. Three dimensional cone-beam computed tomography for assessment of mandibular changes after orthognathic surgery. Am J OrthodDentofacialOrthop 2007; 131(1):44-50.
13. Zizelmann C, Gellrich NC, Metzger MC, Schoen R, Schmelzeisen R, Schramm A. Computerassisted reconstruction of orbital floor based on cone beam tomography. Br J Oral MaxillofacSurg 2007;45(1):79-80.
14. Heiland M, Schulze D, Blake F, Schmelzle R. Intraoperative imaging of zygomaticomaxillary complex fractures using a 3D C-arm system. Int J Oral MaxillofacSurg 2005;34(4):369-375.
15. Mischkowski RA, Zinser MJ, Ritter L, Neugebauer J, Keeve E, Zoller JE. Intraoperative navigation in the maxillofacial area based on 3D imaging obtained by a cone-beam device. Int J Oral Maxillofac Surg 2007;36(8):687-694.
16. Pohlenz P, Blessmann M, Blake F, Heinrich S, Schmelzle R, Heiland M. Clinical indications and perspectives for intraoperative cone-beam computed tomography in oral and maxillofacial surgery. Oral Surg Oral Med Oral Pathol Oral RadiolEndod2007;103(3):412-417.
17. Lagravère MO, Major PW, Carey J. Ortho sensitivity analysis for plane orientation in the three-dimensional cephalometric analysis based on superimposition of serial cone-beam computed tomography images. DentomaxillofacRadiol 2010;39(7):400–8.
18. Hatcher DC, Dial C, Mayorga C. Cone-beam CT for pre-surgical assessment of implant sites. J Calif Dent Assoc 2003;31:825–33.
19. Pettersson A, Kero T, Gillot L, Cannas B, Fäldt J, Söder¬berg R, Näsström K. Accuracy of CAD/CAM-guided surgical template implant surgery on human cadavers: part I. J Prosthet Dent 2010;103(6):334–42.
20. Kero T, Pettersson A, Fäldt J, Andersson M, Gillot L, Can¬nas B, et al. Virtual variation simulation of CAD/CAM template-guided surgeries performed on human cadavers: part II. J Prosthet Dent 2010;104(1):48–55.
21. Tischler M. In-office cone beam computerized tomography: Technology review and clinical examples. Dent Today 2008;27(6):102-106.
22. Kaneda T, Minami M, Kurabayashi T. Benign odontogenictumours of the mandible and maxilla. Neuroimaging Clin N Am 2003;13:495–507.
23. Ludlow JB, Laster WS, See M, Bailey LJ, Hershey HG. Accuracy of measurements of mandibular anatomy in cone beam computed tomography images. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 2007;103:534–542.
24. Stratemann SA, Huang JC, Maki K, Miller AJ, Hatcher DC. Comparison of cone beam computed tomography imaging with physical measures. DentomaxillofacRadiol2008;37:80–93.
25. Batenburg RH, Stellingsma K, Raghoebar GM, Vissink A. Bone height measurements on panoramic radiographs: the effect of shape and position of edentulous mandibles. Oral Surg Oral Med Oral Pathol Oral RadiolEndod1997;84:430–435.
26. Dreiseidler T, Alarabi N, Ritter L, et al. A comparison of multislice computerized tomography, cone-beam computerized tomography, and single-photon emission computerized tomography for the assessment of bone invasion by oral malignancies. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:367–374.
27. Heiland M, Pohlenz P, Blessmann M, et al. Cervical soft tissue imaging using a mobile CBCT scanner with a flat panel detector in comparison with corresponding CT and MRI data sets. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104:814–820.
28. Dreiseidler T, Ritter L, Rothamel D, Neugebauer J, Scheer M, Mischkowski RA. Salivary calculus diagnosis with 3-dimensional cone-beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:94–100.
29. Araki M, Kameoka S, Matsumoto N, Komiyama K. Usefulness of cone beam computed tomography for odontogenicmyxoma. DentomaxillofacRadiol 2007;36:423–427.
30. Closmann JJ, Schmidt BL. The use of cone-beam computed tomography as an aid in evaluating and treatment planning for mandibular cancer. J Oral Maxillofac Surg 2007;65:766–771.
31. Tyndall DA, Rathore S. Cone-beam CT diagnostic applications: Caries, periodontal bone assessment, and endodontic applications. Dent Clin North Am 2008;52(4):825-841.
32. Tsiklakis K, Syriopoulos K, Stamatakis HC. Radiographic examination of the temporomandibular joint using cone-beam computed tomography. DentomaxillofacRadiol 2004;33(3):196-201.
33. Kijima N, Honda K, Kuroki Y, Sakabe J, Ejima K, Nakajima I. Relationship between patient characteristics, mandibular head morphology and thickness of the roof of the glenoid fossa in symptomatic temporomandibular joints. Dentomaxillofac Radiol 2007; 36(5): 277-281.
34. Matsumoto K, Honda K, Sawada K, Tomita T, Araki M, Kakehashi Y. The thickness of the roof of the glenoid fossa in the temporomandibular joint: Relationship to the MRI findings. DentomaxillofacRadiol 2006;35(5):357-364.
35. Honda K, Matumoto K, Kashima M, Takano Y, Kawashima S, Arai Y. Single air contrast arthrography for temporomandibular joint disorder using limited cone-beam computed tomography for dental use. Dentomaxillofac Radiol 2004; 33(4): 271-273.
36. Honda K, Larheim TA, Johannessen S, Arai Y, Shinoda K, Westesson PL. Ortho cubic super-high-resolution computed tomography: A new radiographic technique with an application to the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 91(2): 239-243.
37. Nakajima A, Sameshima GT, Arai Y, Homme Y, Shimizu N, Dougherty H Sr. Two- and three-dimensional orthodontic imaging using limited cone beam-computed tomography. Angle Orthod 2005; 75(6):895-903.
38. Sakabe R, Sakabe J, Kuroki Y, Nakajima I, Kijima N, Honda K. Evaluation of temporomandibular disorders in children using limited cone-beam computed tomography: A case report. J Clin Pediatr Dent 2006; 31(1):14-16.
39. O’Neil M, Khambay B, Moos KF, Barbenel J, Walker F, Ayoub A. Validation of a new method for building a three-dimensional physical model of the skull and dentition. Br J Oral Maxillofac Surg 2012; 50:49–54.
40. Swennen GR, Mollemans W, Schutyser F. Three-dimensional treatment planning of orthognathic surgery in the era of virtual imaging. J Oral Maxillofac Surg 2009; 67:2080–2092.
41. Liang X, Lambrichts I, Sun Y, et al. A comparative evaluation of cone-beam computed tomography (CBCT) and multi-slice CT (MSCT). Part II: On 3D model accuracy. Eur J Radiol 2010;75:270–274
42. Sears CR, Miller AJ, Chang MK, Huang JC, Lee JS. Comparison of pharyngeal airway changes on plain radiography and conebeam computed tomography after orthognathic surgery. J Oral MaxillofacSurg2011;69:e385–e394.
43. Hong JS, Park YH, Kim YJ, Hong SM, Oh KM. Three-dimensional changes in the pharyngeal airway in skeletal Class III patients undergoing orthognathic surgery. J Oral Maxillofac Surg 2011;69:e401–e408.
44. Abramson Z, Susarla SM, Lawler M, Bouchard C, Troulis M, Kaban LB. Three-dimensional computed tomographic airway analysis of patients with obstructive sleep apnea treated by maxillomandibular advancement. J Oral Maxillofac Surg 2011; 69:677–686.
45. Treister NS, Friedland B, Woo SB. Use of cone-beam computerized tomography for evaluation of bisphosphonate-associated osteonecrosis of the jaws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: 753–764.
2. Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IA. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol 1998; 8: 1558–64.
3. Arai Y, Tammisalo E, Iwai K, Hashimoto K, Shinoda K. Development of a compact computed tomographic appara¬tus for dental use. DentomaxillofacRadiol 1999;28: 245–8
4. Kunihiko S, Kazuo Y, Kan U, et al: Development of dentomaxillofacial cone-beam X-ray CT system model CB MercuRay. Medix 2002; 37: 40.
5. Palomo JM, Kau CH, BahlPalomo L, et al: Three-dimensional cone beam computerized tomography in dentistry. Dent 2006; 25: 130
6. Nakagawa Y, Ishii H, Nomura Y, Watanabe NY, Hoshiba D, Kobayashi K, Ishibashi K. Third molar position: Reliability of panoramic radiography. J Oral Maxillofac Surg 2007;65(7): 1303-1308
7. Liu DG, Zhang WL, Zhang ZY, Wu YT, Ma XC. Localization of impacted maxillary canines and observation of adjacent incisor resorption with cone-beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 105(1): 91-98.
8. Tantanapornkul W, Okouchi K, Fujiwara Y, Yamashiro M, Maruoka Y, Ohbayashi N, Kurabayashi T. A comparative study of cone-beam computed tomography and conventional panoramic radiography in assessing the topographic relationship between the mandibular canal and impacted third molars. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 2007; 103(2): 253-259.
9. Walker L, Enciso R, Mah J. Three-dimensional localization of maxillary canines with conebeam computed tomography. Am J OrthodDentofacialOrthop 2005; 128(4): 418-423.
10. Shintaku WH, Venturin JS, Azevedo B, Noujeim M. Applications of cone-beam computed tomography in fractures of the maxillofacial complex. Dent Traumatol 2009; 25: 358–366.
11. Cevidanes LH, Bailey LJ, Tucker GR Jr, Styner MA, Mol A, Phillips CL, Proffit WR, Turvey T. Superimposition of 3D cone-beam CT models of orthognathic surgery patients. DentomaxillofacRadiol 2005;34(6):369-375.
12. Cevidanes LH, Bailey LJ, Tucker SF, Styner MA, Mol A, Phillips CL, Proffit WR, Turvey T. Three dimensional cone-beam computed tomography for assessment of mandibular changes after orthognathic surgery. Am J OrthodDentofacialOrthop 2007; 131(1):44-50.
13. Zizelmann C, Gellrich NC, Metzger MC, Schoen R, Schmelzeisen R, Schramm A. Computerassisted reconstruction of orbital floor based on cone beam tomography. Br J Oral MaxillofacSurg 2007;45(1):79-80.
14. Heiland M, Schulze D, Blake F, Schmelzle R. Intraoperative imaging of zygomaticomaxillary complex fractures using a 3D C-arm system. Int J Oral MaxillofacSurg 2005;34(4):369-375.
15. Mischkowski RA, Zinser MJ, Ritter L, Neugebauer J, Keeve E, Zoller JE. Intraoperative navigation in the maxillofacial area based on 3D imaging obtained by a cone-beam device. Int J Oral Maxillofac Surg 2007;36(8):687-694.
16. Pohlenz P, Blessmann M, Blake F, Heinrich S, Schmelzle R, Heiland M. Clinical indications and perspectives for intraoperative cone-beam computed tomography in oral and maxillofacial surgery. Oral Surg Oral Med Oral Pathol Oral RadiolEndod2007;103(3):412-417.
17. Lagravère MO, Major PW, Carey J. Ortho sensitivity analysis for plane orientation in the three-dimensional cephalometric analysis based on superimposition of serial cone-beam computed tomography images. DentomaxillofacRadiol 2010;39(7):400–8.
18. Hatcher DC, Dial C, Mayorga C. Cone-beam CT for pre-surgical assessment of implant sites. J Calif Dent Assoc 2003;31:825–33.
19. Pettersson A, Kero T, Gillot L, Cannas B, Fäldt J, Söder¬berg R, Näsström K. Accuracy of CAD/CAM-guided surgical template implant surgery on human cadavers: part I. J Prosthet Dent 2010;103(6):334–42.
20. Kero T, Pettersson A, Fäldt J, Andersson M, Gillot L, Can¬nas B, et al. Virtual variation simulation of CAD/CAM template-guided surgeries performed on human cadavers: part II. J Prosthet Dent 2010;104(1):48–55.
21. Tischler M. In-office cone beam computerized tomography: Technology review and clinical examples. Dent Today 2008;27(6):102-106.
22. Kaneda T, Minami M, Kurabayashi T. Benign odontogenictumours of the mandible and maxilla. Neuroimaging Clin N Am 2003;13:495–507.
23. Ludlow JB, Laster WS, See M, Bailey LJ, Hershey HG. Accuracy of measurements of mandibular anatomy in cone beam computed tomography images. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 2007;103:534–542.
24. Stratemann SA, Huang JC, Maki K, Miller AJ, Hatcher DC. Comparison of cone beam computed tomography imaging with physical measures. DentomaxillofacRadiol2008;37:80–93.
25. Batenburg RH, Stellingsma K, Raghoebar GM, Vissink A. Bone height measurements on panoramic radiographs: the effect of shape and position of edentulous mandibles. Oral Surg Oral Med Oral Pathol Oral RadiolEndod1997;84:430–435.
26. Dreiseidler T, Alarabi N, Ritter L, et al. A comparison of multislice computerized tomography, cone-beam computerized tomography, and single-photon emission computerized tomography for the assessment of bone invasion by oral malignancies. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:367–374.
27. Heiland M, Pohlenz P, Blessmann M, et al. Cervical soft tissue imaging using a mobile CBCT scanner with a flat panel detector in comparison with corresponding CT and MRI data sets. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104:814–820.
28. Dreiseidler T, Ritter L, Rothamel D, Neugebauer J, Scheer M, Mischkowski RA. Salivary calculus diagnosis with 3-dimensional cone-beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:94–100.
29. Araki M, Kameoka S, Matsumoto N, Komiyama K. Usefulness of cone beam computed tomography for odontogenicmyxoma. DentomaxillofacRadiol 2007;36:423–427.
30. Closmann JJ, Schmidt BL. The use of cone-beam computed tomography as an aid in evaluating and treatment planning for mandibular cancer. J Oral Maxillofac Surg 2007;65:766–771.
31. Tyndall DA, Rathore S. Cone-beam CT diagnostic applications: Caries, periodontal bone assessment, and endodontic applications. Dent Clin North Am 2008;52(4):825-841.
32. Tsiklakis K, Syriopoulos K, Stamatakis HC. Radiographic examination of the temporomandibular joint using cone-beam computed tomography. DentomaxillofacRadiol 2004;33(3):196-201.
33. Kijima N, Honda K, Kuroki Y, Sakabe J, Ejima K, Nakajima I. Relationship between patient characteristics, mandibular head morphology and thickness of the roof of the glenoid fossa in symptomatic temporomandibular joints. Dentomaxillofac Radiol 2007; 36(5): 277-281.
34. Matsumoto K, Honda K, Sawada K, Tomita T, Araki M, Kakehashi Y. The thickness of the roof of the glenoid fossa in the temporomandibular joint: Relationship to the MRI findings. DentomaxillofacRadiol 2006;35(5):357-364.
35. Honda K, Matumoto K, Kashima M, Takano Y, Kawashima S, Arai Y. Single air contrast arthrography for temporomandibular joint disorder using limited cone-beam computed tomography for dental use. Dentomaxillofac Radiol 2004; 33(4): 271-273.
36. Honda K, Larheim TA, Johannessen S, Arai Y, Shinoda K, Westesson PL. Ortho cubic super-high-resolution computed tomography: A new radiographic technique with an application to the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 91(2): 239-243.
37. Nakajima A, Sameshima GT, Arai Y, Homme Y, Shimizu N, Dougherty H Sr. Two- and three-dimensional orthodontic imaging using limited cone beam-computed tomography. Angle Orthod 2005; 75(6):895-903.
38. Sakabe R, Sakabe J, Kuroki Y, Nakajima I, Kijima N, Honda K. Evaluation of temporomandibular disorders in children using limited cone-beam computed tomography: A case report. J Clin Pediatr Dent 2006; 31(1):14-16.
39. O’Neil M, Khambay B, Moos KF, Barbenel J, Walker F, Ayoub A. Validation of a new method for building a three-dimensional physical model of the skull and dentition. Br J Oral Maxillofac Surg 2012; 50:49–54.
40. Swennen GR, Mollemans W, Schutyser F. Three-dimensional treatment planning of orthognathic surgery in the era of virtual imaging. J Oral Maxillofac Surg 2009; 67:2080–2092.
41. Liang X, Lambrichts I, Sun Y, et al. A comparative evaluation of cone-beam computed tomography (CBCT) and multi-slice CT (MSCT). Part II: On 3D model accuracy. Eur J Radiol 2010;75:270–274
42. Sears CR, Miller AJ, Chang MK, Huang JC, Lee JS. Comparison of pharyngeal airway changes on plain radiography and conebeam computed tomography after orthognathic surgery. J Oral MaxillofacSurg2011;69:e385–e394.
43. Hong JS, Park YH, Kim YJ, Hong SM, Oh KM. Three-dimensional changes in the pharyngeal airway in skeletal Class III patients undergoing orthognathic surgery. J Oral Maxillofac Surg 2011;69:e401–e408.
44. Abramson Z, Susarla SM, Lawler M, Bouchard C, Troulis M, Kaban LB. Three-dimensional computed tomographic airway analysis of patients with obstructive sleep apnea treated by maxillomandibular advancement. J Oral Maxillofac Surg 2011; 69:677–686.
45. Treister NS, Friedland B, Woo SB. Use of cone-beam computerized tomography for evaluation of bisphosphonate-associated osteonecrosis of the jaws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: 753–764.
How to Cite
1.
Khandeparker RVS, Kamleshbhai PS, Kamat S, Khandeparker PVS. EVALUATING THE POTENTIAL CLINICAL APPLICATIONS OF CONE BEAM COMPUTERISED TOMOGRAPHY IN ORAL AND MAXILLOFACIAL SURGERY: A REVIEW. Med. res. chronicles [Internet]. 2015Aug.10 [cited 2024May5];2(4):525-33. Available from: https://medrech.com/index.php/medrech/article/view/117
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Review Article
