Cone-Beam Computed Tomography in Periodontal Diagnosis and Treatment Planning

Aparna C. Murali; Rahul Bhandary

doi:10.1055/s-0041-1741412

Journal of Health and Allied Sciences NU, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2022; 12(04): 343-349
DOI: 10.1055/s-0041-1741412

Review Article

Cone-Beam Computed Tomography in Periodontal Diagnosis and Treatment Planning

Aparna C. Murali

¹Department of Periodontics, AB Shetty Memorial Institiute of Dental Sciences, Nitte (Deemed to be University), Deralakatte, Mangalore, Karnataka, India

,

Rahul Bhandary

¹Department of Periodontics, AB Shetty Memorial Institiute of Dental Sciences, Nitte (Deemed to be University), Deralakatte, Mangalore, Karnataka, India

› Institutsangaben

Abstract

Diagnosis of periodontal disease depends on conventional clinical parameters. In periodontitis with extensive bone defects, radiographs play a crucial role in arriving at a proper diagnosis. The emergence of cone-beam computed tomography (CBCT) became a boon in oral radiology. Limitations of conventional two-dimensional (2D) radiographs include inadequate visualization of bone defects, lamina dura, and furcation involvement. CBCT generates 3D images of anatomical structures necessary for the periodontal diagnosis of furcation involvement, intrabony defects, and implant placement. CBCT, thus, imparts various potential applications in the field of periodontics which serves to arrive at better diagnostic conclusions.

Keywords

CBCT - periodontics - implant planning - radiography

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Referenzen

References
1 Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal diseases. Lancet 2005; 366 (9499): 1809-1820
2 Tugnait A, Clerehugh V, Hirschmann PN. The usefulness of radiographs in diagnosis and management of periodontal diseases: a review. J Dent 2000; 28 (04) 219-226
3 Armitage GC. The complete periodontal examination. Periodontol 2000 2004; 34 (01) 22-33
4 Benn DK. A review of the reliability of radiographic measurements in estimating alveolar bone changes. J Clin Periodontol 1990; 17 (01) 14-21
5 Eickholz P, Hausmann E. Accuracy of radiographic assessment of interproximal bone loss in intrabony defects using linear measurements. Eur J Oral Sci 2000; 108 (01) 70-73
6 Jeffcoat MK, Wang IC, Reddy MS. Radiographic diagnosis in periodontics. Periodontol 2000 1995; 7 (01) 54-68
7 Arai Y, Tammisalo E, Iwai K, Hashimoto K, Shinoda K. Development of a compact computed tomographic apparatus for dental use. Dentomaxillofac Radiol 1999; 28 (04) 245-248
8 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 (09) 1558-1564
9 Tsiklakis K, Donta C, Gavala S, Karayianni K, Kamenopoulou V, Hourdakis CJ. Dose reduction in maxillofacial imaging using low dose cone beam CT. Eur J Radiol 2005; 56 (03) 413-417
10 Khadivi KO. Computed tomography: fundamentals, system technology, image quality, applications. 2nd ed. Med Phys 2006; 33 (08) 3076
11 Danforth RA, Dus I, Mah J. 3-D volume imaging for dentistry: a new dimension. J Calif Dent Assoc 2003; 31 (11) 817-823
12 Ludlow JB, Davies-Ludlow LE, Brooks SL. Dosimetry of two extraoral direct digital imaging devices: NewTom cone beam CT and Orthophos Plus DS panoramic unit. Dentomaxillofac Radiol 2003; 32 (04) 229-234
13 Danforth RA, Clark DE. Effective dose from radiation absorbed during a panoramic examination with a new generation machine. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 89 (02) 236-243
14 Fleiner J, Hannig C, Schulze D, Stricker A, Jacobs R. Digital method for quantification of circumferential periodontal bone level using cone beam CT. Clin Oral Investig 2013; 17 (02) 389-396
15 de Faria Vasconcelos K, Evangelista KM, Rodrigues CD, Estrela C, de Sousa TO, Silva MA. Detection of periodontal bone loss using cone beam CT and intraoral radiography. Dentomaxillofac Radiol 2012; 41 (01) 64-69
16 Nakajima K, Yamaguchi T, Maki K. Surgical orthodontic treatment for a patient with advanced periodontal disease: evaluation with electromyography and 3-dimensional cone-beam computed tomography. Am J Orthod Dentofacial Orthop 2009; 136 (03) 450-459
17 Dutta A, Smith-Jack F, Saunders WP. Prevalence of periradicular periodontitis in a Scottish subpopulation found on CBCT images. Int Endod J 2014; 47 (09) 854-863
18 Dr Ashwini S, Dr Swatika K. Soft tissue thickness determination using CBCT in periodontics: a review. Int J Appl Dent Sci. 2017; 3 (03) 05-07
19 Januário AL, Barriviera M, Duarte WR. Soft tissue cone-beam computed tomography: a novel method for the measurement of gingival tissue and the dimensions of the dentogingival unit. J Esthet Restor Dent 2008; 20 (06) 366-373 , discussion 374
20 Gupta P, Jan SM, Behal R, Mir RA, Shafi M. Accuracy of cone-beam computerized tomography in determining the thickness of palatal masticatory mucosa. J Indian Soc Periodontol 2015; 19 (04) 396-400
21 Aljehani YA. Diagnostic applications of cone-beam CT for periodontal diseases. Int J Dent 2014; 2014: 865079
22 Özmeric N, Kostioutchenko I, Hägler G, Frentzen M, Jervøe-Storm PM. Cone-beam computed tomography in assessment of periodontal ligament space: in vitro study on artificial tooth model. Clin Oral Investig 2008; 12 (03) 233-239
23 Jervøe-Storm PM, Hagner M, Neugebauer J. et al. Comparison of cone-beam computerized tomography and intraoral radiographs for determination of the periodontal ligament in a variable phantom. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109 (02) e95-e101
24 Braun X, Ritter L, Jervøe-Storm PM, Frentzen M. Diagnostic accuracy of CBCT for periodontal lesions. Clin Oral Investig 2014; 18 (04) 1229-1236
25 Mol A, Balasundaram A. In vitro cone beam computed tomography imaging of periodontal bone. Dentomaxillofac Radiol 2008; 37 (06) 319-324
26 Vandenberghe B, Jacobs R, Yang J. Diagnostic validity (or acuity) of 2D CCD versus 3D CBCT-images for assessing periodontal breakdown. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104 (03) 395-401
27 Vandenberghe B, Jacobs R, Yang J. Detection of periodontal bone loss using digital intraoral and cone beam computed tomography images: an in vitro assessment of bony and/or infrabony defects. Dentomaxillofac Radiol 2008; 37 (05) 252-260
28 Misch KA, Yi ES, Sarment DP. Accuracy of cone beam computed tomography for periodontal defect measurements. J Periodontol 2006; 77 (07) 1261-1266
29 Mohan R, Mark R, Sing I, Jain A. Diagnostic accuracy of CBCT for aggressive periodontitis. J Clin Imaging Sci 2014; 4 (Suppl. 02) 2
30 Mengel R, Candir M, Shiratori K, Flores-de-Jacoby L. Digital volume tomography in the diagnosis of periodontal defects: an in vitro study on native pig and human mandibles. J Periodontol 2005; 76 (05) 665-673
31 Noujeim M, Prihoda T, Langlais R, Nummikoski P. Evaluation of high-resolution cone beam computed tomography in the detection of simulated interradicular bone lesions. Dentomaxillofac Radiol 2009; 38 (03) 156-162
32 Haas LF, Zimmermann GS, De Luca Canto G, Flores-Mir C, Corrêa M. Precision of cone beam CT to assess periodontal bone defects: a systematic review and meta-analysis. Dentomaxillofac Radiol 2018; 47 (02) 20170084
33 Li F, Jia PY, Ouyang XY. Comparison of measurements on cone beam computed tomography for periodontal intrabony defect with intra-surgical measurements. Chin J Dent Res 2015; 18 (03) 171-176
34 Leung CC, Palomo L, Griffith R, Hans MG. Accuracy and reliability of cone-beam computed tomography for measuring alveolar bone height and detecting bony dehiscences and fenestrations. Am J Orthod Dentofacial Orthop 2010; 137 (4, Suppl) S109-S119
35 Qiao J, Wang S, Duan J. et al. The accuracy of cone-beam computed tomography in assessing maxillary molar furcation involvement. J Clin Periodontol 2014; 41 (03) 269-274
36 Walter C, Kaner D, Berndt DC, Weiger R, Zitzmann NU. Three-dimensional imaging as a pre-operative tool in decision making for furcation surgery. J Clin Periodontol 2009; 36 (03) 250-257
37 Umetsubo OS, Gaia BF, Costa FF, Cavalcanti MGP. Detection of simulated incipient furcation involvement by CBCT: an in vitro study using pig mandibles. Braz Oral Res 2012; 26 (04) 341-347
38 Cimbaljevic MM, Spin-Neto RR, Miletic VJ, Jankovic SM, Aleksic ZM, Nikolic-Jakoba NS. Clinical and CBCT-based diagnosis of furcation involvement in patients with severe periodontitis. Quintessence Int 2015; 46 (10) 863-870
39 Pajnigara N, Kolte A, Kolte R, Pajnigara N, Lathiya V. Diagnostic accuracy of cone beam computed tomography in identification and postoperative evaluation of furcation defects. J Indian Soc Periodontol 2016; 20 (04) 386-390
40 Grimard BA, Hoidal MJ, Mills MP, Mellonig JT, Nummikoski PV, Mealey BL. Comparison of clinical, periapical radiograph, and cone-beam volume tomography measurement techniques for assessing bone level changes following regenerative periodontal therapy. J Periodontol 2009; 80 (01) 48-55
41 Takane M, Sato S, Suzuki K. et al. Clinical application of cone beam computed tomography for ideal absorbable membrane placement in interproximal bone defects. J Oral Sci 2010; 52 (01) 63-69
42 Hu KS, Choi DY, Lee WJ, Kim HJ, Jung UW, Kim S. Reliability of two different presurgical preparation methods for implant dentistry based on panoramic radiography and cone-beam computed tomography in cadavers. J Periodontal Implant Sci 2012; 42 (02) 39-44
43 Al-Ekrish AA. Effect of exposure time on the accuracy and reliability of cone beam computed tomography in the assessment of dental implant site dimensions in dry skulls. Saudi Dent J 2012; 24 (3-4): 127-134
44 Hua Y, Nackaerts O, Duyck J, Maes F, Jacobs R. Bone quality assessment based on cone beam computed tomography imaging. Clin Oral Implants Res 2009; 20 (08) 767-771