Does the Use of Cone Beam CT for the Removal of Wisdom Teeth Change the Surgical Approach Compared With Panoramic Radiography?

Aravindaksha, Shyam Prasad; Balasundaram, Ashok; Gauthier, Bernard; Pervolarakis, T.; Boss, Hunter; Dhawan, Ayush; Wheater, Michelle

doi:10.1016/j.joms.2015.06.019

Cited by 10 publications

(9 citation statements)

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“…In previous studies, the authors compared CBCT and OPG on many different aspects such as: surgical technique of maxillary and mandibular third molar, classifying of lower third molar, upper molar root protrusion into maxillary sinus, relation of impacted mandibular third molars to the inferior alveolar nerve, presurgical evaluation of bony implant sites, impacted maxillary canines, and anatomical characteristics and visibility of mental foramen and accessory mental foramen (Ghaeminia et al,2009;Aravindaksha et al, 2015;Lorenzo et al, 2015;Pico et al, ;Araujo et al, 2019;Hermann et al, 2019;Brasil et al, 2019;Themkumkwun et al, 2019;Nirmalendu et al, 2019;Fortes et al, 2019). None of the prior studies compared CBCT and OPG films taken after the marsupialization of odontogenic cysts in terms of evaluating whether the odontogenic cyst volume allows enucleation.…”

Section: Discussionmentioning

confidence: 99%

“…The studies regarding surgical planning and imaging methods were present in the literature about tooth removal. Most of these studies stated that there were no statistically significant differences in surgical planning when panoramic and CBCT images were compared before surgery (Aravindaksha et al, 2015). Aravindaksha et al (2015) assessed the impact of CBCT images on mandibular third molar removal in terms of elevator placement, tooth sectioning, direction of tooth removal and removal of buccal bone.…”

Section: Discussionmentioning

confidence: 99%

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Planning of Large Odontogenic Cysts Treatment Using Panoramic and CBCT Images.

Yanık¹,

Polat

2020

Middle Black Sea Journal of Health Science

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Objective: We explored the utility of Cone Beam Computed Tomography (CBCT) and Orthopantomography (OPG) in terms of treatment planning to determine which form of radiography can more reliably assess cyst volume. Methods: 'We evaluated the panoramic and CBCT images of nine patients who consulted our clinic for treatment of large cystic lesions. Overall, 27 images were reviewed and analyzed by 21 oral and maxillofacial surgeons. We asked five questions (detailed in the main text). Results: We evaluated the 189 answers in the questionnaire. The surgeons recommended marsupialization followed by enucleation, marsupialization, and enucleation (70.89 %, 14.28 %, and 14.81 %, respectively). The answers to the reasons of these treatment choices showed that the size of the cysts and relationship with the adjacent anatomical structures are the most effective factors. In after marsupialization challenges, 85.71% of the answers considered that the lesion had shrunk sufficiently to allow enucleation according to OPG's, however, this rate decreased to 42.23% when the same surgeons evaluated the CBCT images of the patients after marsupialization. Ninety-nine percent of the responses reported that CBCT was much more reliable than OPG. Conclusion: In this study, we concluded that OPG imaging method can be used for the diagnosis and followup of cystic lesions, but in order to determine the accuracy of timing, adequacy of new bone formation and whether the cyst has shrunk sufficiently in volume, during the transition from the marsupialization process to the enucleation process, it is necessary to use CBCT imaging method. Further clinical trials should be conducted to define the effects of three dimensions images regarding surgical treatments of different kinds of oral and maxillofacial region cystic lesions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Planning of Large Odontogenic Cysts Treatment Using Panoramic and CBCT Images.

Yanık¹,

Polat

2020

Middle Black Sea Journal of Health Science

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“…When surgical management is planned, assessment by panoramic radiographs provides sufficient information to determine whether to perform a full extraction or to choose an alternative, for example, coronectomy (Aravindaksha et al, 2015; Manor, Abir, Manor, & Kaffe, 2017; Matzen, Christensen, Hintze, Schou, & Wenzel, 2013). It has been argued that experienced surgeons can decide the surgical approach without CBCT (Baqain et al, 2020).…”

Section: Diagnosis and Treatment Planningmentioning

confidence: 99%

Comprehensive review of lower third molar management: A guide for improved informed consent

et al. 2020

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Lower third molar removal is the most commonly performed dental surgical procedure. Nevertheless, it is difficult to ensure that all the informed consent forms given to patients are based on the best evidence as many newer publications could change the conclusions of previous research. Therefore, the goal of this review article is to cover existing meta‐analyses, randomized control trials, and related articles in order to collect data for improved and more current informed consent.

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“…Studies have proven that the CBCT changes the surgeon's surgical approach. 9 A more differentiated preoperative diagnostic analysis and adapted surgical approaches should consequentially lead to a reduction of complications, and therefore to a reduced number of damaged IAN bundles.…”

Section: Backroundmentioning

confidence: 99%

Does a Preoperative Cone Beam Ct Reduce Complication Rates in the Surgical Removal of Complex Lower Third Molars? A Retrospective Study Including 486 Cases

Klatt

Sorowka

Smeets

et al. 2020

Preprint

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BackroundThis study was designed to analyse the value of preoperative Cone Beam CTs prior to the surgical removal of complex lower third molars. Furthermore, the aim was to assess injuries to the inferior alveolar nerve bundle and postoperative neurological disorders depending on the position of the lower third molar and theinferior alveolar nerve bundle.MethodsPreoperative Cone Beam CTs and Orthopantomographs of 324 patients were analysed concerning the location of the lower third molars in relation to the mandible and the inferior alveolar nerve bundle. Surgery protocols of all patients who underwent the surgical removal of at least one complex lower third molar were analysed concerning patient data, length of surgery, intraoperative haemorrhage, intraoperative exposure of the inferior alveolar nerve bundle, postoperative swelling and postoperative neurological disorders. The data was then compared to data from international studies.ResultsIn all 324 patients a permanent neurological damage was not found. Temporary neurological damage was recorded in 13 cases (2.6%). A caudal nerve position with no measurable distance to the root of the lower third molar was associated with the highest risk of a temporal neurological damage. A vestibular touching nerve route also correlated with postoperative sensitivity impairment.ConclusionsThree-dimensional radiographic imaging,in our patient group, does not significantly affect the risk for complications during the surgical removal of complex lower third molars,but allows the surgeon to choose the best surgical approch for a fast and most atraumatic operation. Therefore, it should only be utilized for risk assessment, especially in cases of symptom-free lower third molars. A preoperative orthopantomogram still can be accepted as standard for radiographic imaging. The interpretation of the orthopantomogram may lead to the indication for three-dimensional imaging, if signs of increased surgery risk are present.

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Does the Use of Cone Beam CT for the Removal of Wisdom Teeth Change the Surgical Approach Compared With Panoramic Radiography?

Cited by 10 publications

References 1 publication

Planning of Large Odontogenic Cysts Treatment Using Panoramic and CBCT Images.

Planning of Large Odontogenic Cysts Treatment Using Panoramic and CBCT Images.

Comprehensive review of lower third molar management: A guide for improved informed consent

Does a Preoperative Cone Beam Ct Reduce Complication Rates in the Surgical Removal of Complex Lower Third Molars? A Retrospective Study Including 486 Cases

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