Role of cone beam computed tomography in diagnosis and treatment planning in dentistry: An update

Shukla, Sagrika; Chug, Ashi; Afrashtehfar, Kelvin I.

doi:10.4103/jispcd.jispcd_516_16

Cited by 27 publications

(12 citation statements)

References 26 publications

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“…10 CBCT is playing an important role for recording three dimensional structures of Oral and Maxillofacial regions and gaining increasing role in the diagnosis of morphologic abnormalities. 11 There are currently more than 15 third-party DICOM viewers for oral and maxillofacial radiology 12 , in our study Planmeca Graph 2: Graphical representation of interobserver reliability of three-dimensional measurements of the upper airway ProMax3D Mid Proface CBCT unit was used for scans and measurements were done with software viewer Romexis version 4.2.0 R 10/13/15 was used. Currently, there is no normal value for airway volume or any other threedimensional measurement, the reason for this perhaps because the airway volume is extremely variable, depending on head posture, breathing stage and tongue position.…”

Section: Discussionmentioning

confidence: 99%

Assessment of interobserver reliability in localization of hard and soft tissue landmarks and three-dimensional measurements of the upper airway based on these landmarks using CBCT images

M²,

Vikram³

et al. 2021

IJMI

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: To assess reliability in localization of hard and soft tissue landmarks of the upper airway and three-dimensional measurements of the upper airway based on these landmarks using CBCT images. : 22 full field of view (FOV) CBCT scan volumes were selected randomly and retrospectively made at the CBCT unit of Department of Oral Medicine and Radiology. Six anatomic landmarks that are relevant for upper airway analysiswere located and subsequently three-dimensional measurements (volume, minimum cross-sectional area (CSA), location of the CSA, anteroposterior and lateral dimensions of the CSA) in all planes (coronal, sagittal, axial) were performed based on these land marks by two observers, using Romexis software (4.2.0 R 10/13/15). : Correlation analysis by Cronbach’s Alpha.: Interobserver reliability of the landmark localization was excellent (Internal consistency 0.97-0.99) and for the three-dimensional upper airway measurements were good (Internal consistency 0.62-0.99).: The interobserver reliability of anatomical landmarks localization and three-dimensional measurements of the upper airway are good to excellent using Romexis software. Therefore, this methodology can be recommended for the upper airway analysis using CBCT images.

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Section: Discussionmentioning

confidence: 99%

Assessment of interobserver reliability in localization of hard and soft tissue landmarks and three-dimensional measurements of the upper airway based on these landmarks using CBCT images

M²,

Vikram³

et al. 2021

IJMI

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“…By integrating features with findings an accurate diagnosis can be achieved while differentiating JOF from other fibro osseous conditions like fibrous dysplasia or ossifying fibroma. 20,21 JOFs aggressive growth pattern often leads to infiltration and displacement of neighboring structures such, as teeth, nerves and blood vessels. A common issue that often arises is the movement or absorption of teeth which can make diagnosing and planning treatment more challenging particularly when it involves the jawbone.…”

Section: Clinical Manifestationmentioning

confidence: 99%

An overview of juvenile ossifying fibroma

Bukhsh,

Bajoudah,

Alrashidi

et al. 2023

Int J Community Med Public Health

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Juvenile ossifying fibroma (JOF) is a cancerous bone condition that mainly affects the facial bones, particularly the jaw and upper jaw. This review article provides an overview of JOF, covering its signs, difficulties in diagnosis, radiographic characteristics, histopathological features, and current treatment strategies. The exact cause of JOF is still uncertain, leading to debates about whether it originates from a tumor growth, abnormal development, or reactive response. The way JOF presents clinically can vary greatly, emphasizing the importance of an approach when evaluating patients with facial swellings. Radiographically, JOF appears as a defined area of bone with varying degrees of mineralization. Clinical and histopathological findings must be combined with the results to diagnose this condition accurately. Histopathologically, JOF is characterized by increased tissue and mineralized components that create a two-phase pattern. Surgical treatment options range from removing the affected area to complete resection; however, achieving surgical margins can be challenging and may lead to recurrence due to its ability to infiltrate surrounding tissues. Reconstruction using either bone grafts or artificial materials is necessary for lesions caused by JOF. Long-term follow-up that includes imaging techniques is crucial due to the likelihood of recurrence in JOF cases. Various factors, such as the extent of removal and the aggressiveness of the lesion, influence recurrence rates. Highlight the complexity involved in managing JOF—emerging developments in procedures and understanding at the level offer promising possibilities for focused treatments. A comprehensive approach to managing JOF includes collaboration between healthcare experts, educating patients, and providing support. It is essential to continue research endeavors and promote data sharing to unravel the complexities surrounding JOF, improve precision and treatment approaches, and enhance well-being.

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“…Cone-beam computed tomography (CBCT) is an X-ray-based imaging method with a shorter scanning time and lower radiation dose than traditional CT [ 1 , 2 ]. This system is commonly used in dental practice to provide three-dimensional high-resolution visualization of the structure of oral and maxillofacial lesions, helping the diagnostic and therapeutic approaches in the patients efficiently [ 3 , 4 ]. However, different factors can negatively influence the interpretation accuracy of the prepared scans, such as low inter- and intra-observer agreement (principally for junior and less experienced practitioners) [ 5 , 6 ]; therefore, CBCT imaging has weaknesses as well as the advantages mentioned above.…”

Section: Introductionmentioning

confidence: 99%

Accuracy of artificial intelligence in the detection and segmentation of oral and maxillofacial structures using cone-beam computed tomography images: a systematic review and meta-analysis

Abesi¹,

Jamali²,

Zamani³

2023

Pol J Radiol

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Purpose The aim of the present systematic review and meta-analysis was to resolve the conflicts on the diagnostic accuracy of artificial intelligence systems in detecting and segmenting oral and maxillofacial structures using cone-beam computed tomography (CBCT) images. Material and methods We performed a literature search of the Embase, PubMed, and Scopus databases for reports published from their inception to 31 October 2022. We included studies that explored the accuracy of artificial intelligence in the automatic detection or segmentation of oral and maxillofacial anatomical landmarks or lesions using CBCT images. The extracted data were pooled, and the estimates were presented with 95% confidence intervals (CIs). Results In total, 19 eligible studies were identified. As per the analysis, the overall pooled diagnostic accuracy of artificial intelligence was 0.93 (95% CI: 0.91-0.94). This rate was 0.93 (95% CI: 0.89-0.96) for anatomical landmarks based on 7 studies and 0.92 (95% CI: 0.90-0.94) for lesions according to 12 reports. Moreover, the pooled accuracy of detection and segmentation tasks for artificial intelligence was 0.93 (95% CI: 0.91-0.94) and 0.92 (95% CI: 0.85-0.95) based on 14 and 5 surveys, respectively. Conclusions Excellent accuracy was observed for the detection and segmentation objectives of artificial intelligence using oral and maxillofacial CBCT images. These systems have the potential to streamline oral and dental healthcare services.

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Role of cone beam computed tomography in diagnosis and treatment planning in dentistry: An update

Cited by 27 publications

References 26 publications

Assessment of interobserver reliability in localization of hard and soft tissue landmarks and three-dimensional measurements of the upper airway based on these landmarks using CBCT images

Assessment of interobserver reliability in localization of hard and soft tissue landmarks and three-dimensional measurements of the upper airway based on these landmarks using CBCT images

An overview of juvenile ossifying fibroma

Accuracy of artificial intelligence in the detection and segmentation of oral and maxillofacial structures using cone-beam computed tomography images: a systematic review and meta-analysis

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