Mandibular Symphyseal Bone Graft for Reconstruction of Alveolar Cleft Defects: Volumetric Assessment with Cone Beam Computed Tomography 1-Year Postsurgery

2016 ◽  
Vol 53 (1) ◽  
pp. 64-72 ◽  
Author(s):  
Bo Werner Linderup ◽  
Paolo M. Cattaneo ◽  
John Jensen ◽  
Annelise Kuseler
Keyword(s):  
Computed Tomography ◽  
Bone Graft ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Alveolar Cleft ◽  
Volumetric Assessment

scholarly journals The effectiveness of mineralized plasmatic matrix in the closure of alveolar clefts with volumetric assessment

2021 ◽  
Vol 9 ◽  
pp. 1
Author(s):  
Padminii Ellapakurthi ◽  
Gotike Siva Prasad Reddy
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Cleft Lip ◽  
Alveolar Bone ◽  
Platelet Rich Plasma ◽  
Cone Beam ◽  
Average Percentage ◽  
Alveolar Cleft ◽  
Volumetric Assessment ◽  
Alveolar Bone Grafting

Objectives: The purpose of this study is to assess the effectiveness of mineralized plasmatic matrix in the soft tissue closure of naso-alveolar fistula, to estimate the postoperative bone fill and volume of the graft placed in the alveolar cleft defect using cone-beam computed tomography (CBCT) at 3rd- month and 6th- month. Material and methods: 10 patients, in the age group of 15‑30 years were included in this study. They were diagnosed with unilateral cleft lip and alveolus defects with or without a cleft palate requiring late secondary alveolar bone grafting. Alveolar cleft defects were closed with mineralized plasmatic matrix (MPM), a combination of autogenous iliac bone graft and platelet rich plasma (PRP) and platelet rich fibrin (PRF). Results: The mean defect volume pre-operatively is 0.75 cm3 and at the end of 3rd-month postoperatively is 0.51 cm3 and at 6th-month postoperatively is 0.27 cm3. The average percentage of bone fill between preoperative (A) & 3th- month postoperatively (B) is 33.4% and between 3rd-month (B) and 6th-month post operatively (C) is 49.5%. Conclusions: Utilization of this new matrix (MPM), has shown to be effective in the closure of the cleft defect, oro-nasal fistula and also reduction in the volume of the residual cleft defect seen with sequential cone-beam computed tomography (CBCT) radiographs.

Comparison of Three-Dimensional and Conventional Orthodontic Imaging Modalities for Localization of Impacted Maxillary Canines in Patients With Alveolar Cleft

2020 ◽  
pp. 105566562094698
Author(s):  
Parviz Padisar ◽  
Maryam Tofangchiha ◽  
Behzad Salari ◽  
Sonia Oveisi
Keyword(s):  
Computed Tomography ◽  
Diagnostic Accuracy ◽  
Cone Beam Computed Tomography ◽  
Root Resorption ◽  
Imaging Modalities ◽  
Cone Beam ◽  
Impacted Tooth ◽  
Alveolar Cleft ◽  
Adjacent Tooth ◽  
Lateral Cephalograms

Objective: The purpose of this study was to identify which diagnostic parameters related to impacted maxillary canines can be reliably detected by the conventional orthodontic radiographic modalities and which factors need to be assessed by cone-beam computed tomography (CBCT). Design: In this cross-sectional study, 8 orthodontists evaluated 7 parameters related to the position and anatomy of the impacted canines by means of 2-dimensional (2D) records. After 1 month, the same process was repeated by means of CBCT by the same clinicians. Setting: Qazvin University of Medical Sciences. Patients and Participants: Thirty-two patients with alveolar cleft and impacted maxillary canines who had CBCT scans, lateral cephalograms, and orthopantomographs as pretreatment records. Main Outcome Measure: The diagnostic accuracy of 2D and 3-dimensional (3D) radiographic modalities was compared with each other and also with the gold standard by 3 radiologists. Results: The diagnostic accuracy of 2D and 3D imaging modalities was not significantly different regarding the mesiodistal inclination of the impacted tooth ( P = .09), apex anatomy ( P = .10), and mesiodistal position of the apex ( P = .19). Cone-beam computed tomography had significantly higher diagnostic accuracy than conventional radiographic modalities regarding overlapping the adjacent tooth ( P = .001), labio–palatal and apico–coronal position of the crown tip, and root resorption of the adjacent tooth ( P = .01). Conclusion: The conventional orthodontic radiographic modalities were as accurate as CBCT for determination of impacted canine inclination, apex anatomy, and mesiodistal position of the apex. Cone-beam computed tomography showed higher diagnostic accuracy for other parameters.

A novel success scale for evaluating alveolar cleft repair using cone-beam computed tomography

2020 ◽  
Vol 48 (4) ◽  
pp. 391-398
Author(s):  
Georgios Kamperos ◽  
Nadia Theologie-Lygidakis ◽  
Kostas Tsiklakis ◽  
Ioannis Iatrou
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Alveolar Cleft

scholarly journals Volume measurement of mandibular teeth pulp chamber as a prediction tool of gender and ethnicity in a Brazilian population

2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Karolina Aparecida Castilho Fardim ◽  
Eurico Oliveira Junior ◽  
Rafael Rodrigues ◽  
Elaine Araújo ◽  
João Pedro Gomes ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Dental Arch ◽  
P Value ◽  
Forensic Dentistry ◽  
Pulp Chamber ◽  
Dental Tissues ◽  
Chamber Volume ◽  
Volumetric Assessment

Objective: Forensic dentistry has used some methods for the human identification process. However, there is a need to study characteristics that are able to perform identification more specifically, increasing accuracy. Considering the role of dental arch assessment in prediction of gender and ethnicity, the purpose of this study was to assess the volume of pulp chamber as a mean to obtain new forensic evidence. Material and methods: For this task, 1.190 cone beam computed tomography (CBCT) images were retrospectively selected and subdivided according to the population number, gender, age and ethnicity. All DICOM files were imported to the open-source software ITK-SNAP® (http://www.itksnap.org/pmwiki/pmwiki.php). The segmentation process was performed in all pulp chamber aiming to obtain pulp tissue´s volume. Results: As a result, the pulp chamber volume of mandibular canine teeth showed to be larger in white population than in non-white (P-value = 0.003) and in male individuals in comparison with female (P-value = 0.038). Conclusion: These results, however, must be confirmed by future studies with a larger sample size and by the assessment of other variables, including texture analysis and density of dental tissues. KEYWORDS Cone beam computed tomography; Ethnicity; Forensic dentistry; Gender; Pulp chamber volume; Volumetric assessment.

Comparison of Preoperative Measurement Methods of Alveolar Cleft Volume Using Cone Beam Computed Tomography between Computer Simulation and Water Displacement Methods

2021 ◽  
pp. 105566562110556
Author(s):  
Kaninut Phienwej ◽  
Marasri Chaiworawitkul ◽  
Dhirawat Jotikasthira ◽  
Krit Khwanngern ◽  
Patiyut Sriwilas
Keyword(s):  
Computed Tomography ◽  
Computer Simulation ◽  
Cone Beam Computed Tomography ◽  
T Test ◽  
Cone Beam ◽  
Displacement Method ◽  
Water Displacement ◽  
Alveolar Cleft ◽  
Alveolar Bone Grafting ◽  
Paired T Test

Objective To compare the use of a computer simulation by Mimics software and the water displacement method as means for measurement of alveolar cleft volume on cone beam computed tomography (CBCT) data. Design Prospective study. Settling Institutional research. Patients Patients with unilateral complete cleft lip and palate (UCCLP) who would undergo alveolar bone grafting. Interventions CBCT images of twenty patients with UCCLP were included in the study. In the first method, the water displacement method was adopted to measure volume of plasticine filled in the alveolar cleft imprinted on 3D printed model of maxilla. In the second method a volumetric assessment function in Mimics software was adopted to measure volume of 3D virtual model of alveolar cleft constructed from CBCT images. A comparison on the alveolar cleft volumes derived from the two methods was assessed using the statistical paired t-test. Main Outcome Measure The paired-t test showed no statistically significant difference between alveolar cleft volumes measured by the two methods ( P = 0.075). Results Mean volume of the alveolar cleft measured by the water displacement method was 1.03 ± 0.31 ml whereas by the computer simulation using Mimics software the value was 1.00 ± 0.31 ml. The mean difference between the two methods was 0.03 ± 0.08 ml. Conclusion The computer simulation by Mimics software as a means for measurement of alveolar cleft volume on CBCT data is as accurate as the measurement by the water displacement method.

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