The Presurgical assessment of dentofacial anomalies using computed axial tomography: What the radiologist should always report

Authors

  • Fabián Adolfo Parra Fuentes Clínica Universitaria Colombia
  • Mónica Natalia Venegas Torres Clínica Universitaria Colombia
  • Camilo Alberto Caicedo Montaño Clínica Universitaria Colombia
  • Martín Fernando Orozco Fernández Clínica Universitaria Colombia
  • Catalina Wilches Vanegas Fundación Universitaria Sanitas

DOI:

https://doi.org/10.53903/01212095.230

Keywords:

Malocclusion, Dentofacial deformities, Tomography scanners, X-Ray computed

Abstract

Dentofacial anomalies (DFA) are a frequent reason for consultation in maxillofacial surgery departments, since diagnostic imaging is important for surgical planning and follow-up. DFA refers to significant deviation from the normal proportions of the maxillomandibular complex, which negatively affects dental occlusion. The management of these alterations is mainly performed with orthognathic surgery, which seeks the repositioning of dental and facial skeletal components through a combination of procedures. Computerized axial tomography studies allow maxillofacial surgeons to establish the type of anomaly, identify associated findings —breathing alterations—, perform surgical simulations and define precise surgical planning. Interdisciplinary working groups and minimal knowledge of the language used in the management of DFAs allow a better approach to imaging modalities, as well as the reporting of relevant information for the clinical management of patients. 

Downloads

Download data is not yet available.

References

Posnick JC. Principles and practice of the orthognathic surgery. Elsevier Saunders; 2013.

Scarfe WC, Angelopoulos C. Maxillofacial cone beam computed tomography. Springer International Publishing; 2018.

Kim EJ, Ki EJ, Cheon HM, Choi EJ, Kwon KH. 3-Dimensional analysis for class III maloclussion patients with facial asymmetry. J Korean Assoc Oral Maxillofac Surg. 2013;39(4):168.

Stokbro K, Aagard E, Torkov P, Bell RB, Thygesen T. Surgical accuracy of threedimensional virtual planning: a pilot study of bimaxillary orthognathic procedures including maxillary segmentation. Int J Oral Maxillofac Surg. 2016;45(1):8-18.

Alves PVM, Bolognese AM, Zhao L. Three-dimensional computerized orthognathic surgical treatment planning. Clin Plas Surg. 2007;34(3):427-36.

Tucker MR, Lewis-Ellis E, Hupp JR. Cirugía oral y maxilofacial contemporánea. 6th Edition. Elsevier Saunders; 2014.

McNeill C. Occlusion: what it is and what is not. J Calif Dent Assoc. 2000;29(10):748-58.

Ugalde-Morales FJ. Clasificación de la maloclusión en los planos anteroposterior, vertical y transversal. Revista ADM. 2007;LXIV(3):97-109.

Liu Y, Lowe AA, Fleetham JA, Park YC. Cephalometric and physiologic predictors of the efficacy of an adjustable oral appliance for treating obstructive sleep apnea. Am J Orthod Dentofacial Orthop. 2001;120(6):639-47.

Angle E. Classification of malocclusion. Dental Cosmos. 1899;41(3):248-64, 350-7.

Hurst CA, Eppley BL, Havlik RJ, Sadove AM. Surgical cephalometrics: Applications and developments. Plast Reconstr Surg. 2007;120(6):e92-e104.

Morcos SS, Patel PK. The vocabulary of dentofacial deformities. Clin Plast Surg. 2007;34(3):589-99.

Reyneke JP, Ferreti F. Anterior open bite correction by Le Fort I or bilateral sagittal split osteotomy. Oral Maxillofacial Surg Clin Nort Am. 2007;19(3):321-8.

Obwegeser HL. Principles in treatment planning of facial skeletal anomalies. Clinics in Plastic Surgery. 2007;34(3):585-7.

Parmar HA, Ibrahim M, Mukherji SK. Optimizing craniofacial CT technique. Neuroimagin Clin N Am. 2014;24(3):395-405.

Zamora CE. Compendio de cefalometría. 2nd Edition. Medellín: Amolca; 2010.

Viazis AD, Frydman J. Atlas de ortodoncia: Principios y aplicaciones clínicas. Madrid: Editorial Médica Panamericana; 1995.

Fialho-Rodrigues A, Reis-Fraga M, Farinazzo-Vitral RW. Computed tomography evaluation of the temporomandibular joint class I malocclusion patients: Condylar symmetry and condyle-fossa relationship. Am J Orthod Dentofacial Orhop. 2009;136(2):192-206.

Frost Fonseca RJ, Turvey TA, Hall DJ. Cephalometric diagnosis and surgical-orthodontic correction of apertognathia. Am J Orthod Dentofacial Orthop. 1980;78(6):657-9.

Jakobsone G, Stenvik A, Sandvik L, Espeland L. Three-year follow-up of bimaxillary surgery to correct Skeletal Class III Malocclusion: Stability and risk factors for relapse. Am J Orthod Dentofacial Orthop. 2011;139(1):80-9.

Barrera JE, Powell NB, Riley RW. Facial skeletal surgery in the management of adult obstructive apnea obstructive syndrome. Clin Plast Surg. 2007;34(3):565-73.

Da Cista ED, Peyneau PD, Verner FS, Junqueira RB, de Almeida SM, Ambrosano GMB. Ankylosis of permanent first molar: Diagnosis by cone beam computed tomography. Int J Odontostomat. 2017;11(3):319-25.

Chopra SK, Taplin GV, Tashkin DP, Trevor E, Elam D. Imaging sites of airway obstruction and measuring functional responses to bronchodilator treatment in asthma. Thorax. 1979;34(4):493-500.

Alam MK, Basri R, Purmal K, Sikder MA, Saifuddin M, Iida J. Cephalometric norm study in a Bangladeshi population using McNamara analysis. Int Med J. 2013;20(1):84-6.

Shokri A, Mollabashi V, Zahedi F, Tapak L. Position of the hyoid bone and its correlation with airway dimensions in different classes of skeletal malocclusion using cone-beam computed tomography. Imag Sci Dent. 2020;50(2):105.

Karadag D,Ozdol N, Beriat K, Akinci T. CT evaluation of the bony nasal pyramid dimensions in Anatolian people. Dentomaxillofacial Radiol. 2011;40(3);160-4.

Posnick JC, Agnihotri N. Managing chronic nasal airway obstruction at the time of orthognatic surgery: a twofer. J Oral Maxillofac Surg. 2011;69(3):695-701.

Servet T, Proffit W. The prevalence of facial asymmetry in the dentofacial deformities population at the University of North Carolina. Int J Adult Orthodon Orthognath Surg. 1997;12:171-6.

Riolo ML. An atlas of craniofacial growth: cephalometric standards from the University School Growth Study, the University of Michigan. Ann Arbor: Center for Human Growth and Development. University of Michigan; 1974.

Lee SH, Yang TY, Han GS, Kim YH, Tang TY. Analysis of the nasal bone and nasal pyramid by three-dimensional computed tomography. Eur Arch Otorhinolaryngol. 2008;265(4):421-4.

Papesch E, Papesch M. The nasal pyriform aperture and its importance. Otorhinolaryngol Head Neck Surg. 2016;1(4):89-91.

Erdem T, Ozturan O, Erdem G, Akarcay M Cem M. Nasal pyriform aperture stenosis in adults. Am J Rhinol. 2004;18(1):57-62.

Jiang YY. Correlation between hyoid bone position and airway dimensions in Chinese adolescents by cone beam computed tomography analysis. Int J Oral Maxillofacial Surg. 2016;45(7):914-21.

Kunal T, Mike Y. Diagnostic studies in obstructive sleep apnea. Otolaryngol Clin N Am. 2007;40:785-805.

Yamashita AL, Filho IL, Leite PCC, Navarro R de L, Ramos AL, Previdelli ITS et al. Three-dimensional analysis of the pharyngeal airway space and hyoid bone position after orthognathic surgery. J Cranio-Maxillofac Surg. 2017;45(9):140814.

Sora C, Jaramillo P. Diagnóstico de las asimetrías faciales y dentales. Rev Fac Odont Univ Ant. 2005;16(1-2):15-25.

Published

2023-03-30

How to Cite

(1)
Parra Fuentes, F. A.; Venegas Torres, M. N.; Caicedo Montaño, C. A.; Orozco Fernández, M. F.; Wilches Vanegas, C. The Presurgical Assessment of Dentofacial Anomalies Using Computed Axial Tomography: What the Radiologist Should Always Report. Rev. colomb. radiol. 2023, 34, 5899-5909.

Issue

Section

Revisión de Tema
Crossref Cited-by logo
QR Code