Informationen aus Orthodontie & Kieferorthopädie 2010; 42(4): 251-260
DOI: 10.1055/s-0030-1262732
Übersicht

© Georg Thieme Verlag KG Stuttgart ˙ New York

Digitale Volumentomografie: kieferorthopädische Aspekte

Cone Beam Computed Tomography (CBCT): Orthodontic AspectsP. Pazera1 , M. M. Bornstein2 , P. Jordi3 , C. Katsaros1
  • 1Klinik für Kieferorthopädie, Zahnmedizinische Klinken der Universität Bern
  • 2Klinik für Oralchirurgie und Stomatologie, Zahnmedizinische Kliniken der Universität Bern
  • 3Jordi Röntgentechnik AG, Münchenstein
Further Information

Publication History

Publication Date:
11 January 2011 (online)

Zusammenfassung

Digitale Volumentomografen (DVT), die speziell für den zahnärztlichen Gebrauch entwickelt wurden, haben Einzug in die Kieferorthopädie gehalten. Sie bieten echte 3D-Bildgebung mit kleinerer Strahlenbelastung und geringeren Kosten als die konventionelle Computertomografie. In diesem Übersichtsartikel werden einige wichtige Aspekte dieser Technologie und ihr Gebrauch in der Kieferorthopädie diskutiert. So werden neben der Bildqualität, die Strahlenbelastung sowie die kieferorthopädischen Indikationen erörtert. Auch auf 3D-Volumenrekonstruktionen, Zufallsbefunde und Kollateralpathologien sowie die Segmentierung von Kiefermodellen ab DVT wird eingegangen. 

Abstract

Cone beam computed tomography (CBCT) devices that have been developed for the maxillofacial region have spread in orthodontics in the last years. They provide real 3D-imaging at a reduced radiation dose and lower cost compared to conventional CT. This paper highlights some important aspects of CBCT and its use in orthodontics. Image quality, x-ray doses and orthodontic indications are going to be outlined. 3D-volume rendering, incidental findings and segmentation of orthodontic models from CBCT are also going to be discussed. 

Literatur

  • 1 Mozzo P, Procacci C, Tacconi A et al. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results.  Eur Radiol. 1998;  8 1558-2010
  • 2 Dreiseidler T, Neugebauer J, Ritter L et al. Accuracy of the First Integrated Cone-Beam System for Computed Aided Implantology. In: Daskalaki A, ed). Informatics in Oral Medicine: Advanced Techniques in Clinical and Diagnostic Technologies. Hershey: Idea Group Publishing; 2010: 184–203
  • 3 Koch A, Macherel J M, Wirth T et al. Detective quantum efficiency of an x-ray image intensifier chain as a benchmark for amorphous silicon flat-panal detectors Proc.  SPIE. 2001;  4320 115
  • 4 Liang X, Jacobs R, Hassan B et al. A comparative evaluation of Cone Beam Computed Tomography (CBCT) and Multi-Slice CT (MSCT) Part I. On subjective image quality.  Eur J Radiol. 2010;  75 265-269
  • 5 Ludlow J B, Davies-Ludlow L E, White S C. Patient risk related to common dental radiographic examinations: the impact of 2007 International Commission on Radiological Protection recommendations regarding dose calculation.  J Am Dent Assoc. 2008;  139 1237-1243
  • 6 Ludlow J B, Davies-Ludlow L E, Brooks S L. Dosimetry of two extraoral direct digital imaging devices: NewTom cone beam CT and Orthophos Plus DS panoramic unit.  Dentomaxillofac Radiol. 2003;  32 229-234
  • 7 Ludlow J B, Ivanovic M. Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology.  Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;  106 106-114
  • 8 Hirsch E, Wolf, U, Heinicke F et al. Dosimetry of the cone beam computed tomography Veraviewepocs 3D compared with the 3D Accuitomo in different fields of view.  Dentomaxillofac Radiol. 2008;  37 268-273
  • 9 Loubele M, Bogaerts R, Van Dijck E et al. Comparison between effective radiation dose of CBCT and MSCT scanners for dentomaxillofacial applications.  Eur J Radiol. 2009;  71 461-468
  • 10 Silva M A, Wolf U, Heinicke F et al. Cone-beam computed tomography for routine orthodontic treatment planning: a radiation dose evaluation.  Am J Orthod Dentofacial Orthop. 2008;  133 640.e1-640.e5
  • 11 Ozmeric N, Kostioutchenko I, Hägler G et al. Cone-beam computed tomography in assessment of periodontal ligament space: in vitro study on artificial tooth model.  Clin Oral Investig. 2008;  12 233-239
  • 12 Harzer W, Rüger D, Tausche E. Autotransplantation of first premolar to replace a maxillary incisor – 3D-volume tomography for evaluation of the periodontal space.  Dent Traumatol. 2009;  25 233-237
  • 13 Damstra J, Fourie Z, Ren Y. Comparison between two-dimensional and midsagittal three-dimensional cephalometric measurements of dry human skulls.  Br J Oral Maxillofac Surg. 2010;  48 236-238
  • 14 van Vlijmen O J, Bergé S J, Swennen G R et al. Comparison of cephalometric radiographs obtained from cone-beam computed tomography scans and conventional radiographs.  J Oral Maxillofac Surg. 2009;  67 92-97
  • 15 van Vlijmen O J, Maal T, Bergé S J et al. A comparison between 2D and 3D cephalometry on CBCT scans of human skulls.  Int J Oral Maxillofac Surg. 2010;  39 156-160
  • 16 Lumbreras B, Donat L, Hernandez-Aguado I. Incidental findings in imaging diagnostic tests: a systematic review.  Br J Radiol. 2010;  83 276-289
  • 17 Cooke L, Hadley D. MRI of the paranasal sinuses: incidental abnormalities and their relationship to symptoms.  J Laryngol Otol. 1991;  105 278-281
  • 18 Patel K, Chavda S V, Violaris N et al. Incidental paranasal sinus inflammatory changes in a British population.  J Laryngol Otol. 1996;  110 649-651
  • 19 Bornstein M M, von Arx T, Altermatt H J. Loss of pulp sensitivity and pain as the first symptoms of a Ewing's sarcoma in the right maxillary sinus and alveolar process: report of a case.  J Endod. 2008;  34 1549-1553
  • 20 Pazera P, Bornstein M M, Pazera A et al. Incidental maxillary sinus findings in orthodontic patients: a radiographic analysis using cone-beam computed tomography (CBCT). Orthod Craniofac Res 2010 DOI: 10.1111/j.1601-6343.2010.01502.x
  • 21 Kau C H, Littlefield J, Rainy N et al. Evaluation of CBCT digital models and traditional models using the Little's Index.  . 2010;  80 435-439
  • 22 Hassan B, Couto Souza P, Jacobs R et al. Influence of scanning and reconstruction parameters on quality of three-dimensional surface models of the dental arches from cone beam computed tomography.  Clin Oral Investig. 2010;  14 303-310
  • 23 De Clerck H J, Cornelis M A, Cevidanes L H et al. Orthopedic traction of the maxilla with miniplates: a new perspective for treatment of midface deficiency.  J Oral Maxillofac Surg. 2009;  67 2123-2129
  • 24 Heymann G C, Cevidanes L, Cornelis M et al. Three-dimensional analysis of maxillary protraction with intermaxillary elastics to miniplates.  Am J Orthod Dentofacial Orthop. 2010;  137 274-284

Dr. med. dent. Dipl. Phys. M.Sc. Pawel Pazera

Klinik für Kieferorthopädie

Freiburgstr. 7

CH-3010 Bern

Schweiz

Phone: +41 / (0) / 31 / 6 32 25 91

Fax: +41 / (0) 31 / 6 32 98 69

Email: pawel.pazera@zmk.unibe.ch

    >