Analysis of the diagnostic value of X-ray and CBCT 3D reconstruction in adolescent orthodontic patients with impacted teeth

doi:10.19439/j.sjos.2024.06.011

Abstract

Abstract: PURPOSE: To evaluate the value of X-ray and cone-beam CT(CBCT) three-dimensional reconstruction in the diagnosis of impacted teeth in adolescent orthodontic patients. METHODS: From May 2021 to May 2024, totally 86 adolescent orthodontic patients with 126 impacted teeth admitted to the Second Hospital of Baoding City were selected for X-ray examination and CBCT 3D reconstruction. The diagnostic efficiency and accuracy of the two methods were evaluated by comparing their ability to reveal the location and adjacent anatomical structures of the impacted teeth. SPSS 26.0 software package was used for statistical analysis of the data. RESULTS: Among the 126 impacted teeth, totally 40 cases (52 teeth) were in the maxillary anterior tooth region, 8 in the maxillary posterior region (12 teeth), 12 with maxillary supernumerary teeth (20 teeth), 14 in the mandibular anterior region (22 teeth), 8 in the mandibular posterior region (14 teeth), and 4 with mandibular supernumerary teeth (6 teeth). The results of CBCT 3D reconstruction were close to operation findings. CBCT 3D reconstruction was superior to X-ray films in most indexes, especially in sensitivity and positive predictive value, showing higher diagnostic efficiency. CONCLUSIONS: CBCT three-dimensional reconstruction provides high diagnostic value in the diagnosis of impacted teeth in adolescent orthodontic patients, especially in accurately assessing the position of impacted teeth.

Key words: Orthodontics, Impacted teeth, CBCT 3D reconstruction, Diagnostic efficiency

CLC Number:

R783.5

GAO Lin-cheng, MA Yong-ping, GAO Lin-qing, LIU Da-hua, WANG Chao, JIA Hao. Analysis of the diagnostic value of X-ray and CBCT 3D reconstruction in adolescent orthodontic patients with impacted teeth[J]. Shanghai Journal of Stomatology, 2024, 33(6): 633-637.

References

[1] Allareddy V, Caplin J, Markiewicz MR, et al.Orthodontic and surgical considerations for treating impacted teeth[J]. Oral Maxillofac Surg Clin North Am, 2020, 32(1):15-26.
[2] Consolaro A, Cardoso MA.Impacted teeth: their place is in the dental arch[J]. Dental Press J Orthod, 2019, 24(6):20-26.
[3] Zou R, Qiao Y, Lin Y, et al.Is it necessary to remove bone-impacted teeth? a retrospective study[J]. J Stomatol Oral Maxillofac Surg, 2023, 124(2):101304.
[4] Kaasalainen T, Ekholm M, Siiskonen T, et al.Dental cone beam CT: an updated review[J]. Phys Med, 2021, 88:193-217.
[5] Moreira-Souza L, Butini Oliveira L, Gaêta-Araujo H, et al.Comparison of CBCT and panoramic radiography for the assessment of bone loss and root resorption on the second molar associated with third molar impaction: a systematic review[J]. Dentomaxillofac Radiol, 2022, 51(3):20210217.
[6] 马绪臣. 口腔颌面医学影像诊断学[M]. 北京: 人民卫生出版社, 2010: 1-5, 121-123.
[7] Apet R, Prakash L, Shewale KH, et al.Treatment modalities of pediculosis capitis: a narrative review[J]. Cureus, 2023, 15(9): e45028.
[8] Brown C, Balisi M, Shaw CA, et al.Skeletal trauma reflects hunting behaviour in extinct sabre-tooth cats and dire wolves[J]. Nat Ecol Evol, 2017, 1(5): 131.
[9] Devetak D, Klokocovnik V, Lipovsek S, et al.Larval morphology of the antlion myrmecaelurus trigrammus(Pallas, 1771) (neuroptera, myrmeleontidae), with notes on larval biology[J]. Zootaxa, 2013, 3641: 491-500.
[10] Franc M, Cadiergues MC.Antifeeding effect of several insecticidal formulations against Ctenocephalides felis on cats[J]. Parasite, 1998, 5(1): 83-86.
[11] 刘亚非, 王雅淋, 左艳萍, 等. X射线测量青少年骨性Ⅲ类患者前牵引治疗后颞下颌关节结构的改变[J]. 中国组织工程研究, 2021, 25(8): 1154-1159.
[12] Alexa VT, Fratila AD, Szuhanek C, et al.Cephalometric assessment regarding craniocervical posture in orthodontic patients[J]. Sci Rep, 2022, 12(1):21729.
[13] Rayisi M, Malekzadeh K, Afsa M.CBCT assessment of the anatomical characteristics of gubernacular canal in impacted teeth[J]. J Dent (Shiraz), 2023, 24(1): 7-11.
[14] 刘伟涛, 王怡然, 王雪东, 等. 锥形束CT研究上颌反复扩缩前方牵引后上颌骨缝的三维变化[J]. 北京大学学报(医学版), 2022, 54(2): 346-355.
[15] 王珺璆, 王明锋. 锥形束CT对埋伏阻生尖牙在正畸牵引助萌中的临床应用研究[J]. 中国医疗器械信息, 2021, 27(21): 111-113.
[16] 姚海, 王道荣, 胡娟, 等. 锥形束CT对安氏Ⅰ~Ⅲ类错畸形正畸治疗患者牙根吸收的诊断效果研究[J]. 临床误诊误治, 2024, 37(1): 89-92.
[17] Yesiltepe S, Kilci G.Evaluation the relationship between the position and impaction level of the impacted maxillary third molar teeth and marginal bone loss, caries and resorption findings of the second molar teeth with CBCT scans[J]. Oral Radiol, 2022, 38(2):269-277.
[18] Alshawy ES, Kolarkodi SH.Revealing the effect of impacted canines on the adjacent teeth. a three dimensional study using CBCT[J]. J Pharm Bioallied Sci, 2023, 15(Suppl 1):S720-S724.
[19] 王博, 于洪波, 夏韫晖, 等.牙槽骨再生正畸技术治疗成人错畸形伴原发性牙槽骨缺损的远期疗效评价[J].中国口腔颌面外科杂志, 2022, 20(3): 225-229.
[20] Savoldi F, Dagassan-Berndt D, Patcas R, et al.The use of CBCT in orthodontics with special focus on upper airway analysis in patients with sleep-disordered breathing[J]. Dentomaxillofac Radiol, 2024, 53(3):178-188.