Search results

1

Dental use of cone beam computed tomography in pediatric embolized arteriovenous maxillofacial malformation

100%

Olszewski R., Theys S.

Nemesis. Negative Effects in Medical Sciences Oral and Maxillofacial Surgery

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2021

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vol. 20

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issue 1

1-20

EN

Objective: Pediatric facial arteriovenous malformations (AVMs) are rare but can cause potentially fatal hemorrhages during dental procedures and oral surgery. In this article we present a systematic review of the medical open access literature on pediatric facial AVM. Case report: We illustrate our purpose with clinical dental use of cone beam computed tomography (CBCT) in pediatric embolized facial AVM to define the presence and the position of the right upper impacted canine. Conclusions: We advocate the use of CBCT as additional imaging tool in the follow-up of pediatric dentomaxillofacial AVM, and for depiction of dentoalveolar structures that are inaccessible by conventional dental radiography.

2

Contribution of dental private practitioners to publications on anatomical variations using cone beam computed tomography

100%

Hebda A., Theys S., de Roissart J., Perez E., Olszewski R.

Nemesis. Negative Effects in Medical Sciences Oral and Maxillofacial Surgery

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2020

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vol. 14

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issue 1

1-54

EN

Objective: To investigate the participation of citizens-dental private practitioner in scientific articles about anatomical variations on dentomaxillofacial CBCT. Our null hypothesis was that private practice practitioners are not involved in publications on anatomical variations using cone beam computed tomography. Material and methods: This study was performed from home without access to our university library. Only PubMed database was used to perform our study. We found 384 articles published among 1830 articles corresponding to our inclusion/exclusion criteria. For each selected article we searched for affiliation of all of the authors (university, private dental practice, students, other). We applied a co-creation approach to involve colleagues from private practice in analyzing results of this study. Results: A large majority of authors have university affiliation (96.5%). Only 3% of authors come from private practice. Most of articles belong to the group of 7 emergent economies (E7), and from Asia. 47.9% of 96 journals published only one article on anatomical variations discovered on CBCT. The higher number of articles (18.75%) were published by journals related to endodontics. The 84% of articles were dispersed among a vast span of general and specific dental, and maxillofacial journals. The 68.4% of articles on variations in CBCT were available in closed access and 31.6% of articles were available in open access. Only 6.7% of articles were published in open access without author publication charges (APC). The 31.6% of authors with university affiliation choose open access for their article. 7.8% of authors from private practice were involved in publishing in closed access journals and 2.34% in open access journals. Only 3 articles (0.78%) were published by authors affiliated to private practice without involvement of university authors. 2.6% of articles involved students as co-authors. Authors with other affiliation were involved only in one closed access publication. For the step of co-creation none of 183 private practitioners, and 3/33 (9%) university-affiliated members of Nemesis Facebook group actively participated in analyzing the results of this study. Conclusions: the null hypothesis was accepted: dentists from private practice are exceptionally involved in publications on anatomical variations using CBCT in dentomaxillofacial area.

3

Virtual surgical planning and cone beam computed tomography in reconstruction of head and neck tumors – pilot study

100%

Krakowczyk Ł., Piotrowska-Seweryn A., Szymczyk C., Wierzgoń J., Oleś K., Ulczok R., Donocik K., Dowgierd K., Maciejewski A.

Otolaryngologia Polska

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2021

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vol. 75(2)

28-33

EN

Introduction: The aim of the study was to prove that a combination of visual surgical planning (VSP) and cone beam computed tomography (CBCT) is an optimal technique in fibular free flap reconstructions after complex tumor resections in the head and neck region and that it leads to better functional and aesthetic outcomes. Material and method: Six patients (3 females, 3 males) with head and neck tumors were included in the study. The region concerned midface in 2 cases and mandible in 4 patients. On the basis of computed tomography of the head, fibular free flap (FFF) reconstruction was planned with the VSP technique. The 3D-printed models were prepared. At the beginning of the operation and a few minutes after the reconstruction, an xCAT CBCT by XORAN was performed. Minor corrections of the angles of the reconstructed bony parts were made where needed. The time of the operation was assessed for each case. Functional and cosmetic results were evaluated in a 1-year follow-up. Results: The mean time of operation was 6 hours and 48 minutes, which was approximately 1hour and 40 minutes less than standard reconstructive surgery. Functional recovery was achieved in all patients. Aesthetic result was unsatisfactory for 2 patients due to insufficient soft tissue masses of FFF. Conclusions: The authors claim that intraoperative CBCT imaging, regardless of the cost, improves the accuracy of aesthetic outcome of reconstructive surgeries based on VSP, especially in the region of the midface and the mandible. Further studies on a higher number of subjects are required.

4

Virtual surgical planning and cone beam computed tomography in reconstruction of head and neck tumors – pilot study

100%

Krakowczyk Ł., Piotrowska-Seweryn A., Szymczyk C., Wierzgoń J., Oleś K., Ulczok R., Donocik K., Dowgierd K., Maciejewski A.

Polish Journal of Otolaryngology

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2021

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vol. 75

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issue 2

28-33

EN

Introduction: The aim of the study was to prove that a combination of visual surgical planning (VSP) and cone beam computed tomography (CBCT) is an optimal technique in fibular free flap reconstructions after complex tumor resections in the head and neck region and that it leads to better functional and aesthetic outcomes. Material and method: Six patients (3 females, 3 males) with head and neck tumors were included in the study. The region concerned midface in 2 cases and mandible in 4 patients. On the basis of computed tomography of the head, fibular free flap (FFF) reconstruction was planned with the VSP technique. The 3D-printed models were prepared. At the beginning of the operation and a few minutes after the reconstruction, an xCAT CBCT by XORAN was performed. Minor corrections of the angles of the reconstructed bony parts were made where needed. The time of the operation was assessed for each case. Functional and cosmetic results were evaluated in a 1-year follow-up. Results: The mean time of operation was 6 hours and 48 minutes, which was approximately 1hour and 40 minutes less than standard reconstructive surgery. Functional recovery was achieved in all patients. Aesthetic result was unsatisfactory for 2 patients due to insufficient soft tissue masses of FFF. Conclusions: The authors claim that intraoperative CBCT imaging, regardless of the cost, improves the accuracy of aesthetic outcome of reconstructive surgeries based on VSP, especially in the region of the midface and the mandible. Further studies on a higher number of subjects are required.

5

Diagnostic value of cone beam computed tomography in complex and compound odontomas: a systematic review and open classification matrix

100%

Dubron K., Gurniak A., Gurniak E., Politis C., Olszewski R.

Nemesis. Negative Effects in Medical Sciences Oral and Maxillofacial Surgery

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2022

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vol. 23

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issue 1

1-50

EN

Objective: Firstly, this review aims to analyse the recent literature about three-dimensional (3D) diagnostic imaging in complex and compound odontomas and compare it to two-dimensional (2D) imaging. Panoramic radiographs help to evaluate the vertical position of odontomas, and occlusal radiographs are used to evaluate the proximity to adjacent teeth. However, cone beam computed tomography (CBCT) can offer volumetric images, and therefore, a more accurate three-dimensional analysis. Secondly, this research aims to construct an open classification matrix for complex and compound odontomas for dentomaxillofacial CBCT radiology protocols based on a systematic literature review. Material and methods: Two systematic literature searches were conducted in PubMed (Medline), on 2 February 2022 concerning classification systems, and on 5 February 2022 concerning CBCT images. Results: In total, these searches revealed 391 papers by reviewing the databases mentioned above. Six articles were selected for inclusion on classification of odontomas and 13 articles were found on CBCT imaging. Consequently, the construction of an open classification matrix for compound and complex odontomas for dentomaxillofacial CBCT radiology protocols was performed using these 19 articles. Conclusions: CBCT offers a more precise position and accurate diagnosis of complex and compound odontomas compared to 2D imaging. Consequently, it enhances the detailed view of the site (multiple or unique), location (intraosseous, partially or completely extragnathic), size, extension (bony expansion, thinning or perforation cortical bone), density and type (denticulo type, particle type, denticulo-particle type, denticulo-amorphous type, amorphous tissue), relationship (with the crown or root of the definitive tooth), adjacent teeth resorption (deciduous or definitive), adjacent teeth (retention or impaction), and distance with adjacent structures (inferior alveolar nerve, sinus maxillaris), as well as adequate surgical planning. Moreover, this research presents an open classification matrix for the most complete description of compound and complex odontomas when analysing CBCT imaging.

6

Three-dimensional analysis of airway space and mandibular morphology in Pierre Robin sequence using cone beam computed tomography.

86%

Olszewski R., Dontaine T., Odri G. A., Zech F., Bayet B., Reychler H.

Nemesis. Negative Effects in Medical Sciences Oral and Maxillofacial Surgery

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2018

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vol. 2

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issue 1

1-27

EN

Objectives: The Pierre Robin sequence (PRS) is defined by retromicrognathia, glossoptosis, and sleep apnea and can also be associated with cleft palate. Diagnosis, management and mandibular catch-up growth are still controversial issues in PRS patients. The aim of our retrospective study was to evaluate in three dimensions (3D) the airway space and mandibular morphology in PRS compared to a normal control group patients in the pre-orthodontic period of life. The null hypothesis was that we would not find a significant difference between the PRS and control group patients in oropharyngeal airway volume measurements. Material and methods: We analyzed 9 PRS patients (mean age: 8 years-old) who underwent cleft palate surgery in the first four months of life, performed by the same surgeon using the same technique. Cone-beam computed tomography (CBCT) was performed in these patients after local ethical committee approval. The control group consisted of 15 patients (mean age: 9 years-old) with CBCT already performed for other reasons. 3D Slicer was used in both groups for semi-automatic segmentation of the airway space. Two independent observers performed semi-automatic segmentations twice in each patient with a one- week interval between the two series of measurements. Airway volume was automatically measured using 3D Slicer. We also developed a 3D cephalometric analysis with Maxilim software in order to define a 3D mandibular morphology which consisted of 25 landmarks, 4 planes, and 23 distances. Two independent observers performed the 3D cephalometric analysis twice for each patient, with a one- week interval between the two series of measurements. Results: There was no significant difference in the intra- and inter-observer measurements between the PRS and control groups for airway space volume (p<0.05). However, there was a significant difference in the shape of the mandible between the PRS group and the control group (p<0.05). Conclusions: Vertical ramus width and mandibular global anteroposterior length were significantly lower in the PRS group. Mandibular hypoplasia could be found in PRS patients not only in the horizontal dimension. Nemesis relevance: the null hypothesis was confirmed. Moreover we failed to find exactly the same control group under 9 years-old due to radioprotection restrictions of application of cone beam CT in children.

7

Supernumerary teeth in premolar and molar area on CBCT: a pictorial review.

72%

Olszewski R., Shimwa-Karengera S., Gurniak A., Gurniak E., Serve A., Simain Sato F.

Nemesis. Negative Effects in Medical Sciences Oral and Maxillofacial Surgery

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2022

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vol. 21

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issue 1

1-58

UK

Мета: скласти описову класифікацію надкомплектних зубів (НКЗ) в ділянці премолярів та молярів для використання в описі конусно-променевих комп’ютерних томограм (КПКТ). Метою також є поширення значної кількості зображень КПКТ за моделлю відкритого доступу. Матеріали та методи: Для складання огляду ми провели пошук безкоштовних для перегляду повних статей на PubMed з інформацією про: 1) КПКТ НКЗ у ділянці премолярів та молярів; 2) Ускладнення, пов’язані з наявністю НКЗ в ділянці молярів та премолярів. До огляду також були додані класифікації НКЗ в ділянці премолярів і молярів, представлені у інших дослідженнях. Результати: Нами було знайдено 29 клінічних випадків НКЗ, які ми проілюстрували 84-ма малюнками. Ми розділили наш ілюстративний огляд на: 1) Однобічні НКЗ на нижній щелепі; 2) Однобічні НКЗ на верхній щелепі; 3) Однобічні мікродонтичні НКЗ; 4) Двобічні НКЗ; 5) НКЗ з додатковими особливостями; 6) Випадки значної гіпердонтії. Висновки: Створено класифікаційну матрицю для НКЗ в ділянці премолярів і молярів з 11 дескрипторами та 50 блоками. Дескрипторами були: 1) розташування коронки НКЗ в аксіальній проєкції, 2) вертикальне розташування вершини горбка у відношенні до найближчого прорізаного зуба в корональній проєкції, 3) форма, 4) розподіл, 5) положення (у відношенні до положення нормально прорізаного зуба) в сагітальній проєкції, 6) Стан прорізування НКЗ в сагітальній проєкції, 7) Розмір фолікула в сагітальній проєкції, 8) Зовнішня резорбція коренів сусідніх зубів, спричинена НКЗ та його розташуванням у відношенні до довгої осі ураженого зуба, 9) внутрішня резорбція НКЗ, 10) ускладнення у сусідніх зубах, спричинені наявністю НКЗ, 11) ушкодження навколишніх анатомічних структур внаслідок видалення НКЗ. Малюнками з літератури, що знаходилася у відкритому доступі, було проілюстровано 11 блоків. У нашому ілюстративному огляді нам вдалося проілюструвати 45 з 50 блоків, і надати читачам вільний доступ до більш повного опису КПКТ НКЗ в ділянці премолярів та молярів, ніж у раніше опублікованих дослідженнях.

EN

Objective: to build a descriptive classification of premolar and molar supernumerary teeth (ST) when preparing the cone beam computed tomography (CBCT) report. The aim is also to share wide range of CBCT images in the open access publishing model. Material and methods: For our review we systematically searched for articles from PubMed with 1) free full texts on ST in molar and premolar area and using CBCT, and 2) articles providing with information on complications related with the presence of ST in molar and premolar area. We also added to our review studies providing with classic ST classifications in premolar and molar area. Results: We found 29 cases of ST, and we freely illustrated them with 84 figures. We separated our pictorial review in: 1) unilateral ST in the mandible, 2) unilateral ST in the maxilla, 3) unilateral undersized ST, 4) bilateral ST, 5) ST with additional features, and 6) cases with major hyperdontia. Conclusions: we build up the classification matrix for premolar and molar ST with 11 descriptors and 50 boxes. The descriptors were: 1) location if the ST crown in axial view, 2) vertical location of the cusp tip in relation with closest erupted tooth in coronal view, 3) shape, 4) distribution, 5) Position (in relation to normal tooth eruption) in sagittal view, 6) State of eruption of the ST in the sagittal view, 7) Follicle size measurement in sagittal view, 8) External root resorption of adjacent teeth by ST and its location in relation to the long axis of the involved tooth, 9) Internal resorption of ST, 10) Adjacent tooth complication, and 11) Damage to surrounding structures if ST removal. The open access figures from the literature illustrated 11 boxes. With our pictorial review we were able to illustrate 45 out of 50 boxes, and freely provide the readership with the most complete description of ST in premolar and molar area on CBCT than in previously published studies.

Refine search results

Dental use of cone beam computed tomography in pediatric embolized arteriovenous maxillofacial malformation

Contribution of dental private practitioners to publications on anatomical variations using cone beam computed tomography

Virtual surgical planning and cone beam computed tomography in reconstruction of head and neck tumors – pilot study

Virtual surgical planning and cone beam computed tomography in reconstruction of head and neck tumors – pilot study

Diagnostic value of cone beam computed tomography in complex and compound odontomas: a systematic review and open classification matrix

Three-dimensional analysis of airway space and mandibular morphology in Pierre Robin sequence using cone beam computed tomography.

Supernumerary teeth in premolar and molar area on CBCT: a pictorial review.