DOI:

10.37988/1811-153X_2022_1_81

Cone beam computed tomography assessment of orthodontic treatment results in patients with sagittal skeletal anomalies

Downloads

Authors

  • F.F. Losev 1, PhD in Medical Sciences, full professor, director
    ORCID: 0000-0002-9448-9614
  • N.V. Popova 1, 2, PhD in Medical Sciences, senior researcher; associate professor of the Dentistry Department
    ORCID: 0000-0002-3686-5263
  • O.I. Arsenina 1, 3, PhD in Medical Sciences, full professor of the Orthodontics Department; senior researcher
    ORCID: 0000-0002-0738-1227
  • P.I. Makhortova 1, 2, PhD in Medical Sciences, researcher; assistant at the Dentistry Department
    ORCID: 0000-0002-1321-568X
  • A.G. Nadtochiy 1, PhD in Medical Sciences, professor of the X-Ray diagnostics Department
    ORCID: 0000-0002-3268-0982
  • 1 Central Research Institute of Dental and Maxillofacial Surgery, 119021, Moscow, Russia
  • 2 Burnasyan Federal Medical Biophysical Center, 123098, Moscow, Russia
  • 3 Russian Medical Academy of Continuous Professional Education, 125993, Moscow, Russia

Abstract

Aim — evaluation of the effectiveness of orthodontic treatment of patients with skeletal mesial occlusion during the bite of permanent teeth based on the analysis of cone-beam computed tomography data.
Materials and methods.
A comprehensive examination and treatment of 80 patients with skeletal mesial occlusion was carried out. The patients were selected according to the severity of the skeletal form of mesial occlusion, the middle stage of the formation of the mid palatal suture: I — 30 patients with upper retro/micro and lower pro/macrognathia; II — 40 patients with upper retro/micrognathia; III — 10 patients with lower pro/macrognathia. Orthodontic treatment was carried out using palatal expanders with a tooth-borne and bone-borne fixation, a non-removable bracket system, orthodontic mini screws, extra-oral equipment (facial mask). All patients underwent X-ray examinations (cone-beam computed tomography) before and after active orthodontic treatment.
Results.
Computer modeling of the result of orthodontic treatment in combination with the analysis of computed tomograms proved to be an effective tool in the treatment of patients with sagittal anomalies of occlusion, allowed to determine the possibility and magnitude of tooth movement, justify the choice of a treatment plan, as well as visualize the selected plan for the patient, which in turn increased the degree of satisfaction with the result of the treatment. The algorithm of treatment of patients with mesial occlusion included, in addition to skeletal expansion of the upper jaw, the combined use of orthodontic mini screws for skeletal support during distal movement of teeth to create space for crowded teeth, normalization of the overjet and occlusion of dentition. The results showed that in group I, for all indicators after treatment, there were highly statistically significant changes at the significance level of 0.005 compared to the values before treatment; In group II, except for SNB, for all other indicators, there were statistically significant changes at the level of 0.005 after treatment compared with before treatment; in group III, except for IMPA, APogI and SNA, for all other indicators, there were statistically significant changes at the level of 0.005 after treatment compared with before treatment.
Conclusion.
Planning of orthodontic treatment with the analysis of cone-beam computed tomography provides complete information about the severity of skeletal deformation of the patient’s skull.

Key words:

class III malocclusion, cone beam computed tomography, corticotomy, dental-alveolar adaptation

For Citation

[1]
Losev F.F., Popova N.V., Arsenina O.I., Makhortova P.I., Nadtochiy A.G. Cone beam computed tomography assessment of orthodontic treatment results in patients with sagittal skeletal anomalies. Clinical Dentistry (Russia).  2022; 25 (1): 81—90. DOI: 10.37988/1811-153X_2022_1_81

References

  1. Arsenina O.I., Shugaylov I.A., Nadtochiy A.G., Popova N.V., Makhortova P.I., Popova A.V., Aganov M.S. Improving the effectiveness of treatment of the adult patients with dentoalveolar anomalies and deformities using Er, Cr: YSGG laser: a clinical study. Stomatology. 2021; 1: 34—43 (In Russ.). eLIBRARY ID: 44618882
  2. Arsenina O.I., Shishkin K.M., Shishkin M.K., Popova N.V. Efficiency of cephalometry in orthodontic treatment planning: cephalometric parameters and their age-related changes. Stomatology. 2017; 3: 45—48 (In Russ.). eLIBRARY ID: 29439302
  3. Shishkin K.M., Arsenina O.I., Shishkin M.K., Popova N.V. Cephalometry efficacy in orthodontic treatment planning: correlations of cephalometric values and their changes in the course of treatment. Stomatology. 2017; 4: 36—37 (In Russ.). eLIBRARY ID: 29910289
  4. Bulycheva E.A., Mamedov A.A., Dybov A.M., Ishchenko T.A., Loktionov A.A. Protocol of cone beam computed tomography analysis for patients with craniomandibular dysfunction. Stomatology. 2020; 6: 94—100 (In Russ.). eLIBRARY ID: 44298781
  5. Gioeva Yu.A., Topolnitskiy O.Z., Alimova A.V. Analysis of facial harmony of patients with mesial occlusion of the third degree of severity depending on the type of growth of the facial skeleton. In: proceedings of the VI International Scientific and Practical Conference. Institute of Continuing Education, 2016. Pp. 143—152 (In Russ.).
  6. Gordina G.S. Radiation diagnostics of anomalies of the dental system: master‘s thesis abstract. Moscow, 2014. 25 p. (In Russ.).
  7. Dibirova P.Sh., Drobysheva N.S., Mallaeva A.B. Justification of the use of computed tomography for the diagnosis of dental anomalies. Orthodontics. 2021; 3 (95): 49—50 (In Russ.). eLIBRARY ID: 46676789
  8. Drobysheva N.S., Lezhnev D.A., Petrovskaya V.V., Batova M.A., Perova N.G., Mallaeva A.B., Kaminskiy-Dvorzhetskiy N.A., Mirzoev M.L. Cone beam computed tomography use in orthodontics. Orthodontics. 2019; 1 (85): 32—39 (In Russ.). eLIBRARY ID: 41121595
  9. Popova N.V., Arsenina O.I., Makhortova P.I., Popova A.V., Shugaylov I.A. Complex orthodontic-surgical rehabilitation of adults with malocclusions and deformations in dentition. Stomatology. 2020; 2: 66—78 (In Russ.). eLIBRARY ID: 42851809
  10. Popova N.V., Arsenina O.I., Makhortova P.I. Efficiency of orthodontic treatment in combination with surgically assisted rapid palatal expansion. Stomatology. 2019; 4: 71—79 (In Russ.). eLIBRARY ID: 39548521
  11. Persin L.S. Orthodontics. National Guide. Diagnostics of dental anomalies. Vol. 1. Moscow: GEOTAR-Media, 2020. Pp. 30—81. (In Russ.).
  12. Rabukhina N.A., Bezrukov V.M. Deformations of the facial skull. Moscow: MIA, 2005. Pp. 32—69 (In Russ.).
  13. Solodkaya K.I., Petrovskaya V.V., Gioeva Yu.A. Sagittal cephalometric analysis of a cone-beam computed tomogram of the skull. Navigator in the world of science and education. 2021; 2 (51): 24755 (In Russ.).
  14. Khoroshilkina F.Ya., Persin L.S., Chobanyan A.G. Telerentgenometry in orthodontics. Moscow: Soviet Kuban, 2012. Pp. 25—68 (In Russ.).
  15. Shishkin K.M. Assessment of adaptive changes in the dental alveolar complex in patients with a crowded position of teeth in the first class of Engl (clinical and radiological examination): dissertation abstract. Moscow, 2018. 51 p. (In Russ.).
  16. Shishkin K.M., Arsenina O.I., Shishkin M.K., Popova N.V. Restrictions in orthodontic movement. Stomatology. 2016; 6—2: 76—77 (In Russ.). eLIBRARY ID: 28362675
  17. Cameron C.G., Franchi L., Baccetti T., McNamara J.A. Jr Long-term effects of rapid maxillary expansion: a posteroanterior cephalometric evaluation. Am J Orthod Dentofacial Orthop. 2002; 121 (2): 129—35; quiz 193. PMID: 11840125
  18. Cevidanes L.H., Styner M.A., Proffit W.R. Image analysis and superimposition of 3-dimensional cone-beam computed tomography models. Am J Orthod Dentofacial Orthop. 2006; 129 (5): 611—8. PMID: 16679201
  19. Di Carlo G., Polimeni A., Melsen B., Cattaneo P.M. The relationship between upper airways and craniofacial morphology studied in 3D. A CBCT study. Orthod Craniofac Res. 2015; 18 (1): 1—11. PMID: 25237711
  20. Heinz J., Stewart K., Ghoneima A. Evaluation of two-dimensional lateral cephalogram and three-dimensional cone beam computed tomography superimpositions: a comparative study. Int J Oral Maxillofac Surg. 2019; 48 (4): 519—525. PMID: 30342757
  21. Hwang H.S., Hwang C.H., Lee K.H., Kang B.C. Maxillofacial 3-dimensional image analysis for the diagnosis of facial asymmetry. Am J Orthod Dentofacial Orthop. 2006; 130 (6): 779—85. PMID: 17169741
  22. Leonardi R., Muraglie S., Lo Giudice A., Aboulazm K.S., Nucera R. Evaluation of mandibular symmetry and morphology in adult patients with unilateral posterior crossbite: a CBCT study using a surface-to-surface matching technique. Eur J Orthod. 2020; 42 (6): 650—657. PMID: 31995170
  23. Leung M.Y., Leung Y.Y. Three-dimensional evaluation of mandibular asymmetry: a new classification and three-dimensional cephalometric analysis. Int J Oral Maxillofac Surg. 2018; 47 (8): 1043—1051. PMID: 29636307
  24. McNamara J., Kapila S. Digital radiography and three-dimensional imaging. Monograph 43. Craniofacial Growth Series. Ann Arbor: Center for Human Growth and Development; University Of Michigan, 2005. Pp. 30—57.
  25. Popova N.V., Arsenina O.I., Popova A.V. Limits and possibilities of orthodontic treatment of patients with skeletal forms of sagittal anomalies. J Med Clin Res. 2020; 5 (9): 90—5. DOI: 10.33140/MCR.05.09.13
  26. Popova N.V., Arsenina O.I., Makhortova P.I. et al. Using the method of assessing the tongue position as an effective tool for diagnostic and increasing the stability of orthodontic treatment: A pilot study. J Complement Med Res. 2020; 11 (2): 112—20.
  27. Angelieri F., Cevidanes L.H., Franchi L., Gonçalves J.R., Benavides E., McNamara J.A. Jr Midpalatal suture maturation: classification method for individual assessment before rapid maxillary expansion. Am J Orthod Dentofacial Orthop. 2013; 144 (5): 759—69. PMID: 24182592
  28. Popova N.V., Arsenina O.I., Shishkin K.M. et al. Compensatory and adaptive changes in the dental alveolar complex in case of insufficient jaw size. J Complement Med Res. 2020; 11 (2): 248—55.
  29. Proffit W.R., Fields H.W., Sarver D.M. Contemporary orthodontics. Mosby, 2007. 751 p.
  30. Wei D., Zhang L., Li W., Jia Y. Quantitative comparison of cephalogram and Cone-Beam Computed Tomography in the evaluation of alveolar bone thickness of maxillary incisors. Turk J Orthod. 2020; 33 (2): 85—91. PMID: 32637188

Downloads

Received

January 25, 2022

Accepted

March 2, 2022

Published on

March 1, 2022