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1

Taurodontic teeth in cone beam computed tomography: pictorial review

100%

Fourneau E. , Olszewski R.

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tom 33

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nr 1

1-44

EN

Objective: Taurodontism is a developmental disorder with enlargement of the body of the tooth and lack of cervical constriction, which results in a large pulp chamber and small roots with the apical displacement of furcation. Taurodontism exists in deciduous, and definitive unilateral, and bilateral teeth. We found that taurodontism was also described in 67 syndromes. We proposed a review of the open access literature on taurodontism, a new clinical classification of taurodontic teeth with illustrations from free open access literature, and from our case serie of 15 patients. Material and methods: We performed a systematic search for articles with free full text about taurodontism. The search was performed by one observer in PubMed database. We found 168 articles, and after application of inclusion/exclusion criteria we finally selected 136 articles for the review. Results: we provided 34 figures of taurodontic teeth related to: 1) Unilateral mandibular first premolar, 2) Unilateral mandibular second premolar, 3) Bilateral mandibular first and second premolar, 4) Bilateral upper maxillary first premolars, 5) Bilateral mandibular second molars, 6) Bilateral upper maxillary second premolar and left first molar, 7) Bilateral upper maxillary third molars, 8) Bilateral upper maxillary first and second molars, 9) Bilateral upper maxillary first, second, and third molars, 10) Bilateral upper maxillary molars (third molars, second, and first left upper molars), and mandibular molars (first right, and left mandibular molars, right third molar), 11) Bilateral upper maxillary molars (first, second, third right, and left upper molars), and mandibular molars, 12) Unilateral first mandibular premolar with cleft, 13) Bilateral molars of the mandible and the upper maxilla (adolescent patient who received chemotherapy at the age of 3-years-old to treat retinoblastoma), 14) Unilateral first maxillary molar (Treacher-Collins syndrome). Conclusions: We proposed a new clinical classification of taurodontic teeth based on hypo-, meso-, and hypertaurodontism, and on different types of deciduous, and definitive teeth (42 boxes). We were first to provide free reference images for: 1) upper maxillary second premolar hypertaurodontism, 2) mandibular second premolar mesotaurodontism, 3) upper maxillary third molar meso-and hypertaurodontism, 4) mandibular first molar hypotaurodontism, 5) mandibular third molar mesotaurodontism. We were also first to freely illustrate taurodontism related with chemotherapy, cleft palate patients, and Treacher-Collins syndrome.

2

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

88%

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

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nr 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.

3

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

88%

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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tom 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

Three-dimensional finite element simulation of intrusion of the maxillary central incisor

75%

Ryniewicz W. , Ryniewicz A. M. , Bojko Ł. , Pełka P. , Filipek J. , Williams S. , Loster B. W.

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2016

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tom Vol. 36, no. 2

385--390

EN

Purpose: The aim of this study is to generate a global digital model of treatment, analysis of stress distribution and displacements: in a construction of the bracket, in the incisor with bonded bracket, in tissues of the incisor, in a periodontal membrane and in an alveolus. Methods: An orthodontic therapy was provided with a three-dimensional model of a unique Cannon Ultra bracket. The placement of the bracket to the incisor was provided according to clinical standards. Composite material was placed between the rough surface of the bracket's base and labial incisor surface – which, in a digital model, resulted in contact without displacement. The bracket was loaded. An orthodontic arch wire was free to move in a wing slot of the bracket. For simplification, a force vector was parallel to the longitudinal axis of the incisor. A clamper was set on the surface of the cortical bone of the alveolus. The model was divided into a finite number of tetrahedral elements. To calculate the distribution of stress Ansys Workbench software was used. Results: The stress values indicate that there were no tissue overloaded areas. The stress distribution was regular in the periodontal ligament. Slight movements were observed with maximal values in the area of apex. Conclusions: This study simulation proves that tissues surrounding the tooth were influ-enced mechanically by the force loaded on the bracket. [...]

5

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

63%

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

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tom 21

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nr 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.