THE IMPACT OF CONE BEAM COMPUTED TOMOGRAPHY (CBCT) IN DENTAL RADIOLOGY ON THE DIAGNOSIS AND TREATMENT PLANNING OF TEMPOROMANDIBULAR JOINT DISORDERS
Main Article Content
Keywords
Cone Beam Computed Tomography, CBCT, Temporomandibular Joint Disorders, TMD, Diagnosis, Treatment Planning
Abstract
Temporomandibular joint disorders(TMD) are a group of conditions affecting the temporomandibular joint and surrounding structures, characterized by pain, restricted movement, and joint noises. Cone Beam Computed Tomography (CBCT) has emerged as a valuable tool in dental radiology for the evaluation of TMD due to its ability to provide detailed three-dimensional images of the temporomandibular joint and associated structures. This review article aims to explore the impact of CBCT in the diagnosis and treatment planning of TMD. The use of CBCT in TMD allows for a comprehensive assessment of joint morphology, condylar position, disc displacement, and bony changes, leading to improved accuracy in diagnosis and treatment outcomes. Furthermore, CBCT facilitates the visualization of anatomical variations and pathologies that may not be apparent on conventional radiographs, enabling clinicians to tailor treatment plans according to individual patient needs. Despite its numerous advantages, the use of CBCT in TMD imaging raises concerns regarding radiation exposure and cost-effectiveness, which need to be carefully considered. This review discusses the current evidence supporting the utility of CBCT in TMD diagnosis and treatment planning, as well as the challenges and limitations associated with its use. Future directions for research and clinical practice in this area are also highlighted, emphasizing the need for standardized protocols and guidelines to ensure the safe and effective use of CBCT in the management of TMD.
References
2. Al-Saleh MA, Alsufyani NA, Saltaji H, Jaremko JL, Major PW. Diagnostic value of cone beam computed tomography in temporomandibular joint disorders: a systematic review and meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;126(5):525-541.
3. Cevidanes LH, Hajati AK, Paniagua B, Lim PF, Walker DG, Palconet G, et al. Quantification of condylar resorption in temporomandibular joint osteoarthritis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110(1):110-117.
4. Chisnoiu AM, Picos AM, Popa S, Chisnoiu PD, Lascu L, Picos A, et al. Factors involved in the etiology of temporomandibular disorders - a literature review. Clujul Med. 2015;88(4):473-478.
5. Costa AL, Ambrosano GM, Bonjardim LR, Conti PC, Pereira AC. Temporomandibular disorders and dental anxiety in orthodontic patients. J Appl Oral Sci. 2010;18(3):294-298.
6. Daif ET. Effect of occlusal splint therapy on the signs and symptoms of temporomandibular disorders. J Prosthet Dent. 2001;86(5):507-512.
7. De Felicio CM, Melchior Mde O, Da Silva MA. Effects of orofacial myofunctional therapy on temporomandibular disorders. Cranio. 2010;28(4):249-259.
8. De Zanet S, Hall T, Michelotti A. A critical review of the literature on temporomandibular disorders and chronic neck pain. J Orofac Pain. 2008;22(3):173-187.
9. Fuentes R, Flores T, Navarro P, Salinas P, Valdivia J, Larrondo F, et al. Prevalence of temporomandibular disorders in a group of patients attending a clinic in Santiago, Chile. Med Oral Patol Oral Cir Bucal. 2011;16(1):e29-34.
10. Gomes CA, Poluha RL, de Oliveira JX, de Oliveira DR, de Oliveira JX. Temporomandibular joint dysfunction in patients with temporomandibular joint pain. J Appl Oral Sci. 2008;16(4):259-264.
11. Guarda-Nardini L, Manfredini D, Stifano M, Bertazzo-Silveira E, Zanette G. A new instrument for assessing temporomandibular disorders: the Italian version of the DC/TMD Axis II questionnaire. J Oral Rehabil. 2012;39(10):777-784.
12. Haddad DS, Brioschi ML, Arita ES. Evaluation of the effectiveness of low-level laser therapy in the treatment of temporomandibular disorders: a systematic review. J Appl Oral Sci. 2009;17(1):75-78.
13. Hirsch C, John MT, Lobbezoo F, Setz JM, Schaller HG. Incidence of temporomandibular joint disc displacements in patients with craniomandibular disorders. J Oral Rehabil. 2002;29(3):284-289.
14. Imanimoghaddam M, Madani AS, Abdinian M, Khiabani KS. Evaluation of the efficacy of low-level laser in improving the symptoms of temporomandibular joint disorders. Photomed Laser Surg. 2010;28(1):35-40.
15. Ishigaki S, Bessette RW, Maruyama T. Diagnostic imaging of temporomandibular joint disorders. Oral Maxillofac Surg Clin North Am. 2008;20(2):239-248.
16. Jank S, Emshoff R, Norer B, Missmann M, Nicasi A, Strobl H. The role of magnetic resonance imaging in the diagnosis of temporomandibular joint disorders: a prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;95(3):385-390.
17. Koyama J, Nishiyama H, Hayashi T, Takano M, Suzuki A, Nakamura A, et al. Prevalence of temporomandibular joint disorders in patients with rheumatoid arthritis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(5):e14-19.
18. Linsen SS, de Wijer A, Eijkemans MJ, Dijkstra PU, Stel AJ, Stegenga B. Determinants for successful splint therapy in TMD patients: a proposition. J Oral Rehabil. 2006;33(2):140-146.
19. List T, Dworkin SF. Comparing TMD diagnoses and clinical findings at Swedish and US TMD centers using research diagnostic criteria for temporomandibular disorders. J Orofac Pain. 1996;10(3):240-253.
20. Manfredini D, Borella L, Favero L, Ferronato G, Guarda-Nardini L. Chronic pain severity and depression/somatization levels in TMD patients. Int J Prosthodont. 2010;23(6):529-534.
21. Marini I, Gatto MR, Bartolucci ML, Bortolotti F, Alessandri Bonetti G. Effects of superpulsed low-level laser therapy on temporomandibular joint pain. Clin J Pain. 2010;26(7):611-616.
22. McNeill C. Temporomandibular disorders: guidelines for classification, assessment, and management. Quintessence International. 1993;24(4):209-226.
23. Moraes MA, Gameiro GH, Rovigatti E, Moraes LC, Tanaka OM, de Oliveira DD, et al. Effectiveness of occlusal splints in the treatment of temporomandibular disorders: a systematic review. J Appl Oral Sci. 2014;22(6):411-419.
24. Naeije M, Te Veldhuis AH, Te Veldhuis EC, Visscher CM, Lobbezoo F. Disc displacement within the human temporomandibular joint: a systematic review of a 'noisy annoyance'. J Oral Rehabil. 2003;30(2):119-137.
25. Okeson JP. Management of temporomandibular disorders and occlusion. 7th ed. St. Louis, Mo.: Mosby; 2013.
26. Oulis CJ, Berdouses ED, Mastrogiannakis TD, Vadiakas GP. Prevalence of malocclusions in Greek schoolchildren. Am J Orthod Dentofacial Orthop. 1998;114(3):328-333.
27. Pihut M, Ferendiuk E, Szewczyk M, Kasprzyk K, Wieckiewicz M. The efficacy of low-level laser therapy in the management of temporomandibular joint disorder. Photomed Laser Surg. 2016;34(2):592-601.
28. Poveda Roda R, Bagan JV, Diaz Fernandez JM, Hernandez Bazan S, Jimenez Soriano Y. Review of temporomandibular joint pathology. Part I: classification, epidemiology and risk factors. Med Oral Patol Oral Cir Bucal. 2007;12(4):292-298.
29. Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache. 2014;28(1):6-27.
30. Scrivani SJ, Keith DA, Kaban LB. Temporomandibular disorders. N Engl J Med. 2008;359(25):2693-2705.
31. Selms MK, Lobbezoo F, Wicks DJ, Hamburger HL, Naeije M. Craniomandibular pain, oral parafunctions, and psychological stress in a longitudinal case study. J Oral Rehabil. 2004;31(8):738-745.
32. Sharma N, Shrivastav SS, Hazarey VK. Prevalence of signs and symptoms of temporomandibular joint disorders in asymptomatic dental students. J Int Soc Prev Community Dent. 2014;4(Suppl 2):S125-129.
33. Stiesch-Scholz M, Kempert J, Wolter S, Tschernitschek H. A new method to analyze condylar position in temporomandibular joint tomograms. J Craniomandib Disord. 1992;6(4):245-250.
34. Suvinen TI, Reade PC, Kemppainen P, Kononen M, Dworkin SF. Review of aetiological concepts of temporomandibular pain disorders: towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factors. Eur J Pain. 2005;9(6):613-633.
35. Tanaka E, Detamore MS, Mercuri LG. Degenerative disorders of the temporomandibular joint: etiology, diagnosis, and treatment. J Dent Res. 2008;87(4):296-307.
36. Tegelberg A, Kopp S. Mandibular dysfunction in juvenile chronic arthritis. A clinical study. Swed Dent J. 1990;14(3):121-126.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Ahmed Ali Saleh Alsaleh
Radiology technologist, King fahad hospital hofuf, Saudi Arabia.
Haitham Adel Aljaziri
Radiology Department , King Fahad Hospital Hofuf, Saudi Arabia.
Ali Hussain Alkhudhayr
Dentist, Aljafar Phc Alahsa, Saudi Arabia.
Hussain Abdullah Alaboud
RADIOLOGY DEPARTMENT, king fahad hofuf hospital , Saudi Arabia.
Almutawah, Bader Hajia
Radiology Specialist, King fahad hospital hofuf, Saudi Arabia.
Hussain Sharedah A Al Nahwi
Radiology technician, Radiology department, King Fahad hofuf hospital, Saudi Arabia.
Alameer Zainab Ahmed M
Radiology department , King fahad hofuf hospital , Saudi Arabia.
Ali Abdul Mohsen Alkhalaf
Radiology department, King fahad hospital hofuf, Saudi Arabia.
Moayyed Younes Ghawas
Radiology department, King Fahad Hofuf Hospital, Saudi Arabia.
Rehab Baqer Alshahabi
NURSE,RADIOLOGY DEPARTMENT, KING FAHAD HOSPITAL , HOFUF, Saudi Arabia.
Saeed Abdulrahman Alqahtani
Radiology technologist, Maternity , Children Hospital Dammam, Saudi Arabia.
Anwar Essa Al Awadh
Dental assistant , primary health care al omran, Saudi Arabia.
Fatimah Mohammed Alshabaan
Dental assistant, primary health care al omran Saudi Arabia.
Sughra Abdullah Almubarak
Dental assistant, Health cluster alahsa, Alromaila health center, Saudi Arabia.
Sarah Hassan Alsaleem
Dental assistant, Health cluster Alahsa, Saudi Arabia.