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Applications of CBCT in Orthodontics

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Maxillofacial Cone Beam Computed Tomography

Abstract

Radiographic imaging is an integral component of the overall assessment of the orthodontic patient. The purpose of imaging in orthodontics is to provide additional information supporting the clinical diagnosis of skeletal and dental conditions, soft tissues and their interrelationships. The introduction of cone beam computed tomography (CBCT) to orthodontics facilitates the diagnostic and treatment planning process by providing three dimensional information of the anatomy and morphology of the maxillofacial complex. By fusing optical surface scanning and other digital inputs to the CBCT scafold a 3D virtual patient environment can now be created. The purpose of this Chapter is to underline the the role and case specific advantages of CBCT imaging in Orthodontics. In addition, guidelines for appropriate use of CBCT imaging are presented and 3D cephalometric analyses introduced. Finally comprehensive radiographic evamination of CBCT volumes is emphasized by the use of imaging protocols, with attention to the upper airway and temporomandibular articulation

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Acknowledgments

 Figure 20.10 images courtesy of Chris Lane and Kelly Duncan, 3dMD, Atlanta, Georgia, USA) previously published (Lane and Harrell 2008), and used with permission. The authors acknowledge the valuable contributions of the Drs. Carla Evans, Lucia Cevidanes, Martin Palomo, Kirt Simmons, Stu White, John Ludlow, and Mansur Ahmad as members of a panel convened by the AAOMR providing clinical recommendations regarding use of cone beam computed tomography in orthodontics (American Academy of Oral and Maxillofacial Radiology, 2013). Sections of this chapter have also been published as a series of articles entitled “Cone Beam Computed Tomography and the Orthodontic Patient,” “Indications for CBCT Use,” and “Strategies for the Safe Use of CBCT” in Dimensions of Dental Hygiene, and are reproduced with permission by Belmont Publications, Inc.

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Authors and Affiliations

  1. Harrell Orthodontics, Alexander City, AL, USA

    William E. Harrell Jr D.M.D.

  2. Division of Radiology and Imaging Science, Department of Surgical/Hospital Dentistry, University of Louisville School of Dentistry, Louisville, KY, USA

    William C. Scarfe B.D.S., F.R.A.C.D.S., M.S.

  3. Oral and Maxillofacial Radiology, Faculdade de Odontologia (FO), Universidade de São Paulo (USP), São Paulo, Brazil

    Lucas Rodrigues Pinheiro D.D.S., Ph.D.

  4. The University of Louisville School of Dentistry, Louisville, KY, USA

    Allan G. Farman B.D.S.,Ph.D.,E.dS.,M.B.A.,D.Sc. (Emeritus Professor)

  5. Independent Consultant in Maxillofacial Imaging Science, Chicago, IL, USA

    Allan G. Farman B.D.S.,Ph.D.,E.dS.,M.B.A.,D.Sc. (Emeritus Professor)

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  1. William E. Harrell Jr D.M.D.
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  2. William C. Scarfe B.D.S., F.R.A.C.D.S., M.S.
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  3. Lucas Rodrigues Pinheiro D.D.S., Ph.D.
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  4. Allan G. Farman B.D.S.,Ph.D.,E.dS.,M.B.A.,D.Sc.
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Correspondence to William E. Harrell Jr D.M.D. .

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Editors and Affiliations

  1. Division of Radiology and Imaging Science, Department of Surgical/Hospital Dentistry, University of Louisville School of Dentistry, Louisville, Kentucky, USA

    William C. Scarfe

  2. Aristotle University of Thessaloniki, Thessaloniki, Greece

    Christos Angelopoulos

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Harrell, W.E., Scarfe, W.C., Pinheiro, L.R., Farman, A.G. (2018). Applications of CBCT in Orthodontics. In: Scarfe, W., Angelopoulos, C. (eds) Maxillofacial Cone Beam Computed Tomography. Springer, Cham. https://doi.org/10.1007/978-3-319-62061-9_18

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