Oral Radiology

, Volume 30, Issue 1, pp 98–104 | Cite as

Clinical use of three-dimensional models of the temporomandibular joint established by rapid prototyping based on cone-beam computed tomography imaging data

  • Kunihito MatsumotoEmail author
  • Toru Ishiduka
  • Hisaya Yamada
  • Yoshiyuki Yonehara
  • Yoshinori Arai
  • Kazuya Honda
Case Report


Three-dimensional rapid prototyping (3D RP) models based on volumetric image data acquired by various modalities have been used in presurgical planning, implant design, and medical education. To the best of our knowledge, cone-beam computed tomography (CBCT) is the best modality for imaging bone components of the temporomandibular joint (TMJ). 3D RP models of the TMJ are also applied for reconstruction design, simple anatomical evaluation, and education. Although 3D RP models of the TMJ already provide much information during preoperative and anatomical evaluation, we intended to expand the utility of these models. This paper presents two examples of the application of 3D RP models of the TMJ based on CBCT imaging data and briefly reviews the usage of 3D RP models.


TMJ CBCT Rapid prototyping Articulator 



This study was supported by the Sato Fund, the Uemura Fund, a grant from the Dental Research Center, Nihon University School of Dentistry, and a Grant for the Promotion of Multidisciplinary Research Projects entitled “Translational Research Network on Orofacial Neurological Disorders” from the Japanese Ministry of Education, Culture, Sports, Science, and Technology.

Conflict of interest

The authors declare that they have no conflict of interest.


  1. 1.
    Hall RK. The role of CT, MRI and 3D imaging in the diagnosis of temporomandibular joint and other orofacial disorders in children. Aust Orthod J. 1994;13:86–94.PubMedGoogle Scholar
  2. 2.
    Fernández Sanromán J, Gomez Gonzalez JM, Alonso Del Hoyo J, Monje Gil F. Morphometric and morphological changes in the temporomandibular joint after orthognathic surgery: a magnetic resonance imaging and computed tomography prospective study. J Craniomaxillofac Surg. 1997;25:139–48.PubMedCrossRefGoogle Scholar
  3. 3.
    Tsiklakis K, Syriopoulos K, Stamatakis HC. Radiographic examination of the temporomandibular joint using cone beam computed tomography. Dentomaxillofac Radiol. 2004;33:196–201.PubMedCrossRefGoogle Scholar
  4. 4.
    Honda K, Arai Y, Kashima M, Takano Y, Sawada K, Ejima K, et al. Evaluation of the usefulness of the limited cone-beam CT (3DX) in the assessment of the thickness of the roof of the glenoid fossa of the temporomandibular joint. Dentomaxillofac Radiol. 2004;33:391–5.PubMedCrossRefGoogle Scholar
  5. 5.
    Hilgers ML, Scarfe WC, Scheetz JP, Farman AG. Accuracy of linear temporomandibular joint measurements with cone beam computed tomography and digital cephalometric radiography. Am J Orthod Dentofacial Orthop. 2005;128:803–11.PubMedCrossRefGoogle Scholar
  6. 6.
    Honda K, Bjørnland T. Image-guided puncture technique for the superior temporomandibular joint space: value of cone beam computed tomography (CBCT). Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102:281–6.PubMedCrossRefGoogle Scholar
  7. 7.
    Matsumoto K, Bjørnland T, Kai Y, Honda M, Yonehara Y, Honda K. An image-guided technique for puncture of the superior temporomandibular joint cavity: clinical comparison with the conventional puncture technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;111:641–8.PubMedCrossRefGoogle Scholar
  8. 8.
    Rengier F, Mehndiratta A, von Tengg-Kobligk H, Zechmann CM, Unterhinninghofen R, Kauczor HU, et al. 3D printing based on imaging data: review of medical applications. Int J Comput Assist Radiol Surg. 2010;5:335–41.PubMedCrossRefGoogle Scholar
  9. 9.
    Cohen A, Laviv A, Berman P, Nashef R, Abu-Tair J. Mandibular reconstruction using stereolithographic 3-dimensional printing modeling technology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108:661–6.PubMedCrossRefGoogle Scholar
  10. 10.
    Shahbazian M, Jacobs R, Wyatt J, Willems G, Pattijn V, Dhoore E, et al. Accuracy and surgical feasibility of a CBCT-based stereolithographic surgical guide aiding autotransplantation of teeth: in vitro validation. J Oral Rehabil. 2010;37:854–9.PubMedCrossRefGoogle Scholar
  11. 11.
    Weitz J, Deppe H, Stopp S, Lueth T, Mueller S, Hohlweg-Majert B. Accuracy of templates for navigated implantation made by rapid prototyping with DICOM datasets of cone beam computer tomography (CBCT). Clin Oral Investig. 2010;15:1001–5.PubMedCrossRefGoogle Scholar
  12. 12.
    Yu Q, Gong X, Wang GM, Yu ZY, Qian YF, Shen G. A novel technique for presurgical nasoalveolar molding using computer-aided reverse engineering and rapid prototyping. J Craniofac Surg. 2011;22:142–6.PubMedCrossRefGoogle Scholar
  13. 13.
    Esses SJ, Berman P, Bloom AI, Sosna J. Clinical applications of physical 3D models derived from MDCT data and created by rapid prototyping. AJR Am J Roentgenol. 2011;196:683–8.CrossRefGoogle Scholar
  14. 14.
    Ozan O, Seker E, Kurtulmus-Yilmaz S, Ersoy AE. Clinical application of stereolithographic surgical guide with a handpiece guidance apparatus: a case report. J Oral Implantol. 2012;38:603–9.PubMedCrossRefGoogle Scholar
  15. 15.
    Wang G, Li J, Khadka A, Hsu Y, Li W, Hu J. CAD/CAM and rapid prototyped titanium for reconstruction of ramus defect and condylar fracture caused by mandibular reduction. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;113:356–61.PubMedCrossRefGoogle Scholar
  16. 16.
    Hangai K, Aridome K, Wang CH, Igarashi Y. Clinical evaluation of semi-adjustable articulators: reproducibility of sagittal condylar path inclination assessed by a jaw-tracking system with six degrees of freedom. Nihon Hotetsu Shika Gakkai Zasshi. 2008;52:360–5.PubMedCrossRefGoogle Scholar
  17. 17.
    Lewis EL, Dolwick MF, Abramowicz S, Reeder SL. Contemporary imaging of the temporomandibular joint. Dent Clin North Am. 2008;52:875–90.PubMedCrossRefGoogle Scholar
  18. 18.
    Nackaerts O, Maes F, Yan H, Couto Souza P, Pauwels R, Jacobs R. Analysis of intensity variability in multislice and cone beam computed tomography. Clin Oral Implants Res. 2011;22:873–9.PubMedCrossRefGoogle Scholar
  19. 19.
    Sherrard JF, Rossouw PE, Benson BW, Carrillo R, Buschang PH. Accuracy and reliability of tooth and root lengths measured on cone-beam computed tomographs. Am J Orthod Dentofacial Orthop. 2010;137:S100–8.PubMedCrossRefGoogle Scholar
  20. 20.
    Lambrecht JT, Berndt DC, Schumacher R, Zehnder M. Generation of three-dimensional prototype models based on cone beam computed tomography. Int J Comput Assist Radiol Surg. 2009;4:175–80.PubMedCrossRefGoogle Scholar
  21. 21.
    Schulze R, Heil U, Gross D, Bruellmann DD, Dranischnikow E, Schwanecke U, et al. Artefacts in CBCT: a review. Dentomaxillofac Radiol. 2011;40:265–73.PubMedCrossRefGoogle Scholar
  22. 22.
    Mah P, Reeves TE, McDavid WD. Deriving Hounsfield units using grey levels in cone beam computed tomography. Dentomaxillofac Radiol. 2010;39:323–35.PubMedCrossRefGoogle Scholar

Copyright information

© Japanese Society for Oral and Maxillofacial Radiology and Springer Japan 2013

Authors and Affiliations

  • Kunihito Matsumoto
    • 1
    • 4
    Email author
  • Toru Ishiduka
    • 1
    • 4
  • Hisaya Yamada
    • 1
  • Yoshiyuki Yonehara
    • 2
    • 4
  • Yoshinori Arai
    • 3
  • Kazuya Honda
    • 1
    • 4
  1. 1.Department of Oral and Maxillofacial RadiologyNihon University School of DentistryTokyoJapan
  2. 2.Department of Oral and Maxillofacial SurgeryNihon University School of DentistryTokyoJapan
  3. 3.Nihon University School of DentistryTokyoJapan
  4. 4.Department of Temporomandibular DisordersDental Hospital, Nihon University School of DentistryTokyoJapan

Personalised recommendations