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Cone Beam Computed Tomography (CBCT) in TMJ Imaging

  • Ingrid Różyło-Kalinowska
Chapter

Abstract

In cone beam computed tomography (CBCT), an X-ray beam in the form of a cone (hence the name) is applied, and during the scan, a certain volume is imaged, which is used to retrieve sectional images in different planes. Advantages of CBCT include high-resolution cross-sectional imaging of bone structures; relatively low patient exposure dose; high and growing availability of CBCT machines for dentists; relatively low cost of facilities, equipment, and examination itself when compared with CT; and relatively high diagnostic accuracy for TMJ bone changes. Disadvantages of CBCT include lower image contrast than in CT, higher image noise than in CT, and no precise estimation of Hounsfield units; thus still no reliable evaluation of soft tissues, image artifacts, and limited reliability for TMJ bone changes. Applications of CBCT in diagnostics of TMJs include evaluation of TMJ anatomy, evaluation of condylar position in malocclusion, developmental anomalies, osteoarthritis diagnosis and follow-up of rheumatoid arthritis and juvenile idiopathic arthritis, and assessment of internal derangement, also in conjunction with MRI, condylar fractures, ankyloses, cysts and tumors, and image-guided puncture.

Keywords

Cone beam computed tomography CBCT TMJ 

References

  1. 1.
    Kadesjö N, Benchimol D, Falahat B, Näsström K, Shi XQ. Evaluation of the effective dose of cone beam computed tomography and multi-slice computed tomography for temporomandibular joint examinations at optimized exposure levels. Dentomaxillofac Radiol. 2015;2:20150041.CrossRefGoogle Scholar
  2. 2.
    Ma RH, Yin S, Li G. The detection accuracy of cone beam CT for osseous defects of the temporomandibular joint: a systematic review and meta-analysis. Sci Rep. 2016;6:34714.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Honda K, Bjornland T. Image-guided puncture technique for the superior temporomandibular joint space: value of cone beam computed tomography (CBCT). Oral surg Oral Med Oral Pthol Oral Radiol Endod. 2006;102:281–6.CrossRefGoogle Scholar
  4. 4.
    Caruso S, Storti E, Nota A, Ehsani S, Gatto R. Temporomandibular joint anatomy assessed by CBCT images. Biomed Res Int. 2017;2017:2916953.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Kaur A, Natt AS, Mehra SK, Maheshwari K, Singh G, Kaur A. Improved visualisation and assessment of condylar position in the glenoid fossa for different occlusions: A CBCT study. J Contemp Dent Pract. 2016;17(8):679–86.CrossRefPubMedGoogle Scholar
  6. 6.
    Almasan OC, Hedesiu M, Baciut G, Baciut M, Bran S, Jacobs R. Nontraumatic bilateral bifid condyle and intermittent joint lock: a case report and literature review. J Oral Maxillofac Surg. 2011;69:e297–303.  https://doi.org/10.1016/j.joms.2011.03.072. Accessed 25 Mar 2018.CrossRefPubMedGoogle Scholar
  7. 7.
    Shi J, Lee S, Pan HC, Mohammad A, Lin A, Guo W, Chen E, Ahn A, Li J, Ting K, Kwak JH. Association of condylar bone quality with TMJ osteoarthritis. J Dent Res. 2017;96(8):888–94.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Hilgenberg-Sydney PB, Bonotto DV, Stechman-Neto J, Zwir LF, Pacheco-Pereira C, Canto GL, Porporatti AL. Diagnostic validity of CT to assess degenerative temporomandibular joint disease: a systematic review. Dentomaxillofac Radiol. 2018;47(5):20170389.  https://doi.org/10.1259/dmfr.20170389. Accessed 23 Mar 2018.CrossRefPubMedGoogle Scholar
  9. 9.
    El Assar de la Fuente S, Angenete O, Jellestad S, Tzaribachev N, Koos B, Rosendahl K. Juvenile idiopathic arthritis and the temporomandibular joint: A comprehensive review. J Craniomaxillofac Surg. 2016;44(5):597–607.Google Scholar
  10. 10.
    Alkhader M, Kuribayashi A, Ohbayashi N, Nakamura S, Kurabayashi T. Usefulness of cone beam computed tomography in temporomandibular joints with soft tissue pathology. Dentomaxillofac Radiol. 2010;39:343–8.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Al-Saleh MA, Punithakumar K, Lagravere M, Boulanger P, Jaremko JL, Major PW. Three-dimensional assessment of temporomandibular joint using MRI-CBCT image registration. PLoS One. 2017a;12(1):e0169555.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Kurt H, Orhan K, Aksoy S, Kursun S, Akbulut N, Bilecenoglu B. Evaluation of the superior semicircular canal morphology using cone beam computed tomography: a possible correlation for temporomandibular joint symptoms. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;117(3):e280–8.  https://doi.org/10.1016/j.oooo.2014.01.011. Accessed 25 Mar 2018.CrossRefPubMedGoogle Scholar
  13. 13.
    Tang Y, Wang X, Zhu Y, Sun H, Zhu M. A comparative evaluation of CBCT outcomes of two closed treatment methods in intracapsular condylar fractures. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017;123(5):e141–7.CrossRefPubMedGoogle Scholar
  14. 14.
    Liu L, Li J, Ji H, Zhang N, Wang Y, Zheng G, Wang H, Luo E. Cone-beam computed tomography evaluation of the maxillofacial features of patients with unilateral temporomandibular joint ankyloses undergoing condylar reconstruction with an autogenous coronoid process graft. PLoS One. 2017;12(3):e0173142.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Balasundaram A, Geist JR, Gordon SC, Klasser GD. Radiographic diagnosis of synovial chondromatosis of the temporomandibular joint: a case report. J Can Dent Assoc. 2009;75:711–4.PubMedGoogle Scholar
  16. 16.
    Emanuelsson J, Allen CM, Rydin K, Sjöström M. Osteoblastoma of the temporal articular tubercle misdiagnosed as a temporomandibular joint disorder. Int J Oral Maxillofac Surg. 2017;46(5):610–3.CrossRefPubMedGoogle Scholar
  17. 17.
    Matsumoto K, Sato T, Iwanari S, Kameoka S, Oki H, Komiyama K, Honda K. The use of arthrography in the diagnosis of temporomandibular joint synovial chondromatosis. Dentomaxillofac Radiol. 2013;42(1):15388284.  https://doi.org/10.1259/dmfr/15388284. Accessed 25 Mar 2018.CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Al-Saleh MA, Punithakumar K, Lagravere M, Boulanger P, Jaremko JL, Wolfaardt J, Major PW, Seikaly H. Three-dimensional morphological changes of the temporomandibular joint and functional effects after mandibulotomy. J Otolaryngol Head Neck Surg. 2017b;46(1):8.CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Krohn S, Brockmeyer P, Kubein-Meesenburg D, Kirschneck C, Buergers R. Elongated styloid process in patients with temporomandibular disorders – is there a link? Ann Anat. 2018;217:118–24.  https://doi.org/10.1016/j.aanat.2018.01.007. Accessed 23 Mar 2018.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Independent Unit of Propaedeutics of Dentomaxillofacial RadiologyMedical University of LublinLublinPoland

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