The Role of Diagnostic Radiology in Orthodontics

Year 2025, Volume: 5 Issue: 1, 45 - 50, 29.04.2025

Nurbanu Şahin , Nazlı Gönder Erdede

https://doi.org/10.61139/ijdor.1610182

Abstract

Diagnostic radiology constitutes an indispensable element of the diagnostic process and treatment planning in orthodontics. Panoramic and cephalometric radyographies, in conjunction with cone beam computed tomography, facilitate a comprehensive examination of tooth and jaw structures. These methodologies are employed in critical applications, including the identification of malocclusion types, the evaluation of growth and development stages, the assessment of impacted teeth positioning, and the monitoring of alterations occurring during orthodontic treatment.However, given the potential risks of radiation exposure, it is imperative to prioritize the acquisition of the most informative images while minimizing the radiation dose. The utilization of advanced imaging techniques should be reserved exclusively for circumstances where their application is medically justified, and patient safety must remain the paramount concern.

Keywords

diagnostic radiology , orthodontics , panoramic radiography , cephalometric radiography , cone beam computed tomography

References

• 1. Boyacıoğlu Doğru H, Uysal S, Avcu N. Konik ışınlı bilgisayarlı tomografi ile ortodontik uygulamalar ve ortognatik cerrahi planlaması. Kamburoğlu K, editör. Dentomaksillofasiyal Konik Işınlı Bilgisayarlı Tomografi: Temel Prensipler, Teknikler ve Klinik Uygulamalar. 1. Baskı. Ankara: Türkiye Klinikleri; 2019; p.94-9.
• 2. Proffit WR, Fields HW Jr, Sarver DM .Çağdaş ortodonti, dördüncü baskı. St. Louis: Mosby, Inc. 2007; s. 167–233.
• 3. Kakadiya, A., Tandon, R., Azam, A., Kulshrestha, R., & Bhardwaj, M. Recent advancements in diagnostic aids in orthodontics–A review. SM J Dent, 2017;3(2): 1016.
• 4. Kapetanović A., Oosterkamp BCM, Lamberts AA. et al. Orthodontic radiology: development of a clinical practice guideline. Radiol med 2021; 126:72–82.
• 5. American Academy of Oral and Maxillofacial Radiology. Clinical recommendations regarding use of cone beam computed tomography in orthodontics. [corrected]. Position statement by the American Academy of Oral and Maxillofacial Radiology. Oral Surg Oral Med Oral Pathol Oral Radiol 2013;116(2):238–257.
• 6. Rischen RJ, Breuning KH, Bronkhorst EM, Kuijpers-Jagtman AM .Records needed for orthodontic diagnosis and treatment planning: a systematic review. PLoS ONE 2013;8(11):e74186.
• 7. European Commission (2004) Radiation Protection no 136. European guidelines on radiation protection in dental radiology. Office for Official Publications of the European Communities, Luxemburg
• 8. Kapila SD, Nervina JM. CBCT in orthodontics: assessment of treatment outcomes and indications for its use. Dentomaxillofac Radiol. 2015;44(1):20140282. doi: 10.1259/dmfr.20140282. PMID: 25358833; PMCID: PMC4277443.
• 9. Van Vlijmen OJ, Kuijpers M A, Berge SJ, Schols JG, Maal TJ, Breuning H et al. Evidence supporting the use of cone-beam computed tomography in orthodontics. The Journal of the American Dental Association, 2012;143(3):241-252.
• 10. Kumar S, Mehrotra P, Bhagchandani J, Singh A, Garg A, Kumar S et al . Localization of impacted canines. Journal of clinical and diagnostic research: JCDR, 2015;9(1), ZE11.
• 11. Da Silva Santos LM, Bastos LC, Oliveira-Santos C, Da Silva SJA, Neves FS, Campos P SF. Cone-beam computed tomography findings of impacted upper canines. Imaging science in dentistry 2014; 44(4):287-292.
• 12. Botticelli S, Verna C, Cattaneo P M, Heidmann J, Melsen B. Two-versus three-dimensional imaging in subjects with unerupted maxillary canines. The European Journal of Orthodontics 2011;33(4):344-349.
• 13. Grybienė V, Juozėnaitė D, Kubiliūtė K. Diagnostic methods and treatment strategies of impacted maxillary canines: A literature review. Stomatologija 2019;21(1):3-12.
• 14. Jung YH, Liang H, Benson BW, Flint DJ, Cho BH. The assessment of impacted maxillary canine position with panoramic radiography and cone beam CT. Dentomaxillofacial Radiology 2012;41(5):356-360.
• 15. Różyło-Kalinowska I. Panoramic radiography in dentistry. Clin Dent Rev 2021;5:26.
• 16. Hacıosmanoğlu N, Eren H, Küçükkalem MF, Görgün S. Dijital panoramik radyograflarda çekim sırasında yapılan hatalar. Selcuk Dental Journal 2019; 6(4):209-215.
• 17. Wriedt S, Jaklin J, Al-Nawas B, Wehrbein H. Impacted upper canines: examination and treatment proposal based on 3D versus 2D diagnosis. Journal of Orofacial Orthopedics/Fortschritte der Kieferorthopädie 2012;73(1):28-40.
• 18. Karatas OH, Toy E. Three-dimensional imaging techniques: A literature review. European journal of dentistry 2014;8(01):132-140.
• 19. Ngo CTT, Fishman LS, Rossouw PE, Wang H, Said O. Correlation between panoramic radiography and cone-beam computed tomography in assessing maxillary impacted canines. Angle Orthod 2018;88:384-9.
• 20. Schroder AGD, Guariza-Filho O, de Araujo CM, Ruellas AC, Tanaka OM, Porporatti AL. To what extent are impacted canines associated with root resorption of the adjacent tooth?: A systematic review with meta-analysis. J Am Dent Assoc 2018;149:765-77
• 21. Cernochova P, Krupa P, Izakovicova-Holla L. Root resorption associated with ectopically erupting maxillary permanent canines: a computed tomography study. Eur J Orthod 2011;33:483-91
• 22. Strbac GD, Foltin A, Gahleitner A, Bantleon HP, Watzek G, Bernhart T. The prevalence of root resorption of maxillary incisors caused by impacted maxillary canines. Clin Oral Investig 2013;17:553-64
• 23. Chaushu S, Kaczor-Urbanowicz K, Zadurska M, Becker A. Predisposing factors for severe incisor root resorption associated with impacted maxillary canines. Am J Orthod Dentofacial Orthop 2015;147:52-60
• 24. Çolakoğlu G, Yiğit M. Panoramik Radyografik Parametreler ile Üst Gömülü Kanin Dişlerin Konumları ve Komşu Dişlerde Meydana Getirdiği Rezorpsiyonların Değerlendirilmesi. ADO Klinik Bilimler Dergisi. 2023;12(1):53-62
• 25. Poornima R, Kannan N, Krishnaraj R, Kamal Kanthan DM. Radiographic assessment of impacted canine: a systematic review. Int Healthc Res J 2018;1(10):304-308.
• 26. Meusburger T, Wülk A, Kessler A, Heck K, Hickel R, Dujic H et al. The Detection of Dental Pathologies on Periapical Radiographs—Results from a Reliability Study. Journal of clinical medicine 2023;12(6): 2224.
• 27. Kim H, Song JS, Shin TJ, Kim YJ, Kim JW, Jang KT et al. Image segmentation of impacted mesiodens using deep learning. Journal of Clinical Pediatric Dentistry 2024;48(3).
• 28. Valappila NJ, Beena V. Panoramic radiography: A review. J Oral Med SurgPathol 2016; 1(1):21-31.
• 29. Witcher TP, Brand S, Gwilliam JR, McDonald F. Assessment of the anterior maxilla in orthodontic patients using upper anterior occlusal radiographs and dental panoramic tomography: a comparison. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 2010; 109(5):765-774.
• 30. White SC, Pharoah MJ. Oral radiology: principles and interpretation. 2013. Elsevier Health Sciences.
• 31. Ghodasra R, Brizuela M. Orthodontics, Cephalometric Analysis. [Updated 2023 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK594272/
• 32. Scarfe WC, Azeved, B, Toghyani S, Farman AG. Cone Beam Computed Tomographic imaging in orthodontics. Australian Dental Journal 2017;62: S1 33–50. doi: 10.1111/adj.12479
• 33. Han S, Choi YJ, Chung CJ, Kim J Y, Kim K H. Long-term pharyngeal airway changes after bionator treatment in adolescents with skeletal Class II malocclusions. The korean journal of orthodontics 2014;44(1):13-19.
• 34. Vinoth SK, Thomas AV, Nethravathy R. Cephalomteric changes in airway dimensions with twin block therapy in growing Class II patients. Journal of Pharmacy and Bioallied Sciences, 5(Suppl 1) 2013; S25-S29.
• 35. Celikoglu M, Bayram M, Sekerci AE, Buyuk SK, Toy E. Comparison of pharyngeal airway volume among different vertical skeletal patterns: a cone-beam computed tomography study. The Angle Orthodontist 2014;84(5), 782-787. doi: 10.2319/101013-748.1
• 36. Altuğ B, Demirel E, Özdiler E. Posteroanterior Radyografi Ölçümlerinde Kullanılan Noktaların Tekrarlanabilirliği. Ankara Üniversitesi Diş Hekimliği Fakültesi Dergisi 2020; 47(1-3), 75-80.
• 37. Goyal S. Assessment of skeletal maturation and pubertal growth spurt using cervical vertebrae maturation indicators. Rwanda Med J 2013;70(3):28-33
• 38. Alhadlaq AM, Al-Shayea EI .New method for evaluation of cervical vertebral maturation based on angular measurements. Saudi Med J 2013;34(4):388–394
• 39. Pichai S, Rajesh M, Reddy N, Adusumilli G, Reddy J, Joshi B. A comparison of hand wrist bone analysis with two different cervical vertebral analysis in measuring skeletal maturation. Journal of international oral health: JIOH 2014;6(5), 36.
• 40. Szemraj A, Wojtaszek-Słomińska A, Racka-Pilszak B. Is the cervical vertebral maturation (CVM) method effective enough to replace the hand-wrist maturation (HWM) method in determining skeletal maturation?—A systematic review. European journal of radiology 2018; 102: 125-128.
• 41. Apaydın BK. Pubertal büyüme evresinin belirlenmesinde el bilek radyografileri ve lateral sefalometrik radyografilerin karşılaştırılması. Selcuk Dental Journal 2019;6(4):93-99.
• 42. Uysal T, Ramoglu SI, Basciftci FA, Sari Z. Chronologic age and skeletal maturation of the cervical vertebrae and hand-wrist: is there a relationship?. American Journal of Orthodontics and Dentofacial Orthopedics 2006; 130(5): 622-628
• 43. Jacobs R, Salmon B, Codari M, Hassan B, Bornstein MM. Cone beam computed tomography in implant dentistry: recommendations for clinical use. BMC oral health 2018;18: 1-16.
• 44. Kapila S, Farman AG. Craniofacial imaging in the 21st century. In Proceedings of the 2002 COAST Conference, Asilomar Conference Center, Pacific Grove, California. Orthod Craniofac Res 2003;(Vol. 6, pp. 7-8).
• 45. White SC. Cone-beam imaging in dentistry. Health physics. 2008;95:628-37
• 46. Aktan A, Güngör E, Çiftçi M, İşman Ö. Diş hekimliğinde konik işinli bilgisayarli tomografi kullanimi. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 2015;25(1): 71-76.
• 47. Kapila SD, Nervina JM. CBCT in orthodontics: assessment of treatment outcomes and indications for its use. Dentomaxillofacial radiology 2015;44(1): 20140282.
• 48. Peterson AG, Wang M, Gonzalez S, Covell Jr DA, Katancik J, Sehgal HS. An In Vivo and Cone Beam Computed Tomography Investigation of the Accuracy in Measuring Alveolar Bone Height and Detecting Dehiscence and Fenestration Defects. International Journal of Oral & Maxillofacial Implants 2018;33(6).
• 49. Patcas R, Müller L, Ullrich O, Peltomäki T. Accuracy of cone-beam computed tomography at different resolutions assessed on the bony covering of the mandibular anterior teeth. American journal of orthodontics and dentofacial orthopedics 2012;141(1): 41-50. doi: 10.1016/j.ajodo.2011.06.034
• 51. Niraj LK, Patthi B, Singla A, Gupta R, Ali I, Dhama K et al. MRI in dentistry-A future towards radiation free imaging–systematic review. Journal of clinical and diagnostic research: JCDR 2016; 10(10): ZE14. doi: 10.7860/JCDR/2016/19435.8658
• 52. Camci H. Manyetik Rezonans Görüntüleme Öncesi Braketler Çıkarılmalı mı?. Turkiye Klinikleri. Dishekimligi Bilimleri Dergisi 2018;24(1): 39-46.
• 53. Sağlam H, Yeşilova E, Bayrakdar İŞ. Eskişehir Osmangazi Üniversitesi Diş Hekimliği Fakültesindeki Konik Işınlı Bilgisayarlı Tomografi (KIBT) İncelemesi İstem Nedenlerinin Değerlendirilmesi 2021
• 54. Aydoğdu A, Aydoğdu Y, Yakıncı ZD. Temel Radyolojik İnceleme Yöntemlerini Tanima. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi 2017;5(2):44-53.