Influence of different image exams on the surgical planning of lower third molar: a literature review

Authors

  • Aline Lisboa Vieira Departamento de Odontologia, Universidade Federal de Juiz de Fora (UFJF), Campus avançado Governador Valadares, Governador Valadares, Minas Gerais.
  • Lucas de Paula Lopes Rosado Departamento de Diagnóstico Oral, Faculdade de Odontologia de Piracicaba (FOP/UNICAMP), Piracicaba, São Paulo. https://orcid.org/0000-0003-1327-4724
  • Manuela Lima Barros de Oliveira Departamento de Odontologia, Universidade Federal de Juiz de Fora (UFJF), Campus avançado Governador Valadares, Governador Valadares, Minas Gerais.
  • Willy James Porto Nunes Departamento de Odontologia, Universidade Federal de Juiz de Fora (UFJF), Campus avançado Governador Valadares, Governador Valadares, Minas Gerais.
  • Rafael Binato Junqueira Departamento de Odontologia, Universidade Federal de Juiz de Fora (UFJF), Campus avançado Governador Valadares, Governador Valadares, Minas Gerais.
  • Maurício Augusto Aquino de Castro Departamento de Clínica, Patologia e Cirurgia Odontológicas, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais.
  • Matheus Furtado de Carvalho Departamento de Clínica Odontológica, Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora, Minas Gerais.
  • Francielle Silvestre Verner Departamento de Odontologia, Universidade Federal de Juiz de Fora (UFJF), Campus avançado Governador Valadares, Governador Valadares, Minas Gerais.

DOI:

https://doi.org/10.34019/1982-8047.2020.v46.29530

Keywords:

Surgery, Panoramic Radiography, Third Molar, Cone-Beam Computed Tomography

Abstract

Introduction: Extraction of third molars is the most common oral surgery performed in dentistry. The most used exams are panoramic radiography (PR) and cone-beam computed tomography (CBCT). Objective: To carry out a literature review on imaging exams (PR and CBCT) and their influence on the surgical planning of extraction of lower third molars. Material and Methods: An updated literature review was carried out, searching for articles indexed at PubMed database, from 2009 to 2019. Results: Despite being a three-dimensional image exam, which allows the assessment of structures in all planes, the CBCT has been increasingly used as a facilitator in the surgical planning of lower third molars and as an auxiliary tool in cases where greater precision is required in diagnosis, without overlapping structures. Conclusion: Some articles did not show significant differences between surgical planning in third molars with the different imaging exams, but there is an agreement that there are radiographic signs in PR that indicate possible complications in these teeth. In such cases, the CBCT can be requested as a complementary exam.

 

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Author Biography

Lucas de Paula Lopes Rosado, Departamento de Diagnóstico Oral, Faculdade de Odontologia de Piracicaba (FOP/UNICAMP), Piracicaba, São Paulo.

Aluno do Programa de Pós Graduação em Radiologia Odontológica, em nível doutorado, da Faculdade de Odontologia de Piracicaba da Universidade Estadual de Campinas (FOP-UNICAMP). Possui mestrado em Radiologia Odontológica pela Faculdade de Odontologia de Piracicaba (FOP/UNICAMP) e graduação em Odontologia pela Universidade Federal de Juiz de Fora - Campus Avançado de Governador Valadares (UFJF-GV).

References

Araujo GTT, Peralta-Mamani M, Silva AFMD, Rubira CMF, Honório HM, Rubira-Bullen IRF. Influence of cone beam computed tomography versus panoramic radiography on the surgical technique of third molar removal: a systematic review. Int J Oral Maxillofac Surg. 2019; 48(10):1340-7.

Luo Q, Diao W, Luo L, Zhang Y. Comparisons of the computed tomographic scan and panoramic radiography before mandibular third molar extraction surgery. Med Sci Monit. 2018; 24: 3340-7.

Brasil DM, Nascimento EHL, Gaêta-Araujo H, Oliveira-Santos C, Maria de Almeida S. Is panoramic imaging equivalent to cone-beam computed tomography for classifying impacted lower third molars? J Oral Maxillofac Surg. 2019; 77(10):1968-74.

Baena RR, Beltrami R, Tagliabo A, Rizzo S, Lupi SM. differences between panoramic and cone beam-CT in the surgical evaluation of lower third molars. J Clin Exp Dent. 2017; 9(2):e259-e65.

Alkhader M, Jarab F. Visibility of the mandibular canal on cross-sectional CBCT images at impacted mandibular third molar sites. Biotechnol Biotechnol Equip. 2016; 30(3):578-84.

Badawy IN, El Prince NH, El Ashwah AA. Evaluation of panoramic X-ray versus cone beam computerized tomography in surgical removal of horizontally impacted mandibular third molars. Alex Dent J. 2016; 41(3):277-82.

Ghaeminia H, Meijer GJ, Soehardi A, Borstlap WA, Mulder J, Berge SJ. Position of the impacted third molar in relation to the man- dibular canal. Diagnostic accuracy of cone beam computed tomography compared to panoramic radiography. Int J Oral Maxillo-fac Surg. 2009; 38(9):964-71.

Porto GG, Vasconcelos BCE, Carneiro SCAS, Vasconcelos CFM. Princípios bioéticos na cirurgia de terceiro molar incluso em adolescentes e adultos jovens. Rev Cir Traumatol Buco-Maxillo-fac. 2009; 9(1):103-14.

Ghaeminia H, Meijer GJ, Soehardi A, Borstlap WA, Mulder J, Vlijmen OJ et al. The use of cone beam CT for the removal of wisdom teeth changes the surgical approach compared with panoramic radiography: a pilot study. Int J Oral Maxillofac Surg. 2011; 40(8):834-9.

Roeder F, Wachtlin D, Schulze R. Necessity of 3D visualization for the removal of lower wisdom teeth: required sample size to prove non-inferiority of panoramic radiography compared to CBCT. Clin Oral Investig. 2012; 16(3):699-706.

Jun SH, Kim CH, Ahn JS, Padwa BL, Kwon JJ. Anatomical differences in lower third molars visualized by 2D and 3D X-ray imaging: clinical outcomes after extraction. Int J Oral Maxillofac Surg. 2013; 42(4):489-96.

Matzen LH, Christensen J, Hintze H, Schou S, Wenzel A. Diagnostic accuracy of panoramic radiography, stereo-scanography and cone beam CT for assessment of mandibular third molars before surgery. Acta Odontol Scand. 2013; 71(6):1391-8.

Matzen LH, Christensen J, Hintze H, Schou S, Wenzel A. Influence of cone beam CT on treatment plan before surgical intervention of mandibular third molars and impact of radiographic factors on deciding on coronectomy vs surgical removal. Dentomaxillofac Radiol. 2013; 42(1):98870341.

Peker I, Sarikir C, Alkurt MT, Zor ZF. Panoramic radiography and cone-beam computed tomography findings in preoperative examination of impacted mandibular third molars. BMC Oral Health. 2014; 14:71.

Guerrero ME, Botetano R, Beltran J, Horner K, Jacobs R. Can preoperative imaging help to predict postoperative outcome after wisdom tooth removal? A randomized controlled trial using panoramic radiography versus cone-beam CT. Clin Oral Investig. 2014; 18(1):335-42.

Ghaeminia H, Gerlach NL, Hoppenreijs TJ, Kicken M, Dings JP, Borstlap WA, et al. Clinical relevance of cone beam computed tomography in mandibular third molar removal: A multicentre, randomised, controlled trial. J Craniomaxillofac Surg. 2015; 43(10):2158-67.

Matzen LH, Wenzel A. Efficacy of CBCT for assessment of impacted mandibular third molars: a review - based on a hierarchical model of evidence. Dentomaxillofac Radiol. 2015; 44(1):20140189.

Sisman Y, Ercan-Sekerci A, Payveren-Arikan M, Sahman H. Diagnostic accuracy of cone-beam CT compared with panoramic images in predicting retromolar canal during extraction of impacted mandibular third molars. Med Oral Patol Oral Cir Bucal. 2015; 20(1):e74-81.

Manor Y, Abir R, Manor A, Kaffe I. Are different imaging methods affecting the treatment decision of extractions of mandibular third molars? Dentomaxillofac Radiol. 2016; 18:20160233.

Matzen LH, Petersen LB, Wenzel A. Radiographic methods used before removal of mandibular third molars among randomly selected general dental clinics. Dentomaxillofac Radiol. 2016; 45(4):20150226.

Matzen LH, Schropp L, Spin-Neto R, Wenzel A. Radiographic signs of pathology determining removal of an impacted mandibular third molar assessed in a panoramic image or CBCT. Dentomaxillofac Radiol. 2017; 46(1):20160330.

Matzen LH, Schropp L, Spin-Neto R, Wenzel A. Use of cone beam computed tomography to assess significant imaging findings related to mandibular third molar impaction. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017; 124(5):506-16.

Freire BB, Nascimento EHL, Vasconcelos KF, Freitas DQ, Haiter-Neto F. Radiologic assessment of mandibular third molars: an ex vivo comparative study of panoramic radiography, extraoral bitewing radiography, and cone beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol. 2019; 128(2):166-75.

Matzen LH, Berkhout E. Cone beam CT imaging of the mandibular third molar: a position paper prepared by the European Academy of DentoMaxilloFacial Radiology (EADMFR). Dentomaxillofac Radiol. 2019; 48(5):20190039.

Del Lhano NC, Ribeiro RA, Martins CC, Assis NMSP, Devito KL. Panoramic versus CBCT used to reduce inferior alveolar nerve paresthesia after third molar extractions: a systematic review and meta-analysis. Dentomaxillofac Radiol. 2019; 28:20190265.

Matzen LH, Villefrance JS, Nørholt SE, Bak J, Wenzel A. Cone beam CT and treatment decision of mandibular third molars: removal vs. coronectomy: a 3-year audit. Dentomaxillofac Radiol. 2019; 5:20190250.

Nakamori K, Tomihara K, Noguchi M. Clinical significance of computed tomography assessment for third molar surgery. World J Radiol. 2014; 6(7):417–23.

Kaeppler G, Mast M. Indications for cone-beam computed tomography in the area of oral and maxillofacial surgery. Int J Comput Dent. 2012; 15(4):271-86.

Motta-Junior J, Ferreira ML, Matheus RA, Stabile GAV. Forame retromolar: sua repercussão clínica e avaliação de 35 mandíbulas secas. Rev Odontol UNESP. 2012; 41(3):164-8.

Jaju PP, Jaju SP. Cone-beam computed tomography: Time to move from ALARA to ALADA. Imaging Sci Dent. 2015; 45(4):263-5.

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Published

2020-08-17

How to Cite

1.
Vieira AL, Rosado L de PL, Oliveira MLB de, Nunes WJP, Junqueira RB, Castro MAA de, Carvalho MF de, Verner FS. Influence of different image exams on the surgical planning of lower third molar: a literature review. HU Rev [Internet]. 2020Aug.17 [cited 2024Jul.17];46:1-8. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/29530

Issue

Vol. 46 (2020)

Section

Artigos de Revisão da Literatura

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