Frequency of mandibular asymmetries evaluated by cone beam computed tomography at a radiology diagnostic center in Medellin, Colombia. 2011-2013.

  • Camilo Urrego Facultad de Odontología, Universidad de Antioquia.
  • Krissna Alejandra Veldez Facultad de Odontología, Universidad de Antioquia.
  • Mario Moreno Facultad de Odontología, Universidad de Antioquia.
  • Luisa Fernanda Palacio Facultad de Odontología, Universidad de Antioquia.
  • José Domíguez Facultad de Odontología, Universidad de Antioquia.
  • Germán Aguilar Facultad de Odontología, Universidad de Antioquia.
  • Cecilia María Martínez Facultad de Odontología, Universidad de Antioquia.

Abstract

Mandibular asymmetries called the longitudinal differences of right and left sides of the jaw with respect to midline, in three spatial planes. Objective: To determine the frequency of mandibular asymmetries in the three planes of space by Cone Beam Volumetric Tomographic Scanner (TCCB). Methods: We analized 40 records by Cone beam scans (New Tom 3G Cone beam Volumetric Tomographic Scanner) by simple random sampling of patients between 18 and 70 years obtained since 2011 to 2013 and taken with a large window that would display the complete mandibular bone. Axial slices were obtained from the língula in cranio-caudal direction every 5 mm until the gonial angle. Results: 2.5% of the records showed moderate differences in the length of the mandibular body predominantly right. In amplitude was found the left branch predominantly. In the length of the ramus, 10% had moderate predominance of the right side. Conclusions: 1) Frequently asymmetries are at the thickness of the mandibular branches. 2) The degrees of Moderate to High differences occur more frequently at the thickness of the mandibular branches. 3) It is not possible to determinate proportionally the thickness of the mandibular branches only obtaining a 2D image.

References

1. Taneja VK, Kumar GA, Farishta N, Minocha RC, Baiju G, Gopal D. An assement of skeletal asymmetry in South Indian Population. J Contemp Dent Pract. 2012; 13(1):80-4.
2. Hernández F. Asimetrías craneofaciales: análisis radiográfico en los planos frontal y basal en individuos de ambos sexos de 18 a 22 años. Rev Esp Cirug Oral y Maxilofac. 2009; 31(1):24-25.
3. Luckow S, Martin Moreno M. Diagnóstico de asimetrías faciales utilizando tomografía volumétrica computarizada. Rev Esp Ortod. 2013; 43(1):5-12
4. Moon HJ, Lee YK. The relationship between dental occlusion/temporomandibular joint status and general body health: part 1. Dental occlusion and TMJ status exert an influence on general body health. J Altern Complement Med. 2011; 17(11):995-1000.
5. Biagi R, Craparo A, Trovato F, Butti AC, Salvato A. Diagnosis of dental and mandibular asymmetries in children according to Levandoski Panoramic Analysis. Eur J Paediatr Dent. 2012; 13(4):297-300.
6. Ramirez-Yañez GO, Stewart A, Franken E, Campos K. Prevalence of mandibular asymmetries in growing patients. Eur J Orthod. 2011; 33(3):236-42
7. George AM, Ganesan J, Devi S, Varghese BT, Krishnaswamy NR. Orthodontic and orthognathic management of a complex mandibular asymmetry. Orthodontics (Chic.) 2013; 14(1):126-39.
8. Mercier JM, Perrin JP, Longis J, Arzul L, Corre P. Facial asymmetries and their skeletal component. Rev Stomatol Chir Maxillofac Chir Orale. 2014; 115(4):219-28
9. Kim J, Jung H, Jung Y, Hwang C., Park H. A simple classification of facial asymmetry by TML system. J Craniomaxillofac Surg; 2013: 1-8.
10. Jaju PP, Jaju SP. Clinical utility of dental cone-beam computed tomography: current perspectives. Clin Cosmet Investig Dent. 2014; 2(6):29-43
11. Tetradis S, Anstey P, Graff-Radford S. Cone beam computed tomography in the diagnosis of dental disease. Tex Dent J. 2011; 128(7):620-8
12. Sanders DA, Chandhoke TK, Uribe FA, Rigali PH, Nanda R. Quantification of skeletal asymmetries in normal adolescents: cone-beam computed tomography analysis. Prog Orthod. 2014; 15(1):26
13. Lee H, Bayome M, Kim SH, Kim KB, Behrents RG, Kook YA. Mandibular dimensions of subjects with asymmetric skeletal class III malocclusion and normal occlusion compared with cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2012; 142(2):179-85.
14. Baek C, Paeng JY, Lee JS, Hong J. Morphologic evaluation and classification of facial asymmetry using 3-dimensional computed tomography. J Oral Maxillofac Surg. 2012; 70(5):1161-9
15. Yáñez-Vico RM, Iglesias-Linares A, Torres-Lagares D, Gutiérrez-Pérez JL, Solano-Reina E. Association between craniofacial asymmetry and unilateral temporomandibular joint sounds in adult patients using 3D-computed tomography. Oral Dis. 2013; 19(4):406-14.
16. Kheir NA, Kau CH. Measuring mandibular asymmetry in Class I normal subjects using 3D novel coordinate system. Ann Maxillofac Surg. 2014; 4(1):34-8
17. du Bois AH, Kardachi B, Bartold PM. Is there a role for the use of volumetric cone beam computed tomography in periodontics? Aust Dent J. 2012; 57 Suppl 1:103-8
18. Plooij JM, Maal TJ, Haers P, Borstlap WA, Kuijpers-Jagtman AM, Bergé SJ. Digital three-dimensional image fusion processes for planning and evaluating orthodontics and orthognathic surgery. A systematic review. Int J Oral Maxillofac Surg. 2011; 40(4):341-52
19. Olate S, Cantín M. Relación entre el tamaño condilar y la asimetría facial transversal en Individuos con Hiperplasia Condilar. Int J Morphol. 2013; 31(3):937-941.
20. Alhadidi A, Cevidanes LH, Paniagua B, Cook R, Festy F, Tyndall D. 3D quantification of mandibular asymmetry using the SPHARM-PDM tool box. Int J Comput Assist Radiol Surg. 2012; 7(2):265-71.
21. Zhou H, Han J, Li Z. Conservative treatment of bilateral condylar fractures in children: Case report and review of the literature. Int J Pediatr Otorhinolaryngol. 2014; 78:1557-1562
22. Sanders DA, Chandhoke TK, Uribe FA, Rigali PH, Nanda R. Quantification of skeletal asymmetries in normal adolescents: cone-beam computed tomography analysis. Prog Orthod. 2014; 1;15(1):26.
23. Verzé L, Bianchi FA, Schellino E, Ramieri G. Soft tissue changes after orthodontic surgical correction of jaws asymmetry evaluated by three-dimensional surface laser scanner. J Craniofac Surg. 2012; 23(5):1448-52
24. Uribe F, Chugh VK, Janakiraman N, Feldman J, Shafer D, Nanda R. Treatment of severe facial asymmetry using virtual three-dimensional planning and a "surgery first" protocol. J Clin Orthod. 2013; 47(8):471-84
25. Bergamo AZ, Andrucioli MC, Romano FL, Ferreira JT, Matsumoto MA. Orthodontic-surgical treatment of Class III malocclusion with mandibular asymmetry. Braz Dent J. 2011; 22(2):151-6.
26. Domínguez J, Ruge O, Aguilar G, Ñáñez O, Oliveros G. Análisis de la posición y trayectoria del conducto alveolar inferior (CAI) en tomografía volumétrica computarizada (TC Cone Beam - TCCB). Rev Fac Odontol Univ Antioq 2010; 22(1):12-22.
27. Kim TY, Baik JS, Park JY, Chae HS, Huh KH, Choi SC. Determination of midsagittal plane for evaluation of facial asymmetry using three-dimensional computed tomography. Imaging Sci Dent. 2011; 41(2):79-84.
Published
2015-04-27
How to Cite
URREGO, Camilo et al. Frequency of mandibular asymmetries evaluated by cone beam computed tomography at a radiology diagnostic center in Medellin, Colombia. 2011-2013.. Journal of Oral Research, [S.l.], v. 4, n. 3, p. 174-182, apr. 2015. ISSN 0719-2479. Available at: <https://joralres.com/index.php/JOralRes/article/view/joralres.2015.036>. Date accessed: 28 apr. 2024. doi: https://doi.org/10.17126/joralres.2015.036.
Section
Articles

Keywords

Mandibular asymmetries; Cone Beam Volumetric Tomographic Scanner; mandibular body; mandibular ramus; mandibular thickness.