El  uso de la tomografía axial computarizada para observar los tejidos de soporte y los límites de los movimientos ortodóncicos.

Samuel Iván Ibarra Núñez.

Enviado noviembre 22, 2022

Publicado 2022-11-22

Revisión bibliográfica

Vol. 2 Núm. 1 (2022): Contacto Científico

El uso de la tomografía axial computarizada para observar los tejidos de soporte y los límites de los movimientos ortodóncicos.

Samuel Iván Ibarra Núñez. ⁺⁻

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DOI: ND

Publicado: 2022-11-22

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Ibarra Núñez. , S. I. (2022). El uso de la tomografía axial computarizada para observar los tejidos de soporte y los límites de los movimientos ortodóncicos. Contacto Científico, 2(1), 20–29. Recuperado a partir de https://revistas.up.ac.pa/index.php/contacto_cientifico/article/view/3277

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Resumen

El objetivo de este artículo es realizar una revisión de la literatura de las aplicaciones de las CBCT para observar los tejidos de soporte periodontal y poder definir los límites de los movimientos ortodónticos cuya aplicación clínica favorece los resultados óptimos del tratamiento ortodóntico, reduce el riesgo de recesiones gingivales y enfoca el abordaje terapéutico personalizado en base al fenotipo del paciente a tratar.

Luego de la revisión de la literatura se refuerza el uso de las CBCT como método radiográfico óptimo para la evaluación de las estructuras de soporte periodontal en las distintas maloclusiones sagitales, transversales y de caninos retenidos.

La relevancia clínica de esta revisión se enfoca en la prevención de defectos periodontales y el deterioro de las estructuras de soporte dental como consecuencia de los tratamientos ortodónticos.

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Kokich VG. Esthetics: the orthodontic-periodontic restorative connection. Semin Orthod. 1996;2(1):21-30. doi:10.1016/s1073-8746(96)80036-3.
Caton JG, Armitage G, Berglundh T, et al. A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018;45 Suppl 20:S1-S8. doi:10.1111/jcpe.12935
Eley BM, Cox SW. Advances in periodontal diagnosis. 1. Traditional clinical methods of diagnosis. Br Dent J. 1998;184(1):12-16. doi:10.1038/sj.bdj.4809529.
Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc. 2006;72(1):75-80.
Shrestha R, Liu X, Chen S, et al. Correlation of anterior overbite with root position and buccal bone thickness of maxillary anterior teeth: a CBCT study. Surg Radiol Anat. 2019;41(8):935-942. doi:10.1007/s00276-019-02257-0.
Morais JF, Melsen B, de Freitas KMS, Castello Branco N, Garib DG, Cattaneo PM. Evaluation of maxillary buccal alveolar bone before and after orthodontic alignment without extractions: A cone beam computed tomographic study. Angle Orthod. 2018;88(6):748-756. doi:10.2319/101117-686.
Matsumoto K, Sherrill-Mix S, Boucher N, Tanna N. A cone-beam computed tomographic evaluation of alveolar bone dimensional changes and the periodontal limits of mandibular incisor advancement in skeletal Class II patients. Angle Orthod. 2020;90(3):330-338. doi:10.2319/080219-510.1.
Jing WD, Xu L, Xu X, Hou JX, Li XT. Association between Periodontal Biotype and Clinical Parameters: A Cross-sectional Study in Patients with Skeletal Class III Malocclusion. Chin J Dent Res. 2019;22(1):9-19. doi:10.3290/j.cjdr.a41770.
Park JH, Hong JY, Ahn HW, Kim SJ. Correlation between periodontal soft tissue and hard tissue surrounding incisors in skeletal Class III patients. Angle Orthod. 2018;88(1):91-99. doi:10.2319/060117-367.1.
Yao, CC.J., Chang, ZC., Lai, HH. et al. Architectural changes in alveolar bone for dental decompensation before surgery in Class III patients with differing facial divergence: a CBCT study. Sci Rep 10, 14379 (2020). https://doi.org/10.1038/s41598-020-71126-3
Kaya Y, Alkan Ö, Alkan EA, Keskin S. Gingival thicknesses of maxillary and mandibular anterior regions in subjects with different craniofacial morphologies. Am J Orthod Dentofacial Orthop. 2018;154(3):356-364. doi:10.1016/j.ajodo.2017.11.039
Raber A, Kula K, Ghoneima A. Three-dimensional evaluation of labial alveolar bone overlying the maxillary and mandibular incisors in different skeletal classifications of malocclusion. Int Orthod. 2019;17(2):287-295. doi:10.1016/j.ortho.2019.03.011
Choi JY, Chaudhry K, Parks E, Ahn JH. Prevalence of posterior alveolar bony dehiscence and fenestration in adults with posterior crossbite: a CBCT study. Prog Orthod. 2020;21(1):8. Published 2020 Mar 16. doi:10.1186/s40510-020-00308-6
Gunyuz Toklu, M., Germec-Cakan, D., & Tozlu, M. Periodontal, dentoalveolar, and skeletal effects of tooth-borne and tooth-bone-borne expansion appliances. American Journal of Orthodontics and Dentofacial Orthopedics, 2015. 148(1), 97–
doi:10.1016/j.ajodo.2015.02.022
Bastos, R., Blagitz, M. N., Aragón, M., Maia, L. C., & Normando, D. Periodontal side effects of rapid and slow maxillary expansion: A systematic review. The Angle orthodontist, 2019. 89(4), 651–660. https://doi.org/10.2319/060218-419.1
Vidalón, J. A., Loú-Gómez, I., Quiñe, A., Diaz, K. T., Liñan Duran, C., & Lagravère, M.
O. Periodontal effects of maxillary expansion in adults using non-surgical expanders with skeletal anchorage vs. surgically assisted maxillary expansion: a systematic review. Head & face medicine, 2021. 17(1), 47. https://doi.org/10.1186/s13005-021-00299-7
Eslami E, Barkhordar H, Abramovitch K, Kim J, Masoud MI. Cone-beam computed tomography vs conventional radiography in visualization of maxillary impacted-canine localization: A systematic review of comparative studies. Am J Orthod Dentofacial Orthop. 2017;151(2):248-258. doi:10.1016/j.ajodo.2016.07.018
Da?suyu ?M, Kahraman F, Ok?ayan R. Three-dimensional evaluation of angular, linear, and resorption features of maxillary impacted canines on cone-beam computed tomography. Oral Radiol. 2018;34(1):66-72. doi:10.1007/s11282-017-0289-5
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(4):384-389. doi:10.2319/103117-739.1
Arboleda-Ariza N, Schilling J, Arriola-Guillén LE, Ruíz-Mora GA, Rodríguez-Cárdenas YA, Aliaga-Del Castillo A. Maxillary transverse dimensions in subjects with and without impacted canines: A comparative cone-beam computed tomography study. Am J Orthod Dentofacial Orthop. 2018;154(4):495-503. doi:10.1016/j.ajodo.2017.12.017

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[1] Kokich VG. Esthetics: the orthodontic-periodontic restorative connection. Semin Orthod. 1996;2(1):21-30. doi:10.1016/s1073-8746(96)80036-3.

[2] Caton JG, Armitage G, Berglundh T, et al. A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018;45 Suppl 20:S1-S8. doi:10.1111/jcpe.12935

[3] Eley BM, Cox SW. Advances in periodontal diagnosis. 1. Traditional clinical methods of diagnosis. Br Dent J. 1998;184(1):12-16. doi:10.1038/sj.bdj.4809529.

[4] Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc. 2006;72(1):75-80.

[5] Shrestha R, Liu X, Chen S, et al. Correlation of anterior overbite with root position and buccal bone thickness of maxillary anterior teeth: a CBCT study. Surg Radiol Anat. 2019;41(8):935-942. doi:10.1007/s00276-019-02257-0.

[6] Morais JF, Melsen B, de Freitas KMS, Castello Branco N, Garib DG, Cattaneo PM. Evaluation of maxillary buccal alveolar bone before and after orthodontic alignment without extractions: A cone beam computed tomographic study. Angle Orthod. 2018;88(6):748-756. doi:10.2319/101117-686.

[7] Matsumoto K, Sherrill-Mix S, Boucher N, Tanna N. A cone-beam computed tomographic evaluation of alveolar bone dimensional changes and the periodontal limits of mandibular incisor advancement in skeletal Class II patients. Angle Orthod. 2020;90(3):330-338. doi:10.2319/080219-510.1.

[8] Jing WD, Xu L, Xu X, Hou JX, Li XT. Association between Periodontal Biotype and Clinical Parameters: A Cross-sectional Study in Patients with Skeletal Class III Malocclusion. Chin J Dent Res. 2019;22(1):9-19. doi:10.3290/j.cjdr.a41770.

[9] Park JH, Hong JY, Ahn HW, Kim SJ. Correlation between periodontal soft tissue and hard tissue surrounding incisors in skeletal Class III patients. Angle Orthod. 2018;88(1):91-99. doi:10.2319/060117-367.1.

[10] Yao, CC.J., Chang, ZC., Lai, HH. et al. Architectural changes in alveolar bone for dental decompensation before surgery in Class III patients with differing facial divergence: a CBCT study. Sci Rep 10, 14379 (2020). https://doi.org/10.1038/s41598-020-71126-3

[11] Kaya Y, Alkan Ö, Alkan EA, Keskin S. Gingival thicknesses of maxillary and mandibular anterior regions in subjects with different craniofacial morphologies. Am J Orthod Dentofacial Orthop. 2018;154(3):356-364. doi:10.1016/j.ajodo.2017.11.039

[12] Raber A, Kula K, Ghoneima A. Three-dimensional evaluation of labial alveolar bone overlying the maxillary and mandibular incisors in different skeletal classifications of malocclusion. Int Orthod. 2019;17(2):287-295. doi:10.1016/j.ortho.2019.03.011

[13] Choi JY, Chaudhry K, Parks E, Ahn JH. Prevalence of posterior alveolar bony dehiscence and fenestration in adults with posterior crossbite: a CBCT study. Prog Orthod. 2020;21(1):8. Published 2020 Mar 16. doi:10.1186/s40510-020-00308-6

[14] Gunyuz Toklu, M., Germec-Cakan, D., & Tozlu, M. Periodontal, dentoalveolar, and skeletal effects of tooth-borne and tooth-bone-borne expansion appliances. American Journal of Orthodontics and Dentofacial Orthopedics, 2015. 148(1), 97–

[15] doi:10.1016/j.ajodo.2015.02.022

[16] Bastos, R., Blagitz, M. N., Aragón, M., Maia, L. C., & Normando, D. Periodontal side effects of rapid and slow maxillary expansion: A systematic review. The Angle orthodontist, 2019. 89(4), 651–660. https://doi.org/10.2319/060218-419.1

[17] Vidalón, J. A., Loú-Gómez, I., Quiñe, A., Diaz, K. T., Liñan Duran, C., & Lagravère, M.

[18] O. Periodontal effects of maxillary expansion in adults using non-surgical expanders with skeletal anchorage vs. surgically assisted maxillary expansion: a systematic review. Head & face medicine, 2021. 17(1), 47. https://doi.org/10.1186/s13005-021-00299-7

[19] Eslami E, Barkhordar H, Abramovitch K, Kim J, Masoud MI. Cone-beam computed tomography vs conventional radiography in visualization of maxillary impacted-canine localization: A systematic review of comparative studies. Am J Orthod Dentofacial Orthop. 2017;151(2):248-258. doi:10.1016/j.ajodo.2016.07.018

[20] Da?suyu ?M, Kahraman F, Ok?ayan R. Three-dimensional evaluation of angular, linear, and resorption features of maxillary impacted canines on cone-beam computed tomography. Oral Radiol. 2018;34(1):66-72. doi:10.1007/s11282-017-0289-5

[21] 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(4):384-389. doi:10.2319/103117-739.1

[22] Arboleda-Ariza N, Schilling J, Arriola-Guillén LE, Ruíz-Mora GA, Rodríguez-Cárdenas YA, Aliaga-Del Castillo A. Maxillary transverse dimensions in subjects with and without impacted canines: A comparative cone-beam computed tomography study. Am J Orthod Dentofacial Orthop. 2018;154(4):495-503. doi:10.1016/j.ajodo.2017.12.017

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