Reasonability of cone-beam computed tomography use during the evaluation of mandible fractures at the stages of the forensic-dental examination and dental treatment


  • P.P. Brehlichuk
  • S.B. Kostenko
  • M.Yu. Goncharuk-Khomyn
Keywords: mandible fractures, evaluation methods, cone-beam computed tomography.

Abstract

As a result of provided analysis it was possible to establish that the use of tomographic methods of examination provides higher diagnostic possibilities to evaluate mandible fractures in comparison to orthopantomography, peri-apical and extraoral radiography performed in different projections. According to the sensitivity, specificity, prognostic positive and prognostic negative results, the method of CTBT is similar to the CT method in cases of diagnosis of mandibular bone injuries, but is characterized by lower X-ray load, higher availability and lower cost of the procedure. In cases of high suspicion of the risk of the cranial structures lesions during mandible fracture, the argument of the tomographic examination is recommended to be carried out according to the algorithm proposed by Czerwinsi and colleagues (2008). The effectiveness of using the diagnostic method for visualizing fractures of the mandible in the form of cone-beam computed tomography from the positions of the hierarchical approach proposed by Fryback-Thorbury, is evident at all six levels, which allows us to recommend this method for use in forensic dentistry and during the planning and control of dental treatment results.

References

1. Barylo, O. S., & Furman, R. L. (2014). Kompleksnyi analiz bolovoho syndromu v patsiientiv z perelomamy nyzhnoi shchelepy pry vykorystanni perparatu Nukleo TsMF forte. Sovremennaia stomatolohyia, 3, 62-67. [in Ukrainian].

2. Brekhlichuk, P. P., Kostenko, Ye. Ya., & Honcharuk-Khomyn, M. Yu. (2017). Mozhlyvosti obiektyvizatsii parametriv travm shchelepno-lytsevoi dilianky. Sudovo-medychna ekspertyza, 1, 73-78. [in Ukrainian].

3. Vares, Ya. E. (2009). Seredynni perelomy nyzhnoi shchelepy. Suchasni pohliady na khirurhichne likuvannia. Ukrainskyi morfolohichnyi almanakh, 7 (2), 19-21. [in Ukrainian].

4. Vares, Ya. E., Hot, M. M., & Filipska, T. A. (2008). Struktura perelomiv nyzhnoi shchelepy. Praktychna medytsyna, 4, 72-75. [in Ukrainian].

5. Lesovaya, I. G. (2006). Retrospektivnyj analiz chastoty perelomov nizhnej chelyusti po dannym kliniki HMAPO. Sovremennaya stomatologiya, 3, 108-111. [in Russian].

6. Lokes, E. P. (2006). Chastota perelomov nyzhnei cheliusty y metodы ykh lechenyia. Aktualni problemy suchasnoi medytsyny: Visnyk ukrainskoi medychnoi stomatolohichnoi akademii, 6 (4), 16. [in Ukrainian].

7. Malanchuk, V. A., & Kopchak, A. V. (2002). Faktory ryzyku vynyknennia posttravmatychnykh uskladnen u khvorykh z vidkrytymy perelomamy nyzhnoi shchelepy. Visnyk stomatolohii, 2, 18-20. [in Ukrainian].

8. Mustafaev, M. Sh., Kuzhonov, D. T., & Akaev, R. I. (2012). Struktura travm kostej ChLO i ih vospalitelnyh oslozhnenij po dannym analiza arhivnyh materialov kliniki chelyustno-licevoj hirurgii (ChLH) g. Nalchik. Elektronnyj nauchno-obrazovatelnyj vestnik «Zdorove i obrazovanie v XXI veke», 14 (9), 266-267. [in Russian].

9. Nahirnyi, Ya. P. (2010). Vplyv hostroi travmy na ultrastrukturni zminy klityn okistia u khvorykh z travmatychnymy perelomamy nyzhnoi shchelepy. Visnyk stomatolohii, 4, 66-68. [in Ukrainian].

10. Acharya, P., Ren, G., Jaisani, M. R., Dongol, A., Yadav, R. P., Mahat, A. K., & Dong, F. (2017). Application of cone-beam computed tomography (CBCT) for diagnosis and management of mandibular condyle fractures. Health Renaissance, 13 (3), 73-81.

11. Carinci, F., Arduin, L., Pagliaro, F., Zollino, I., Brunelli, G., & Cenzi, R. (2009). Scoring mandibular fractures: a tool for staging diagnosis, planning treatment, and predicting prognosis. Journal of Trauma and Acute Care Surgery,66 (1), 215-219.

12. Casselman, J. W., Gieraerts, K., Volders, D., Delanote, J., Mermuys, K., De Foer, B., & Swennen, G. (2013). Cone beam CT: non-dental applications. Jbr-Btr,96 (6), 333-353.

13. Czerwinski, M., Parker, W. L., & Williams, H. B. (2008). Algorithm for head computed tomography imaging in patients with mandible fractures. Journal of Oral and Maxillofacial Surgery, 66 (10), 2093-2097.

14. De Vos, W., Casselman, J., & Swennen, G. R. J. (2009). Cone-beam computerized tomography (CBCT) imaging of the oral and maxillofacial region: a systematic review of the literature. International journal of oral and maxillofacial surgery, 38 (6), 609-625.

15. Dölekoğlu, S., Fişekçioğlu, E., İlgüy, D., İlgüy, M., & Bayirli, G. (2010). Diagnosis of jaw and dentoalveolar fractures in a traumatized patient with cone beam computed tomography. Dental Traumatology, 26 (2), 200-203.

16. Ersan, N., & Ilgüy, M. (2015). Diagnosis of unusual mandibular split fracture with cone-beam computed tomography. Journal of Oral and Maxillofacial Radiology, 3 (2), 67.

17. Fryback, D. G., & Thornbury, J. R. (1991). The efficacy of diagnostic imaging. Medical decision making, 11 (2), 88-94.

18. Guven, Y., Zorlu, S., Cankaya, A. B., Aktoren, O., & Gencay, K. (2015). A complex facial trauma case with multiple mandibular fractures and dentoalveolar injuries. Case reports in dentistry, 2015.

19. Kaeppler, G., Cornelius, C. P., Ehrenfeld, M., & Mast, G. (2013). Diagnostic efficacy of cone-beam computed tomography for mandibular fractures. Oral surgery, oral medicine, oral pathology and oral radiology, 116 (1), 98-104.

20. Ogura, I., Kaneda, T., Mori, S., Sekiya, K., Ogawa, H., & Tsukioka, T. (2012). Characterization of mandibular fractures using 64-slice multidetector CT. Dentomaxillofacial Radiology, 41 (5), 392-395.
Published
2017-10-27
How to Cite
Brehlichuk, P., Kostenko, S., & Goncharuk-Khomyn, M. (2017). Reasonability of cone-beam computed tomography use during the evaluation of mandible fractures at the stages of the forensic-dental examination and dental treatment. Biomedical and Biosocial Anthropology, (29), 115-119. Retrieved from https://bba-journal.com/index.php/journal/article/view/298