Interpretation Basics of Cone Beam Computed Tomography

Interpretation Basics of Cone Beam Computed Tomography
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Interpretation Basics of Cone Beam Computed Tomography, Second Edition  is a practical identification guide for interpreting CBCT findings in dental practice. Offering multiple high-quality images for each example provided, this easy-to-use guide is designed for those new to CBCT scans as well as more experienced practitioners in need of a reference tool of normal anatomy, common anatomical variants, and incidental findings.  Extensively revised throughout, the Second Edition features a brand-new chapter on findings of the maxilla and mandible, and additional incidental findings and common anatomical variants. Every chapter in the book now includes sections covering anatomic variations, developmental anomalies, pathosis, and other considerations. All information has been carefully reviewed and updated to incorporate recent research in the field and reflect newer guidelines from various specialty organizations. This new edition:  Enables rapid reference to common CBCT findings, with multiple images for each finding Features a streamlined framework that makes relevant information easier to find and apply in dental practice Offers hundreds of new images to aid in correctly identifying findings Contains new and updated content, including expanded coverage of CBCT and implants Provides sample reports and explains how they are used in day-to-day clinical practice  Interpretation Basics of Cone Beam Computed Tomography, Second Edition  remains a must-have resource for all dental practitioner and specialists who use CBCT, dental students in radiology interpretation courses, and residents beginning to use CBCT in their specialty.

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Группа авторов. Interpretation Basics of Cone Beam Computed Tomography

Table of Contents

List of Tables

List of Illustrations

Guide

Pages

Interpretation Basics of Cone Beam Computed Tomography

Preface to the Second Edition

Acknowledgments

About the Companion Website

1 Introduction to Cone Beam Computed Tomography

Introduction

Conventional Computed Tomography. General Information

Cone Beam Computed Tomography. General Information

Conventional CT versus Cone Beam CT. Voxels

Field of View

Radiation Doses

Viewing CBCT Data. Multiplanar Reformation

3D Rendering

Artifacts. Streak Artifacts/Undersampling

Motion Artifacts

Ring Artifacts

References. Conventional Computed Tomography and Cone Beam Computed Tomography

Viewing CBCT Data

Artifacts

2 Cone Beam Computed Tomography Recommendations

Introduction

Endodontics

2010 Position Paper

2015/2016 Update

Diagnosis

Initial Treatment

Nonsurgical Treatment

Surgical Retreatment

Special Conditions

Outcome Assessment

HOWEVER

Orthodontics

Specific Orthodontic Uses

Periodontics

Implants

Goals

Benefits

Potential Risks

Bottom Line

Tooth Movement

Goals

Benefits

Potential Risks

Bottom Line

Periodontitis

Benefits

Potential Risks

Bottom Line

References. Endodontics

Orthodontics

Periodontics

3 Legal Issues Concerning Cone Beam Computed Tomography

Introduction

Standard of Care

Recommendations. American Academy of Oral and Maxillofacial Radiology and American Dental Association Recommendations

Prescribing a Cone Beam Computed Tomography Scan

Use of Cone Beam Computed Tomography Scan

Interpretation of a Cone Beam Computed Tomography Scan

European Academy of DentoMaxilloFacial Radiology Basic Principles

Prescribing a Cone Beam Computed Tomography Scan

Use of Cone Beam Computed Tomography Scan

Interpretation of a Cone Beam Computed Tomography Scan

Summary

References

4 Paranasal Sinuses and Mastoid Air Cells

Introduction

Anatomy. Normal Paranasal Development

Maxillary Sinus

Normal Anatomy of the Ostiomeatal Complex

Ethmoid Sinuses

Frontal Sinus

Sphenoid Sinus

Onodi Cells

Frontal Cells

Pneumatic Cells of the Temporal Bone: The Mastoid Air Cells

Inflammatory Disease of the Paranasal Sinuses

Mucositis. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Sinusitis

Acute Sinusitis. Definition/Clinical Characteristics/Radiographic Description

Differential Interpretation/Treatment/Recommendations

Chronic Sinusitis. Definition/Clinical Characteristics/Radiographic Description

Differential Interpretation/Treatment/Recommendations

Fungal Sinusitis. Definition/Clinical Characteristics/Radiographic Description

Allergic Sinusitis. Definition/Clinical Characteristics/Radiographic Description

Intrinsic Disease of the Paranasal Sinuses

Retention Pseudocyst. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Polyps. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Empyema. Definition/Clinical Characteristics/Radiographic Description

Antrolith. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Mucocele. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment

Postsurgical Changes of Paranasal Sinuses. Uncinectomy. Definition

Radiographic Description

Caldwell–Luc Procedure. Definition/Radiographic Description

References

5 The Sinonasal Cavity and Airway

Introduction

Anatomy

Normal Anatomy of the Ostiomeatal Complex

Anatomical Variations of the Nasal Septum

Anatomical Variations of the Middle Turbinate

Paradoxic Curvature

Concha Bullosa

Lamellar Concha

Anatomy of the Uncinate Process. Attachment

Deviation

Anatomy of the Frontal Recess

Agger Nasi Cell

Frontal Cells

Type 1 Frontal Cells

Type 2 Frontal Cells

Type 3 Frontal Cells

Type 4 Frontal Cells

Supraorbital Ethmoid Cells

Frontal Bullar Cells

Suprabullar Cells

Interfrontal Sinus Septal Cells

Surgical Variations. Frontal Sinuses. Endoscopic Frontal Recess Approach (Draf Type I Procedure)

Extended Frontal Sinusotomy (Draf Type II Procedure)

Modified Lothrop Procedure (Draf Type III Procedure)

FESS Failure in Frontal Recess

Residual Frontal Recess Cells

Effect of the Superior Attachment of the Uncinate Process on Frontal Recess Drainage

Retained Uncinate Process

Lateralized Middle Turbinate Remnant

Inflammatory Diseases

Sinusitis

Osteoneogenesis

Scarring and Inflammatory Mucosal Thickening

Recurrent Polyposis

Other Causes of Frontal Recess Obstruction

Conclusions

The Pharynx

The Nasopharynx

Anatomy

Incidental Findings. Adenoidal Hyperplasia. Definition/Clinical Characteristics/Radiographic Description

Differential Interpretation/Treatment

The Oropharynx

The Hypopharynx (Also Called Laryngopharynx)

The Parapharyngeal Space

References. The Sinonasal Cavity

The Pharynx

6 Cranial Skull Baseand Orbits

Introduction

Anatomy

Anatomic Variants/Developmental Anomalies. Spheno‐Occipital Synchondrosis (Basisphenoid‐Basiocciput Synchondrosis) Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Cranial Thickness. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Vascular Markings. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Incidental Findings. Displacement of the Lamina Papyracea. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

References. Anatomy

Anatomic Variants/Developmental Anomalies—Cranial Skull Base

Incidental Findings—Orbits

7 Soft Tissues

Introduction

Pathosis—Arterial Calcifications. General Arterial Calcification Clinical Characteristics and Radiographic Findings

Internal (Cavernous) Carotid Artery Calcification. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Vertebral Artery Calcification. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

External Carotid Artery Calcification. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Pathosis—Other Calcifications. Tonsiliths (Tonsilloliths, Tonsillar Calculi, Tonsillar Stones) Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Sialolith. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Incidental Findings—Soft Tissue of the Brain. Pineal Gland Calcification. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Choroid Plexus Calcification. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Dural Calcifications. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Interclinoid Ligament Calcification. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Petroclinoid Ligament Calcification. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Incidental Findings—Orbital Cavity. Scleral Plaques. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Trochlear Apparatus Calcification. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Incidental Findings—Face. Osteoma Cutis. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

References. Pathosis—Arterial Calcifications

Pathosis—Other Calcifications

Incidental Findings / Other—Soft Tissue of the Brain

Incidental Findings/Other—Orbital Cavity

Incidental Findings/Other—Face

8 Cervical Spine

Introduction

Anatomy

C1 (Atlas)

C2 (Axis)

C3–C7

Anatomic Variants/Developmental Anomalies. Clefts (C1) Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Os Terminale (C2) Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Subdental Synchondrosis (C2) Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Congenital Block Vertebrae (Non‐segmentation) Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Pathosis. Degenerative Joint Disease (Osteoarthritis, Spondylosis) Definition/Clinical Characteristics

Radiographic Description

Asymmetrical Intervertebral Joint Space Narrowing

Osteophyte Formation

Bone Erosions

Subchondral Cysts

Facet Hypertrophy

Differential Interpretation

Treatment/Recommendations

References. Anatomy

Anatomic Variants/Developmental Anomalies

Pathosis

9 Maxilla and Mandible (excluding TMJs)

Introduction

Anatomy

Anatomic Variants/Developmental Anomalies. Idiopathic Osteosclerosis (Enostosis, Dense Bone lsland) Definition/Clinical Characteristics

Radiographic Findings

Differential Interpretation

Treatment/Recommendations

Stafne Defect (Mandibular Salivary Gland Defect) Definition/Clinical Characteristics

Radiographic Findings

Differential Interpretation

Treatment/Recommendations

Pathosis. Apical Rarefying Osteitis (Apical Periodontitis) Definition/Clinical Characteristics

Radiographic Findings

Differential Interpretation

Treatment/Recommendations

Apical Sclerosing Osteitis. Definition/Clinical Characteristics

Radiographic Findings

Differential Interpretation

Treatment/Recommendations

Osteomyelitis. Definition/Clinical Characteristics

Radiographic Findings

Differential Interpretation

Treatment/Recommendations

Incidental Findings. Cemento‐Osseous Dysplasia. Definition/Clinical Characteristics

Radiographic Findings

Differential Interpretation

Treatment/Recommendations

Odontoma. Definition/Clinical Characteristics

Radiographic Findings

Differential Interpretation

Treatment/Recommendations

References. Anatomic Variants/Developmental Anomalies

Pathosis

Incidental Findings/Other

10 Temporomandibular Joints

Introduction

Normal Anatomy and Function

Developmental Abnormalities

Hemifacial Microsomia. Definition/Clinical Characteristics

Radiographic Description

Condylar Aplasia

Condylar Hypoplasia. Definition/Clinical Characteristics/Radiographic Description

Differential Interpretation

Treatment/Recommendations

Condylar Hyperplasia. Definition/Clinical Characteristics/Radiographic Description

Differential Interpretation

Treatment/Recommendations

Juvenile Arthrosis (Boering’s Arthrosis) Definition/Clinical Characteristics/Radiographic Description

Differential Interpretation

Treatment/Recommendations

Coronoid Hyperplasia. Definition/Clinical Characteristics/Radiographic Description

Differential Interpretation

Treatment/Recommendations

Bifid Condyle. Definition/Clinical Characteristics/Radiographic Description

Differential Interpretation

Treatment/Recommendations

Soft‐Tissue Abnormalities. Internal Derangements

Remodeling and Arthritis. Remodeling. Definition/Clinical Characteristics/Radiographic Description

Differential Interpretation

Treatment/Recommendations

Degenerative Joint Disease, Osteoarthritis. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Osteoarthrosis (Degenerative Arthritis) Definition/Clinical Characteristics

Radiographic Description

Rheumatoid Arthritis. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment/Recommendations

Juvenile Arthritis (Juvenile Rheumatoid Arthritis/Juvenile Chronic Arthritis/Still’s Disease) Definition/Clinical Characteristics

Radiographic Description

Psoriatic Arthritis. Definition/Clinical Characteristics/Radiographic Description

Septic Arthritis. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Synovial Chondromatosis (Synovial Chondrometaplasia, Osteochondromatosis) Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment

Chondrocalcinosis (Pseudogout, Calcium Pyrophosphate Dihydrate Deposition Disease) Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment

Trauma. Effusion. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment

Dislocation. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment

Fracture. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment

Neonatal Fractures

Ankylosis. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment

Tumors. Benign Tumors. Definition/Clinical Characteristics

Radiographic Description

Differential Interpretation

Treatment

Malignant Tumors

Differential Interpretation

Treatment

References

11 Implants

Introduction

Imaging for Implant Purposes. American Academy of Oral and Maxillofacial Radiology (AAOMR) Recommendations

Phase One Imaging: Initial Examination. Recommendation 1

Recommendation 2

Recommendation 3

Pre‐operative Site‐Specific Imaging

Recommendation 4

Recommendation 5

Recommendation 6

Recommendation 7

Postoperative Imaging

Recommendation 8

Recommendation 9

Recommendation 10

Recommendation 11

CBCT Image Development

Gray Values and Hounsfield Units

Bone Density: A Key Determinant for Treatment Planning

Linear Measurement Accuracy

Mandibular Canal

Virtual Implant Placement Software

References

Appendix. Sample Reports

Introduction

General Health Report

Pathology Report

Endodontic Report

Index

WILEY END USER LICENSE AGREEMENT

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Second Edition

.....

Practitioners should continually attend continuing education (CE) courses, staying informed of the latest CBCT information. Practitioners have a legal responsibility to comply with local laws regarding CBCT use and interpretation. Patients should be informed of CBCT limitations (not a soft‐tissue imaging modality, artifacts, etc.).

In 2015, Fisher recommended a list of case types for CBCT imaging in orthodontics.

.....

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