A radiation free alternative to CBCT volumetric rendering for soft tissue evaluation

Authors

  • Giovanna Perrotti Lake Como Institute, Como, Italia. https://orcid.org/0000-0002-0889-9650
  • Rodolfo Reda Sapienza Università di Roma, Dipartimento di Scienze Odontosomatologiche e Maxillo Facciali, Roma, Italia.; Saveetha Institute of Medical and Technical Sciences, Department of Prosthodontics and Implantology, Saveetha Dental College and Hospitals. Chennai, India. https://orcid.org/0000-0003-1532-6524
  • Ornella Rossi Lake Como Institute, Como, Italia. https://orcid.org/0000-0002-6116-9892
  • Isabella D’Apolito Università Cattolica del Sacro Cuore, School of Dentistry. Rome, Italy. https://orcid.org/0000-0001-6281-1157
  • Tiziano Testori Lake Como Institute, Como, Italia.; IRCCS Istituto Ortopedico Galeazzi, Clinica Odontoiatrica, Sezione di Implantologia e Riabilitazione Orale. Milano, Italia.; Università degli Studi di Milano, Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche. Milano, Italia.; University of Michigan, School of Dentistry, Department of Periodontics and Oral Medicine. Ann Arbor, MI, USA. https://orcid.org/0000-0001-7901-8120
  • Luca Testarelli Sapienza Università di Roma, Dipartimento di Scienze Odontosomatologiche e Maxillo Facciali, Roma, Italia.; Saveetha Institute of Medical and Technical Sciences, Department of Prosthodontics and Implantology, Saveetha Dental College and Hospitals. Chennai, India. https://orcid.org/0000-0003-3904-3000

DOI:

https://doi.org/10.4322/bds.2023.e3726

Abstract

Objective: The aim of the present study is to evaluate whether a “radiation free” method using 3D facial scan can replace Cone Beam Computed Tomography (CBCT) volumetric rendering of soft tissue of the patient to assess maxillofacial surgery outcomes and compare the reference points and angular measurements of patient facial soft tissue. Material and Methods: Facial soft tissue scan of the patient’s face, before and after orthognathic surgery and a CBCT of the skull for volumetric rendering of soft tissues were carried out. The 3D acquisitions were processed using Planmeca ProMax 3D ProFace® software (Planmeca USA, Inc.; Roselle, Illinois, USA). The participant were positioned in a natural position during the skull scannering. Three sagittal angular measurements were performed (Tr-NA, Tr-N-Pg, Ss-N-Pg) and two verticals (Go-N-Me, Tr-Or-Pg) on facial soft tissue scan and on the patient’s 3D soft tissue CBCT volumetric rendering. Results: A certain correspondence has been demonstrated between the measurements obtained on the Proface and those on the CBCT. Conclusion: A radiation free method was to be considered an important diagnostic tool that works in conditions of not subjecting the patient to harmful ionizing radiation and it was therefore particularly suitable for growing subjects. The soft tissue analysis based on the realistic facial scan has shown sufficient reliability and reproducibility even if further studies are needed to confirm the research result.

Keywords

CBCT; Ionizing radiation; Soft tissue; Orthodontics; Diagnosis.

Author Biography

Rodolfo Reda, Sapienza Università di Roma, Dipartimento di Scienze Odontosomatologiche e Maxillo Facciali, Roma, Italia.; Saveetha Institute of Medical and Technical Sciences, Department of Prosthodontics and Implantology, Saveetha Dental College and Hospitals. Chennai, India.

Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161, Rome, Italy;

Department of Prosthodontics and Implantology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai 600077, India

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Published

2023-03-24

Issue

Vol. 26 No. 1 (2023): Jan - Mar / 2023 - Published Jan 2023

Section

Clinical or Laboratorial Research Manuscript