3D Positioning of the Mandibular Head Using Radiographic Anatomical Landmarks

Oleg V. Slesarev
Samara State Medical University, Russian Federation

Karina T. Sargsyan (Login required)
Samara State Medical University, Russian Federation

Marina V. Komarova
Samara National Research University, Russian Federation

Larisa T. Volova
Samara State Medical University, Russian Federation


Paper #9117 received 19 Jun 2024; revised manuscript received 29 Aug 2024; accepted for publication 31 Aug 2024; published online 29 Sep 2024.

DOI: 10.18287/JBPE24.10.030304

Abstract

Optimizing the analysis of radiographs of temporomandibular joint (TMJ) bone structures taken with cone beam computed tomography (CBCT) is an important topic in modern dentistry. The aim of the study is to establish stable correlations between the cranial indices obtained by cone-beam computed tomography (CBCT) of the cranial bones and the position of the mandibular condyle in the mandibular fossa. Student's t-test and Pearson's correlation coefficient were used in the study. Scattergrams and Altman plots were used to visualize the data. A critical p-value of 0.05 was assumed. Craniometric points and indices were determined to analyze the radiographic anatomical images of the cranial bones acquired by CBCT in axial projection. This data can be used for 3D modeling of the construction of a bioengineered mandibular head. By analyzing the CBCT scans of the cranial bones, we found that the intersection of the mid-sagittal and frontal planes forms an angle of 90 degrees. Stable craniometric coordinates of the median-sagittal and frontal planes were determined, allowing positioning of an endoprosthesis in the mandibular fossa of the temporal bone and subsequent correct fixation of the prosthesis to the mandibular branch.

Keywords

imaging of the temporomandibular joint; cone-beam computed tomography of the temporomandibular joint; radiographic anatomy of the temporomandibular joint; craniometry

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References


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