Assessment of Maxillofacial Trauma Using CBCT: A Cross-Sectional Study on Diagnostic Efficiency and Clinical Outcomes

Authors

  • Akansh Datta
  • Richa Wadhawan
  • Anuj Kumar Sharma
  • Nishant
  • Alisha V Roshan
  • Shivraj Deshmukh

DOI:

https://doi.org/10.63682/jns.v14i16S.4332

Keywords:

CBCT, Clinical outcomes, Diagnostic efficiency, Fractures, Imaging techniques, Maxillofacial trauma, Treatment planning

Abstract

The study aims to evaluate the diagnostic efficiency of Cone Beam Computed Tomography (CBCT) in assessing maxillofacial trauma and its impact on clinical outcomes. A cross-sectional analysis was conducted on a cohort of patients presenting with maxillofacial injuries, comparing CBCT results with traditional diagnostic methods such as X-rays and clinical examinations. The diagnostic accuracy, sensitivity, and specificity of CBCT were assessed, and its role in identifying fractures, soft tissue injuries, and other traumatic anomalies was explored. Clinical outcomes, including treatment planning, post-operative recovery, and complication rates, were analyzed to determine the contribution of CBCT to improving patient management. The results showed that CBCT provided superior imaging clarity and diagnostic precision, particularly in complex fractures and anatomical regions difficult to assess with conventional imaging techniques. The study concluded that CBCT significantly enhances the diagnostic process, leading to more accurate treatment decisions and improved clinical outcomes in patients with maxillofacial trauma.

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References

Davies R, Hammond D, Ridout F, Hutchison I, Magennis P. British Association of Oral and Maxillofacial Surgeons’ National Facial Injury Surveys: Hard tissue facial injuries presenting to UK emergency departments. Br J Oral Maxillofac Surg. 2020; 58(2):152-157.

Scarfe WC, Farman AG. Cone beam computed tomography: Volume acquisition. In: White SC, Pharoah MJ, editors. Oral Radiology Principles and Interpretation. 7th ed. St. Louis, MO, USA: Mosby; 2014. p. 185-198.

Scarfe WC. Imaging of maxillofacial trauma: Evolutions and emerging revolutions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 100(2 Suppl):S75-S96.

Eskandarlou A, Poorolajal J, Talaeipour AR, Talebi S, Talaeipour M. Comparison between cone beam computed tomography in diagnostic accuracy of maxillofacial fractures in dried human skull: An in vitro study. Dent Traumatol. 2014; 30(2):162-168.

Mah JK, Danforth RA, Bumann A, Hatcher D. Radiation absorbed in maxillofacial imaging with a new dental computed tomography device. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96(4):508-513.

Schulze D, Heiland M, Thurmann H, Adam G. Radiation exposure during midfacial imaging using 4- and 16-slice computed tomography, cone beam computed tomography systems and conventional radiography. Dentomaxillofac Radiol. 2004; 33(2):83-86.

Ludlow JB, Timothy R, Walker C, Hunter R, Benavides E, Samuelson DB, Scheske MJ. Effective dose of dental CBCT—A meta analysis of published data and additional data for nine CBCT units. Dentomaxillofac Radiol. 2015; 44(1):20140197.

Ludlow JB, Ivanovic M. Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106(1):106-114.

Suomalian A, Kiljunen T, Käser Y, Peltola J, Kortesniemi M. Dosimetry and image quality of four dental cone beam computed tomography scanners compared with multislice computed tomography scanners. Dentomaxillofac Radiol. 2009; 38(6):367-378.

Davies J, Johnson B, Drage N. Effective doses from cone beam CT investigation of the jaws. Dentomaxillofac Radiol. 2012; 41(1):30-36.

Feinberg LW, Nixon PP. An update on radiation protection and the ionizing radiation regulations. Dent Update. 2023;48(6):707-709.

Shah S, Uppal SK, Mittal RK, Garg R, Saggar K, Dhawan R. Diagnostic tools in maxillofacial fractures: Is there really a need for three-dimensional computed tomography? Indian J Plast Surg. 2016; 49(2):225-233.

Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta-analysis—One billion living people have had traumatic dental injuries. Dent Traumatol. 2018; 34(2):71-86.

Tagar H, Djemal S. Oral Surgery II: Part 1. Acute management of dentoalveolar trauma. Br Dent J. 2017; 223(6):407-416.

Long H, Zhou Y, Ye N, Liao L, Jian F, Wang Y, Lai W. Diagnostic accuracy of CBCT for tooth fractures: A meta-analysis. J Dent. 2014; 42(3):240-248.

Sha X, Jin L, Han J, Li Y, Zhang L, Qi S. Comparison between periapical radiography and cone beam computed tomography for the diagnosis of anterior maxillary trauma in children and adolescents. Dent Traumatol. 2022;38(1):62-70.

Bernardes RA, de Moraes IG, Duarte MAH, Azevedo BC, de Azevedo JR, Bramante CM. Use of cone-beam volumetric tomography in the diagnosis of root fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108(2):270-277.

Chavda R, Mannocci F, Andiappan M, Patel S. Comparing the in vivo diagnostic accuracy of digital periapical radiography with cone-beam computed tomography for the detection of vertical root fracture. J Endod. 2014; 40(10):1524-1529.

Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, DiAngelis AJ, Kenny DJ, Sigurdsson A, Bourguignon C, Flores MT, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2012; 28(2):88-96.

Ellis E III, Moos KF, el-Attar A. Ten years of mandibular fractures: An analysis of 2,137 cases. Oral Surg Oral Med Oral Pathol. 1985; 59(2):120-129.

Rashid A, Eyeson J, Haider D, van Gijn D, Fan K. Incidence and patterns of mandibular fractures during a 5-year period in a London teaching hospital. Br J Oral Maxillofac Surg. 2013; 51(8):794-798.

Markowitz BL, Sinow JD, Kawamoto HK Jr, Shewmake K, Khoumehr F. Prospective comparison of axial computed tomography and standard and panoramic radiographs in the diagnosis of mandibular fractures. Ann Plast Surg. 1999;42(2):163-169.

Roth FS, Kokoska MS, Awwad EE, Martin DS, Olson GT, Hollier LH, Hollenbeak CS. The identification of mandible fractures by helical computed tomography and panorex tomography. J Craniofac Surg. 2005;16(3):394-399.

Kaeppler G, Cornelius C-P, Ehrenfeld M, Mast G. Diagnostic efficacy of cone-beam computed tomography for mandibular fractures. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013; 116(1):98-104.

Kumar A, Pasha Z, Salam S, Aruna V, Kashwani R, Sachdeva K, Bhagat N. Innovative use of a double Y-shaped miniplate in complex mandibular fracture: A rare case report. Community Practitioner. 2024; 21(7):1-8.

Brooks SL, Brand JW, Gibbs S, Hollender L, Lurie AG, Omnell K, Westesson P-L, White SC. Imaging of the temporomandibular joint: A position paper of the American Academy of Oral and Maxillofacial Radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997; 83(5):609-618.

Raustia AM, Pyhtinen J, Oikarinen KS, Altonen M. Conventional radiographic and computed tomographic findings in cases of fracture of the mandibular condylar process. J Oral Maxillofac Surg. 1990; 48(12):1258-63.

Orhan K, Ozemre MO, Koseoglu Secgin C, Karslioglu H, Kamburoglu K, Gur G, Atalay Vural S. Comparison of panoramic, lateral skull projection and CBCT images in the detection of mandibular condyle fractures. Cumhur Dent J. 2021; 24(2):129-36.

Wang P, Yang J, Yu Q. MR imaging assessment of temporomandibular joint soft tissue injuries in dislocated and nondislocated mandibular condylar fractures. Am J Neuroradiol. 2009; 30(1):59-63.

Mahesh K, Viveka S, Patil K. Probability prediction of nerve injury using CBCT images in mandibular fractures: An observational study. J Indian Acad Oral Med Radiol. 2023; 35(2):191-6.

Chouake RJ, Miles BA. Current opinion in otolaryngology and head and neck surgery: Frontal sinus fractures. Curr Opin Otolaryngol Head Neck Surg. 2017; 25(4):326-31.

Gonty AA, Marciani RD, Adornato DC. Management of frontal sinus fractures: A review of 33 cases. J Oral Maxillofac Surg. 1999; 57(4):372-9.

Banica B, Ene P, Dabu A, Ene R, Cirstoiu C. Rationale for management of frontal sinus fractures. Maedica. 2013; 8(4):398-403.

McRae M, Momeni R, Narayan D. Frontal sinus fractures: A review of trends, diagnosis, treatment, and outcomes at a level 1 trauma center in Connecticut. Conn Med. 2008; 72(3):133-8.

Shintaku WH, Venturin JS, Azevedo B, Noujeim M. Applications of cone-beam computed tomography in fractures of the maxillofacial complex. Dent Traumatol. 2009; 25(4):358-66.

Kunz C, Audigé L, Cornelius C-P, Buitrago-Téllez CH, Rudderman R, Prein J. The Comprehensive AOCMF Classification System: Orbital Fractures—Level 3 Tutorial. Craniomaxillofac Trauma Reconstr. 2014;7(Suppl 1):S092-S102.

Ilankovan V, Hadley D, Moos K, El Attar A. A comparison of imaging techniques with surgical experience in orbital injuries. J Cranio-Maxillofac Surg. 1991; 19(8):348-52.

Brisco J, Fuller K, Lee N, Andrew D. Cone beam computed tomography for imaging orbital trauma—Image quality and radiation dose compared with conventional multislice computed tomography. Br J Oral Maxillofac Surg. 2014; 52(1):76-80.

Roman R, Hedeșiu M, Fildan F, Ileșan R, Mitea D, Dinu C, Băciuț M. The use of reformatted Cone Beam CT images in assessing mid-face trauma, with a focus on the orbital floor fractures. Clujul Med. 2016; 89(4):519-24.

Huang AJ, Chang CY, Thomas BJ, MacMahon PJ, Palmer WE. Using cone-beam CT as a low-dose 3D imaging technique for the extremities: initial experience in 50 subjects. Skeletal Radiol. 2015; 44(6):797-809.

Melchels FP, Feijen J, Grijpma DW. A review on stereolithography and its applications in biomedical engineering. Biomaterials. 2010; 31(24):6121-30.

Nezafati S, Javadrashid R, Rad S, Akrami S. Comparison of ultrasonography with submentovertex films and computed tomography scan in the diagnosis of zygomatic arch fractures. Dentomaxillofac Radiol. 2010; 39(1):11-6.

Shah N, Bansal N, Logani A. Recent advances in imaging technologies in dentistry. World J Radiol. 2014;6(10):794-807.

Alamri HM, Sadrameli M, Alshalhoob MA, Sadrameli M, Alshehri MA. Applications of CBCT in dental practice: a review of the literature. Gen Dent. 2012;60(5):390-400; quiz 401-2.

Brüllmann DD, et al. Correlation of cone beam computed tomography (CBCT) findings in the maxillary sinus with dental diagnoses: a retrospective cross-sectional study. Clin Oral Investig. 2012;16:1023-9.

Wang D, He X, Wang Y, Zhou G, Sun C, Yang L, et al. Topographic relationship between root apex of mesially and horizontally impacted mandibular third molar and lingual plate: cross-sectional analysis using CBCT. Sci Rep.2016; 6(1):39268.

Li F, Li J, Zhang D, Wu F. Role of computed tomography scan in dental trauma: a cross-sectional study. Dose-Response. 2018; 16(3):1559325818789837.

Chandra L, Deepa D, Atri M, Pandey SM, Passi D, Goyal J, et al. A retrospective cross-sectional study of maxillofacial trauma in Delhi-NCR Region. J Family Med Prim Care. 2019; 8(4):1453-9.

Aydin U, Gormez O, Yildirim D. Cone-beam computed tomography imaging of dentoalveolar and mandibular fractures. Oral Radiol. 2020;36(3):217-24.

Gluckman BH, Pontes CC, Du Toit J, Coachman C, Salama M. Dimensions of the dentogingival tissue in the anterior maxilla: A CBCT descriptive cross-sectional study. Int J Esthet Dent. 2021; 16(4):580-592.

Hui J, Niu Y, Jin R, Yang X, Wang J, Pan H, et al. An analysis of clinical and imaging features of unilateral impacted maxillary central incisors: A cross-sectional study. Am J Orthod Dentofacial Orthop. 2022; 161(2):e96-104.

Patil DJ, More CB, Venkatesh R, Shah P. Insight into the awareness of CBCT as an imaging modality in the diagnosis and management of ENT disorders: A cross-sectional study. Indian J Otolaryngol Head Neck Surg. 2022;74(Suppl 3):5283-93.

Abate A, Gaffuri F, Lanteri V, Fama A, Ugolini A, Mannina L, et al. A CBCT-based analysis of the correlation between volumetric morphology of the frontal sinuses and the facial growth pattern in Caucasian subjects. Head Face Med. 2022;18(1):4.

Baldini B, Cavagnetto D, Baselli G, Sforza C, Tartaglia GM. Cephalometric measurements performed on CBCT and reconstructed lateral cephalograms: a cross-sectional study providing a quantitative approach of differences and bias. BMC Oral Health. 2022; 22(1):98.

Rashid A, Feinberg L, Fan K. The application of cone beam computed tomography (CBCT) on the diagnosis and management of maxillofacial trauma. Diagnostics. 2024; 14(4):373.

Nahir CB, Çitir M, Çolak S, Keldal G. Assessment of cone beam computed tomography use in pediatric and adolescent patients: a cross-sectional study. BMC Oral Health. 2024; 24(1):1068.

Rozeboom AV, Klumpert LT, Koutris M, Dubois L, Speksnijder CM, Lobbezoo F, de Lange J. Clinical outcomes in the treatment of unilateral condylar fractures: a cross-sectional study. Int J Oral Maxillofac Surg. 2018; 47(9):1132-7.

Wadhawan R, Singh SD, Tiwari AS, Bora SP, Khareliya DK, Tamta VP. Beyond scalpel: artificial intelligence in risk prediction and managing oro-facial trauma. South East Eur J Public Health. 2024; 25(S2):1258-77.

Wadhawan R, Mishra S, Lau H, Lau M, Singh A, Mansuri S, et al. Current state and trajectory of artificial intelligence in dentistry: A review. J Dent Panacea. 2024;6(2):56-9.

Varshosaz M, Tavakoli MA, Mostafavi M, Baghban AA. Comparison of conventional radiography with cone beam computed tomography for detection of vertical root fractures: an in vitro study. J Oral Sci. 2010; 52(4):593-7.

Wadhawan R, Goyal S, Gupta JK, Agrawal A, Hussain T, Noor T. Artificial intelligence-powered image segmentation in oral radiology: applications for detecting oral carcinoma and other pathologies. Int J Appl Dent Sci. 2024;10(4):171-81.

Muñoz-Galván A, Fiori-Chíncaro GA, Agudelo-Botero AM. Applications of cone beam computed tomography of the craniofacial structure in medical specialties: a review. Rev Cient Odontol (Lima). 2022; 10(1):e100.

Puett C, Inscoe CR, Hilton RL, Regan Anderson MW, Perrone L, Puett S, et al. Applying synthetic radiography to intraoral tomosynthesis: a step towards achieving 3D imaging in the dental clinic. Dentomaxillofac Radiol. 2021; 50(2):20200159.

Thor A. Preoperative planning of virtual osteotomies followed by fabrication of patient-specific reconstruction plate for secondary correction and fixation of displaced bilateral mandibular body fracture. Craniomaxillofac Trauma Reconstr. 2016; 9(2):188-94.

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Published

2025-04-22

How to Cite

1.
Datta A, Wadhawan R, Sharma AK, Nishant N, Roshan AV, Deshmukh S. Assessment of Maxillofacial Trauma Using CBCT: A Cross-Sectional Study on Diagnostic Efficiency and Clinical Outcomes. J Neonatal Surg [Internet]. 2025Apr.22 [cited 2025Sep.21];14(16S):484-95. Available from: https://jneonatalsurg.com/index.php/jns/article/view/4332

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