A N Ryakhovsky1, E A Boytsova1. 1. Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
Abstract
AIM: To develop a method for automated analysis of TMJ elements based on computed tomography and a method for analyzing the features of the ratio of TMJ elements when changing the position of the mandible without repeated CT examination. MATERIAL AND METHODS: To complete method required a computer tomogram of the temporomandibular joint in habitual occlusion recorded on spiral or cone-beam imaging; and 3D scans of the dentition obtained with intraoral and laboratory scanners; computer software - 3D graphics editor that can handle volumetric CT data and 3D mesh objects. RESULTS: Analysis of the joint space of the temporomandibular joint in the entire volume, not a single slice represents a more complete and reliable information about the condition of the joint. The presented method of predicting the position of TMJ heads on the basis of obtaining bite registers eliminates the probable errors of the doctor and the need for repeated CT scans, which reduces the radiation load on the patient. Virtual simulation of movements of the mandible from the position of habitual occlusion in the position of Central correlation, protrusion, right and left literaturesee with the visualization of movements of the articular heads helps to better understand the biomechanics of the TMJ, diagnostics and to obtain valuable data about the individual characteristics of the masticatory apparatus of the patient. CONCLUSION: The developed virtual articulator (patent No. 2567604) is another useful step in the development of digital technologies in dentistry.
AIM: To develop a method for automated analysis of TMJ elements based on computed tomography and a method for analyzing the features of the ratio of TMJ elements when changing the position of the mandible without repeated CT examination. MATERIAL AND METHODS: To complete method required a computer tomogram of the temporomandibular joint in habitual occlusion recorded on spiral or cone-beam imaging; and 3D scans of the dentition obtained with intraoral and laboratory scanners; computer software - 3D graphics editor that can handle volumetric CT data and 3D mesh objects. RESULTS: Analysis of the joint space of the temporomandibular joint in the entire volume, not a single slice represents a more complete and reliable information about the condition of the joint. The presented method of predicting the position of TMJ heads on the basis of obtaining bite registers eliminates the probable errors of the doctor and the need for repeated CT scans, which reduces the radiation load on the patient. Virtual simulation of movements of the mandible from the position of habitual occlusion in the position of Central correlation, protrusion, right and left literaturesee with the visualization of movements of the articular heads helps to better understand the biomechanics of the TMJ, diagnostics and to obtain valuable data about the individual characteristics of the masticatory apparatus of the patient. CONCLUSION: The developed virtual articulator (patent No. 2567604) is another useful step in the development of digital technologies in dentistry.
Authors: Alessandro Nota; Alisa Dmitrievna Chegodaeva; Alexander Nikolaevich Ryakhovsky; Maria Alexandrovna Vykhodtseva; Laura Pittari; Simona Tecco Journal: Int J Environ Res Public Health Date: 2022-01-28 Impact factor: 3.390