Clinical indications for digital imaging in dento‐alveolar trauma. Part 1: traumatic injuries
Open accessAbstract
Abstract – Traumatized teeth present a clinical challenge with regard to their diagnosis, treatment plan, and prognosis. Recent developments in imaging systems have enabled clinicians to visualize structural changes effectively. Computed tomography, magnetic resonance imaging and cone beam computed tomography are among the most commonly used systems for dental and maxillofacial surgery. The purpose of this review is to describe the advantages and disadvantages of each technique and the clinical application for dento‐alveolar trauma. Three clinical cases are described to illustrate the potential use of the NewTom 3G for diagnosis and treatment plan of dento‐alveolar traumatic injuries.
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Cone beam computerized tomography provides enhanced visualization of traumatic dental injuries, particularly root fractures, crown/root fractures and lateral luxations, and can help determine fracture location, extent and direction.
“Cone beam computerized tomography (CBCT) provides enhanced visualization of TDIs, particularly root fractures, crown/root fractures and lateral luxations. CBCT helps to determine the location, extent and direction of a fracture. In these specific injuries, 3D imaging can be useful and should be considered, if available. 10-12”
From International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. (2020) · cites this paper as [11]
The Discussion says CBCT improved diagnosis of traumatic injuries, and Case 1 shows it revealing the location and oblique course of a root fracture. Case 2 shows CBCT disclosing a more severe lateral luxation than radiographs indicated. The paper does not specifically address crown/root fractures, so that part of the attributed list is unsupported (page numbers unavailable in our copy). (LLM, conf=0.86)
Experimental — accuracy not yet measuredCone beam computerized tomography (CBCT) provides enhanced visualization of traumatic dental injuries, particularly root fractures, crown/root fractures and lateral luxations.
“Cone beam computerized tomography (CBCT) provides enhanced visualization of TDIs, particularly root fractures, crown/root fractures and lateral luxations.”
From International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. (2020) · cites this paper as [11]
The Discussion (page not available) says CBCT improved diagnosis of traumatic injuries. Case 1 shows CBCT revealing details of a root fracture, and Case 2 shows it revealing a more severe lateral luxation than radiographs suggested. The passages do not establish the claimed benefit specifically for crown/root fractures. (LLM, conf=0.87)
Experimental — accuracy not yet measuredCBCT helps to determine the location, extent and direction of a fracture.
“CBCT helps to determine the location, extent and direction of a fracture.”
From International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. (2020) · cites this paper as [11]
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Bourguignon, C., Cohenca, N., Lauridsen, E., Flores, M. T., O'Connell, A. C., Day, P. F., Tsilingaridis, G., Abbott, P. V., Fouad, A. F., Hicks, L., et al. (2020) · Dental Traumatology · doi:10.1111/edt.12578 · Cited by 803 · see citing works
“11 A guiding principle when considering exposing a patient to ionizing radiations (eg, either 2D or 3D radiographs) is whether the image is likely to change the management of the injury.”
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Self-citation
- Authors
- Cohenca, N., Simon, J. H., Roges, R., Morag, Y., & Malfaz, J. M.
- Affiliations
- University of Washington (US)
- University of Southern California (US)
- University of Michigan (US)
- Corresponding author
- Cohenca, Nestor
- Venue
- Dental Traumatology
- Publisher
- Wiley
- Published
- 2006-12-05
- Volume
- 23
- Issue
- 2
- Pages
- 95-104
- ISSN
- 1600-4469 (ISSN-L)
- 1600-9657
- OpenAlex
- W2070157219
- Cited by
- 209
- References
- 52
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 7 · 2023: 8 · 2022: 11 · 2021: 11 · 2020: 8 · 2019: 11 · 2018: 7 · 2017: 13 · 2016: 13 · 2015: 13 · 2014: 19 · 2013: 13 · 2012: 17
- FWCI
- 8.29
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Dental Traumatology (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Topics
- Health Sciences › Dentistry › Oral Surgery › Dental Radiography and Imaging
- Health Sciences › Health Professions › Emergency Medical Services › Dental Trauma and Treatments
- Health Sciences › Medicine › Surgery › Facial Trauma and Fracture Management
- Keywords
- dental trauma, digital imaging, cone-beam computed tomography, computed tomography, magnetic resonance imaging, treatment planning, maxillofacial surgery
- MeSH terms
- Adolescent, Adult, Dental Pulp Necrosis, Humans, Incisor, Magnetic Resonance Imaging, Male, Maxilla, Tomography, X-Ray Computed, Tooth Fractures, Tooth Avulsion, Tooth Root, Tooth Injuries, Radiography, Dental, Digital, Imaging, Three-Dimensional
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