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Gamba Thiago Oliveira,Visioli Fernanda,Bringmann Deise Renata,Rados Pantelis Varvaki,da Silveira Heraldo Luis Dias,Flores Isadora Luana 대한영상치의학회 2024 Imaging Science in Dentistry Vol.54 No.1
Purpose: This study was conducted to investigate the safety of dental imaging in pregnant women with respect to fetal health. Materials and Methods: Searches were conducted of the PubMed, Scopus, and Web of Science databases in May 2023. The inclusion criteria encompassed cross-sectional and longitudinal studies that focused on the analysis of diagnostic dental imaging in pregnant women, as well as studies utilizing phantoms to simulate imaging examinations. The exclusion criteria consisted of reviews, letters to the editor, book chapters, and abstracts from scientific conferences and seminars. Results: A total of 3,913 articles were identified. Based on a review of the titles and abstracts, 3,892 articles were excluded, leaving 21 articles remaining for full-text review. Of these, 18 were excluded, and 4 additional articles were included as cross-references. Ultimately, 7 articles underwent quantitative-qualitative analysis. Three retrospective studies were focused on pregnant women who underwent dental imaging procedures. The remaining 4 studies utilized female phantoms to simulate imaging examinations and represent the radiation doses absorbed by the uterus or thyroid. Conclusion: Few dental radiology studies have been conducted to determine the safe radiation threshold for pregnant women. Additionally, the reviewed articles did not provide numbers of dental examinations, by type, corresponding to this dose. Dental imaging examinations of pregnant women should not be restricted if clinically indicated. Ultimately, practitioners must be able to justify the examination and should adhere to the “as low as diagnostically acceptable, being indication-oriented and patient-specific” (ALADAIP) principle of radioprotection.
Humberto R. Gamba,Marcos V. H. Rambo,Gustavo B. Borba,Joaquim M. Maia,Carlos A. S. Ramos 대한의용생체공학회 2013 Biomedical Engineering Letters (BMEL) Vol.3 No.3
Purpose Electronic foramen locators are widely used to locate the apical foramen (AF), by measuring the electrical impedance between the electrodes (ZE). There is no in vivo study that completely characterizes ZE as a function of frequency and endodontic file tip position. The results of in vivo studies of the impedance ZE and a coefficient that can be used to locate the AF are presented. Methods An electronic device was specially built to study ZE. Ten root canals were used in the experiment. The spectral attenuation of ZE was in vivo measured with the endodontic file tip placed at -3.0, -2.5, -2.0, -1.5, -1.0, -0.5 and zero millimeters from the root canal AF. At each file position the spectrum attenuation was modeled. Based on the attenuation models an endodontic spectral attenuation coefficient (ESAC)was defined. Results The in vivo results demonstrate that the spectral attenuation of the electrical impedance ZE has an exponential decay in the frequency range of the study. It was verified that ESAC can be correlated to the distance between the endodontic file tip and the apical foramen. The ESAC accuracy was assessed and the results showed that it can locate the AF with accuracy better than 0.5mm. Conclusions The spectral attenuation of ZE has an exponential decay for all file tip distances from the AF. It supports the feasibility of ESAC to accurately locate the root canal AF. Moreover, using frequencies steps of one octave makes the implementation of ESAC in an embedded system easier.
Sérgio Lúcio Pereira de Castro Lopes,Isadora Luana Flores,Thiago de Oliveira Gamba,Rivea Ines Ferreira-Santos,Mari Eli Leonelli de Moraes,Aline Alvarez Cabello,Paula Nascimento Moutinho 대한구강악안면외과학회 2017 대한구강악안면외과학회지 Vol.43 No.2
Maxillofacial images must be examined to find pathologies not identified during clinical examination. Unicystic ameloblastoma (UA) extending to the mandibular body and ramus was neglected on initial panoramic radiographic examination. After orthodontic therapy, a huge lesion was observed clinically and through imaging exams. After the conservative surgery, no recurrence was observed during five years of follow-up. This case emphasized the need for careful evaluation of patient images focusing on the oral diagnosis before any dental treatment planning, including orthodontic therapy.
Lateral pterygoid muscle volume and migraine in patients with temporomandibular disorders
Lopes, Sergio Lucio Pereira De Castro,Costa, Andre Luiz Ferreira,Gamba, Thiago De Oliveira,Flores, Isadora Luana,Cruz, Adriana Dibo,Min, Li Li Korean Academy of Oral and Maxillofacial Radiology 2015 Imaging Science in Dentistry Vol.45 No.1
Purpose: Lateral pterygoid muscle (LPM) plays an important role in jaw movement and has been implicated in Temporomandibular disorders (TMDs). Migraine has been described as a common symptom in patients with TMDs and may be related to muscle hyperactivity. This study aimed to compare LPM volume in individuals with and without migraine, using segmentation of the LPM in magnetic resonance (MR) imaging of the TMJ. Materials and Methods: Twenty patients with migraine and 20 volunteers without migraine underwent a clinical examination of the TMJ, according to the Research Diagnostic Criteria for TMDs. MR imaging was performed and the LPM was segmented using the ITK-SNAP 1.4.1 software, which calculates the volume of each segmented structure in voxels per cubic millimeter. The chi-squared test and the Fisher's exact test were used to relate the TMD variables obtained from the MR images and clinical examinations to the presence of migraine. Logistic binary regression was used to determine the importance of each factor for predicting the presence of a migraine headache. Results: Patients with TMDs and migraine tended to have hypertrophy of the LPM (58.7%). In addition, abnormal mandibular movements (61.2%) and disc displacement (70.0%) were found to be the most common signs in patients with TMDs and migraine. Conclusion: In patients with TMDs and simultaneous migraine, the LPM tends to be hypertrophic. LPM segmentation on MR imaging may be an alternative method to study this muscle in such patients because the hypertrophic LPM is not always palpable.
Lateral pterygoid muscle volume and migraine in patients with temporomandibular disorders
Sérgio Lúcio Pereira de Castro Lopes,André Luiz Ferreira Costa,Thiago de Oliveira Gamba,Isadora Luana Flores,Adriana Dibo Cruz,Li Li Min 대한영상치의학회 2015 Imaging Science in Dentistry Vol.45 No.1
Purpose: Lateral pterygoid muscle (LPM) plays an important role in jaw movement and has been implicated in Temporomandibular disorders (TMDs). Migraine has been described as a common symptom in patients with TMDs and may be related to muscle hyperactivity. This study aimed to compare LPM volume in individuals with and without migraine, using segmentation of the LPM in magnetic resonance (MR) imaging of the TMJ. Materials and Methods: Twenty patients with migraine and 20 volunteers without migraine underwent a clinical examination of the TMJ, according to the Research Diagnostic Criteria for TMDs. MR imaging was performed and the LPM was segmented using the ITK-SNAP 1.4.1 software, which calculates the volume of each segmented structure in voxels per cubic millimeter. The chi-squared test and the Fisher’s exact test were used to relate the TMD variables obtained from the MR images and clinical examinations to the presence of migraine. Logistic binary regression was used to determine the importance of each factor for predicting the presence of a migraine headache. Results: Patients with TMDs and migraine tended to have hypertrophy of the LPM (58.7%). In addition, abnormal mandibular movements (61.2%) and disc displacement (70.0%) were found to be the most common signs in patients with TMDs and migraine. Conclusion: In patients with TMDs and simultaneous migraine, the LPM tends to be hypertrophic. LPM segmentation on MR imaging may be an alternative method to study this muscle in such patients because the hypertrophic LPM is not always palpable.