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Intraoral bisecting-angle technique view of the right maxilla in a dog with persistent deciduous right maxillary canine (504), second premolar (506), and third premolar (507) teeth. The permanent first premolar tooth is congenitally missing, and the deciduous second premolar and third premolar teeth lack permanent successors. In terms of their radiographic appearance, note that the deciduous teeth are less radiopaque, have longer, more slender, and divergent roots than their permanent counterparts. Also, take note of the morphologic similarities that deciduous teeth have to the permanent tooth located distal to it ("molarization"); in this view, the deciduous right maxillary third premolar tooth (507) has a similar appearance to that of the permanent right maxillary fourth premolar tooth (108). The periodontal ligament space in this younger patient is distinctly wider, and is a normal feature seen in developing dogs, and may decrease in width with age.

Intraoral bisecting-angle technique view of the right maxilla in a dog with persistent deciduous right maxillary canine (504), second premolar (506), and third premolar (507) teeth. The permanent first premolar tooth is congenitally missing, and the deciduous second premolar and third premolar teeth lack permanent successors. In terms of their radiographic appearance, note that the deciduous teeth are less radiopaque, have longer, more slender, and divergent roots than their permanent counterparts. Also, take note of the morphologic similarities that deciduous teeth have to the permanent tooth located distal to it ("molarization"); in this view, the deciduous right maxillary third premolar tooth (507) has a similar appearance to that of the permanent right maxillary fourth premolar tooth (108). The periodontal ligament space in this younger patient is distinctly wider, and is a normal feature seen in developing dogs, and may decrease in width with age.

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This article describes the technical principles and indications for the most often encountered diagnostic imaging modalities in veterinary dentistry and oral surgery; with extensive coverage of intraoral (and extraoral) dental radiographic imaging and interpretation through detailed example figures of common dental and maxillofacial diseases in the...

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... that includes the tooth numbers and can be easily annotated may be useful for this purpose. Missing teeth, either congenitally missing or previously extracted (if immediately postoperative, this is referred to as a recently vacated tooth socket or sockets), persistent deciduous teeth (and whether the deciduous tooth has a permanent successor) (Fig. 6), anomalies of eruption (embedded/impacted teeth) or development (eg, craniomandibular osteopathy/CMO, periostitis ossificans), extra teeth (supernumerary), the size or shape of teeth (eg, fusion, gemination, concrescence, dilaceration, mandibular carnassial tooth malformation in the dog), are all described here (Fig. ...
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... and dogs, whereby the use of a size 0 PSP plate may be preferable. Intraoral paralleling technique view of the right mandibular premolar/ molar region in a Persian cat with a size 0 PSP plate (C). direction of the fracture line in minimally comminuted mandibular fractures) or to image the excised portion of tissue following jaw resection surgery (Fig. 16A), skull radiographs may still hold some diagnostic-medical ...
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... instances whereby the evaluation of a larger geographic region of the mandible is needed beyond the field of view that can be captured with the largest intraoral sensor or plate. Skull radiography is suitable from both an economics standpoint and to successfully screen for developmental diseases in the dog such as craniomandibular osteopathy/CMO (Fig. 16B) and periostitis ossificans (Fig. 17). The involvement of the TMJs and/or tympanic bullae in CMO, however, can only be formally evaluated by CT/CBCT (Fig. 16C). Fig. 16. Example of an extraoral view radiograph used for medicolegal documentation following a partial incisivectomy for the treatment of a peripheral odontogenic fibroma in a ...
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... sensor or plate. Skull radiography is suitable from both an economics standpoint and to successfully screen for developmental diseases in the dog such as craniomandibular osteopathy/CMO (Fig. 16B) and periostitis ossificans (Fig. 17). The involvement of the TMJs and/or tympanic bullae in CMO, however, can only be formally evaluated by CT/CBCT (Fig. 16C). Fig. 16. Example of an extraoral view radiograph used for medicolegal documentation following a partial incisivectomy for the treatment of a peripheral odontogenic fibroma in a dog (A). Skull radiograph of a 4-month-old female Corgi dog whereby skull radiographs, in combination with histopathology, were successfully used to diagnose ...
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... plate. Skull radiography is suitable from both an economics standpoint and to successfully screen for developmental diseases in the dog such as craniomandibular osteopathy/CMO (Fig. 16B) and periostitis ossificans (Fig. 17). The involvement of the TMJs and/or tympanic bullae in CMO, however, can only be formally evaluated by CT/CBCT (Fig. 16C). Fig. 16. Example of an extraoral view radiograph used for medicolegal documentation following a partial incisivectomy for the treatment of a peripheral odontogenic fibroma in a dog (A). Skull radiograph of a 4-month-old female Corgi dog whereby skull radiographs, in combination with histopathology, were successfully used to diagnose ...
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... the dog and cat, MRI is an infrequently used imaging modality for evaluating the soft tissues of the maxillofacial region, and examples of its uses include the assessment of salivary gland diseases, staging of oral tumors, metastatic lymph nodes screening, and early diagnosis of myopathies such as masticatory muscle myositis (Fig. 36A). 38,39 When used for imaging of the jaws, T1-and T2-weighted sequencing are most common. Long study acquisition times under general anesthesia, high cost, and differing needs of veterinary patients (ie, surgery of the TMJ is not commonly performed in dogs and cats), and the emergence of CBCT as the imaging method of choice for the ...
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... veterinary dentistry and oral surgery. In the human side of the specialty, the use of MRI has seen a sharp decline, as the 1990s boom of surgical TMJ intervention has waned and the popularity of CBCT has increased. MRI studies, however, remain the reference method for evaluation of the soft tissue (articular disc) internal structures of the TMJ (Fig. ...

Citations

... The sensitivity of CBCT was very high (95.6%), which is in line with the literature findings and plausible due to the high bone resolution of CBCT [31]. The specificity of CBCT was 87%, which was slightly lower than that of CT and MRI. ...
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Background Oral squamous carcinoma (OSCC) is often diagnosed at late stages and bone erosion or invasion of the jawbone is frequently present. Computed tomography (CT) and magnetic resonance imaging (MRI) are known to have high diagnostic sensitivities, specificities, and accuracies in detecting these bone affections in patients suffering from OSCC. To date, the existing data regarding the impact of cone-beam computed tomography (CBCT) have been weak. Therefore, this study aimed to investigate whether CBCT is a suitable tool to detect bone erosion or invasion in patients with OSCC. Methods We investigated in a prospective trial the impact of CBCT in the diagnosis of bone erosion or invasion in patients with OSCC who underwent surgery. Every participant received a CBCT, CT, and MRI scan during staging. Imaging modalities were evaluated by two specialists in oral and maxillofacial surgery (CBCT) and two specialists in radiology (CT and MRI) in a blinded way, to determine whether a bone affection was present or not. Reporting used the following 3-point system: no bony destruction (“0”), cortical bone erosion (“1”), or medullary bone invasion (“2”). Histological examination or a follow-up served to calculate the sensitivities, specificities, and accuracies of the imaging modalities. Results Our results revealed high diagnostic sensitivities (95.6%, 84.4%, and 88.9%), specificities (87.0%, 91.7%, and 91.7%), and accuracies (89.5%, 89.5%, and 90.8%) for CBCT, CT, and MRI. A pairwise comparison found no statistical difference between CBCT, CT, and MRI. Conclusion Our data support the routine use of CBCT in the diagnosis of bone erosion and invasion in patients with OSCC as diagnostic accuracy is equal to CT and MRI, the procedure is cost-effective, and it can be performed during initial contact with the patient.
... Computed tomography is a cross-sectional imaging modality based on the absorption of patient X-rays [7]. This imaging technique combines X-rays and a software to develop cross-sectional views of the body without creating any overlapping anatomic structures [8]. ...
... Although textbooks on the systematic anatomy of dogs [2] and the bone anatomy of the skulls of dogs [33] usually show images of adult mesaticephalic dogs, differences were found in the TMJ related to the type of skull and breed [8,22], and there were also individual variations [22]. In a large, previous study, dolichocephalic and mesaticephalic type skulls were shown to have very similar TMJs and most of the differences were noted in small brachycephalic breeds [22]. ...
... In the dorsal and transverse planes of the TMJ, the condylar process appeared as an elongated structure with an irregular shape, being thicker around the midpoint and projecting rostrally and ventrally at this level to join the mandibular ramus. This is similar to previous descriptions but have not been supported by images [8]. In our study, 3DVR images of the medial and rostromedial views clearly showed this process. ...
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Simple Summary The temporomandibular joint (TMJ) of dogs is a bilateral joint mainly used for chewing, and subsequently, an area where pathologies are frequently seen. Computed tomography (CT) represents a very important imaging modality used to diagnose TMJ diseases in dogs. A three-dimensional representation of CT images created by a volume rendering method (3DVR) could improve our understanding of the alterations in this joint. In this study, we assessed 3DVR as an ancillary method for the description and diagnosis of TMJ pathologies in dogs. Abstract Based on computed tomography (CT) images, volume rendering was used to obtain a three-dimensional representation of data (3DVR). The aims of this study included: describing the bone anatomy of the temporomandibular joint (TMJ) of dogs; comparing the TMJs of each dog by skull type and age; comparing 3DVR images with three-standard-plane CTs; assessing soft tissues adjacent to the TMJ and assessing pathological cases. Multidetector computed tomography scans of bilateral TMJs of 410 dogs were observed. From a ventral view, slight displacements in the positions of the skulls were seen, whereas from a caudal view, differences in amplitude of the articular space were observed. Dolichocephalic and mesaticephalic dogs showed more similar TMJ features than brachycephalic dogs. The shape of the TMJ bones were irregular in dogs under 1 year old. The 3DVR images related to the three-standard-plane CT improved the overall comprehension of the changes in the articular space amplitude and condylar process morphology. The fovea pterygoidea, mandibular fossa and retroarticular process were perfectly shown. A better spatial situation of adjacent soft tissues was obtained. The 3DVR represents an ancillary method to the standard-plane CT that could help in the understanding of the anatomy and diagnoses of different pathologies of the TMJ in dogs.
Article
This retrospective case series describes a combined ventral extraoral and intraoral approach for mandibulectomy in cats and highlights the importance of prompt management of the postoperative iatrogenic malocclusion through dental extraction, crown height reduction with vital pulp therapy or root canal therapy of the contralateral mandibular canine tooth. Nine cats were reviewed for signalment, history and physical examination, diagnostic workup, tumor type, mandibulectomy extension, lymph node removal as well as both intraoperative and postoperative complications. The performed surgical procedure was a combination of an extraoral approach ventrally to the mandible and an intraoral approach to remove the whole or a part of the mandible. Lymphadenectomy was achieved using the same surgical access. None of the cats had intraoperative complications. Postoperative complications were limited to regional swelling and drooling lasting a week. Seven cats were able to eat immediately after the surgery. Of the other 2 cats, 1 regained the ability to eat within a month and 1 only ate from the owner's hands. The surgical approach for mandibulectomy described allowed better access and visualization of the caudal part of the mandible and direct access to regional lymph nodes. Moreover, if the expected postoperative malocclusion is managed during the same surgical procedure, there is a higher rate of postoperative eating ability compared to what is reported in the literature.