Radiographic and diagnostic approaches for mandibular asymmetries in orthodontic practice: a narrative review.
J Clin Pediatr Dent
; 48(4): 1-15, 2024 Jul.
Article
en En
| MEDLINE
| ID: mdl-39087209
ABSTRACT
Mandibular asymmetry refers to dimensional differences between the left and right sides of the mandible in terms of size, form and volume. This condition may result in problems with functionality as well as appearance. Early intervention is often deemed optimal for addressing mandibular asymmetry; however, there is a lack of consensus regarding the diagnostic approach and strategy for identifying asymmetries in developing individuals. The purpose of this narrative review (NR) is to provide a clinician-focused update on the radiographic techniques for identifying mandibular asymmetries in orthodontic patients. Selective database searches were conducted until November 2023 to assess the available literature on mandibular asymmetry diagnosis. A health-sciences librarian developed a search strategy utilizing appropriate terms associated with mandibular asymmetry diagnosis. The databases used were Web of Science, Embase, Scopus, Liliacs and PubMed. Fifty-two studies were included in this review and data regarding the evaluation of mandibular asymmetries were presented with a narrative approach delineating clinical indications based on retrieved findings. There is no unanimous consensus on the method for diagnosing mandibular asymmetries. Cone beam computed tomography emerges as the preferred examination method for diagnosing mandibular asymmetry, thanks to the assessment of a 3D structure with a 3D image. However, the use of only orthopantomography could be advisable as a first-line diagnostic tool in children due to less radiation exposure.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Asimetría Facial
/
Tomografía Computarizada de Haz Cónico
/
Mandíbula
Límite:
Child
/
Humans
Idioma:
En
Revista:
J Clin Pediatr Dent
Asunto de la revista:
ODONTOLOGIA
/
PEDIATRIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Italia