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Volumetric measurement of the tongue and oral cavity with cone-beam computed tomography: A systematic review

  • Kannitha Alina, Aflah (Faculty of Dentistry, Universitas Padjadjaran) ;
  • Winny, Yohana (Department of Oral Biology, Faculty of Dentistry, Universitas Padjadjaran) ;
  • Fahmi, Oscandar (Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran)
  • Received : 2022.04.14
  • Accepted : 2022.07.06
  • Published : 2022.12.31

Abstract

Purpose: The goal of this systematic review was to compare the use of cone-beam computed tomography (CBCT) with that of computed tomography (CT) for volumetric evaluations of the tongue and oral cavity. Materials and Methods: A search for articles was conducted in accordance with the Preferred Reporting Items for Systematic Review and Meta-analyses guidelines. The PubMed, Scopus, ScienceDirect, and SAGE Journals databases were searched for articles published between 2011 and 2021. Articles were screened and assessed for eligibility. Screening involved checking for duplication, reading the title and abstract, and reading the full text. Results: The initial search retrieved 25,780 articles. Application of the eligibility criteria yielded 16 articles for qualitative analysis. Multiple uses of CBCT were identified. In several studies, researchers assessed the volumetric correlation between tongue and oral cavity volumes, as well as other parameters. Post-treatment volumetric evaluations of the oral cavity were also reported, and the reliability of CBCT was assessed. The use of CT resembled that of CBCT. Conclusion: CBCT has been used in the evaluation of tongue and oral cavity volumes to assess correlations between those volumes and with the upper airway. It has also been used for volumetric evaluation after surgical and nonsurgical procedures and to assess the relationships between tongue volume, tooth position, occlusion, and body mass index. Participants with obstructive sleep apnea and malocclusion have been evaluated, and the reliability of CBCT has been assessed. In the included studies, CT was utilized for similar purposes as CBCT, but its reliability was not assessed.

Keywords

Acknowledgement

The authors would like to acknowledge Universitas Padjadjaran for their counseling and support of this study.

References

  1. Rana SS, Kharbanda OP, Agarwal B. Influence of tongue volume, oral cavity volume and their ratio on upper airway: a cone beam computed tomography study. J Oral Biol Craniofac Res 2020; 10: 110-7. https://doi.org/10.1016/j.jobcr.2020.03.006
  2. Bandy HE, Hunter WS. Tongue volume and the mandibular dentition. Am J Orthod 1969; 56: 134-42. https://doi.org/10.1016/0002-9416(69)90230-9
  3. Oliver RG, Evans SP. Tongue size, oral cavity size and speech. Angle Orthod 1986; 56: 234-43.
  4. Sakakibara H, Tong M, Matsushita K, Hirata M, Konishi Y, Suetsugu S. Cephalometric abnormalities in non-obese and obese patients with obstructive sleep apnoea. Eur Respir J 1999; 13: 403-10. https://doi.org/10.1183/09031936.99.13240399
  5. Roehm EG. Computed tomographic measurement of tongue volume relative to its surrounding space. Am J Orthod 1982; 81: 172.
  6. Lauder R, Muhl ZF. Estimation of tongue volume from magnetic resonance imaging. Angle Orthod 1991; 61: 175-84.
  7. Cohen AM, Vig PS. A serial growth study of the tongue and intermaxillary space. Angle Orthod 1976; 46: 332-7.
  8. Sutthiprapaporn P, Tanimoto K, Ohtsuka M, Nagasaki T, Iida Y, Katsumata A. Positional changes of oropharyngeal structures due to gravity in the upright and supine positions. Dentomaxillofac Radiol 2008; 37: 130-5. https://doi.org/10.1259/dmfr/31005700
  9. Macovski A. MRI: a charmed past and an exciting future. J Magn Reson Imaging 2009; 30: 919-23. https://doi.org/10.1002/jmri.21962
  10. Suomalainen A, Kiljunen T, Kaser Y, Peltola J, Kortesniemi M. Dosimetry and image quality of four dental cone beam computed tomography scanners compared with multislice computed tomography scanners. Dentomaxillofac Radiol 2009; 38: 367-78. https://doi.org/10.1259/dmfr/15779208
  11. Lorenzoni DC, Bolognese AM, Garib DG, Guedes FR, Sant'anna EF. Cone-beam computed tomography and radiographs in dentistry: aspects related to radiation dose. Int J Dent 2012; 2012: 813768.
  12. Farman AG, Scarfe WC. The basics of maxillofacial cone beam computed tomography. Semin Orthod 2009; 15: 2-13. https://doi.org/10.1053/j.sodo.2008.09.001
  13. Liang X, Jacobs R, Hassan B, Li L, Pauwels R, Corpas L, et al. A comparative evaluation of cone beam computed tomography (CBCT) and multi-slice CT(MSCT) Part I. On subjective image quality. Eur J Radiol 2010; 75: 265-9. https://doi.org/10.1016/j.ejrad.2009.03.042
  14. Uysal T, Yagci A, Ucar FI, Veli I, Ozer T. Cone-beam computed tomography evaluation of relationship between tongue volume and lower incisor irregularity. Eur J Orthod 2013; 35: 555-62. https://doi.org/10.1093/ejo/cjr054
  15. Hikita R, Kobayashi Y, Tsuji M, Kawamoto T, Moriyama K. Long-term orthodontic and surgical treatment and stability of a patient with Beckwith-Wiedemann syndrome. Am J Orthod Dentofacial Orthop 2014; 145: 672-84. https://doi.org/10.1016/j.ajodo.2013.08.019
  16. Ding X, Suzuki S, Shiga M, Ohbayashi N, Kurabayashi T, Moriyama K. Evaluation of tongue volume and oral cavity capacity using cone-beam computed tomography. Odontology 2018; 106: 266-73. https://doi.org/10.1007/s10266-017-0335-0
  17. Grover S, Sidhu MS, Singaraju GS, Dabas A, Dogra N, Midha M. Three-dimensional evaluation of the tongue volume in different dentoskeletal patterns - a cone beam computed tomographic study. J Pharm Bioallied Sci 2021; 13(Suppl 1): S137-42.
  18. Shigeta Y, Ogawa T, Ando E, Clark GT, Enciso R. Influence of tongue/mandible volume ratio on oropharyngeal airway in Japanese male patients with obstructive sleep apnea. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 111: 239-43. https://doi.org/10.1016/j.tripleo.2010.10.013
  19. Ahn SH, Kim J, Min HJ, Chung HJ, Hong JM, Lee JG, et al. Tongue volume influences lowest oxygen saturation but not apnea-hypopnea index in obstructive sleep apnea. PLoS One 2015; 10: e0135796.
  20. Garber D, Rotsides J, Abu-Ghanem S, Bandler I, Smith A, Oyfe I, et al. Decreased tongue volume post radiation. Ann Otol Rhinol Laryngol 2020; 129: 741-7. https://doi.org/10.1177/0003489420911668
  21. Rajkumar B, Parameswaran R, Parameswaran A, Vijayalakshmi D. Evaluation of volume change in oral cavity proper before and after mandibular advancement. Angle Orthod 2021; 91: 81-7. https://doi.org/10.2319/052420-474.1
  22. Hirata RP, Schorr F, Kayamori F, Moriya HT, Romano S, Insalaco G, et al. Upper airway collapsibility assessed by negative expiratory pressure while awake is associated with upper airway anatomy. J Clin Sleep Med 2016; 12: 1339-46. https://doi.org/10.5664/jcsm.6184
  23. Schorr F, Kayamori F, Hirata RP, Danzi-Soares NJ, Gebrim EM, Moriya HT, et al. Different craniofacial characteristics predict upper airway collapsibility in Japanese-Brazilian and white men. Chest 2016; 149: 737-46. https://doi.org/10.1378/chest.15-0638
  24. Mouhanna-Fattal C, Papadopoulos M, Bouserhal J, Tauk A, Bassil-Nassif N, Athanasiou A. Evaluation of upper airway volume and craniofacial volumetric structures in obstructive sleep apnoea adults: a descriptive CBCT study. Int Orthod 2019; 17: 678-86. https://doi.org/10.1016/j.ortho.2019.08.005
  25. Iwasaki T, Saitoh I, Takemoto Y, Inada E, Kakuno E, Kanomi R, et al. Tongue posture improvement and pharyngeal airway enlargement as secondary effects of rapid maxillary expansion: a cone-beam computed tomography study. Am J Orthod Dentofacial Orthop 2013; 143: 235-45. https://doi.org/10.1016/j.ajodo.2012.09.014
  26. Abdallah FW, Yu E, Cholvisudhi P, Niazi AU, Chin KJ, Abbas S, et al. Is ultrasound a valid and reliable imaging modality for airway evaluation?: an observational computed tomographic validation study using submandibular scanning of the mouth and oropharynx. J Ultrasound Med 2017; 36: 49-59. https://doi.org/10.7863/ultra.16.01083
  27. Iwasaki T, Suga H, Yanagisawa-Minami A, Sato H, SatoHashiguchi M, Shirazawa Y, et al. Relationships among tongue volume, hyoid position, airway volume and maxillofacial form in paediatric patients with Class-I, Class-II and Class-III malocclusions. Orthod Craniofac Res 2019; 22: 9-15. https://doi.org/10.1111/ocr.12251
  28. Teramoto A, Suzuki S, Higashihori N, Ohbayashi N, Kurabayashi T, Moriyama K. 3D evaluation of the morphological and volumetric changes of the tongue and oral cavity before and after orthognathic surgery for mandibular prognathism: a preliminary study. Prog Orthod 2020; 21: 30.
  29. Halim IA, Park JH, Liou EJ, Zeinalddin M, Al Samawi YS, Bay RC. Preliminary study: evaluating the reliability of CBCT images for tongue space measurements in the field of orthodontics. Oral Radiol 2021; 37: 256-66. https://doi.org/10.1007/s11282-020-00443-0
  30. Ozbek MM, Memikoglu UT, Altug-Atac AT, Lowe AA. Stability of maxillary expansion and tongue posture. Angle Orthod 2009; 79: 214-20.
  31. Mattar SE, Anselmo-Lima WT, Valera FC, Matsumoto MA. Skeletal and occlusal characteristics in mouth-breathing preschool children. J Clin Pediatr Dent 2004; 28: 315-8. https://doi.org/10.17796/jcpd.28.4.hg0k800564031787
  32. Proffit WR. Equilibrium theory revisited: factors influencing position of the teeth. Angle Orthod 1978; 48: 175-86.
  33. Wickwire NA, White RP Jr, Proffit WR. The effect of mandibular osteotomy on tongue position. J Oral Surg 1972; 30: 184-90.
  34. Iida-Kondo C, Yoshino N, Kurabayashi T, Mataki S, Hasegawa M, Kurosaki N. Comparison of tongue volume/oral cavity volume ratio between obstructive sleep apnea syndrome patients and normal adults using magnetic resonance imaging. J Med Dent Sci 2006; 53: 119-26.
  35. Stimac GP, Mekonnen AJ. Obstructive sleep apnoea in a patient with chronic lymphocytic leukaemia. BMJ Case Rep 2019; 12: e228763.
  36. Juge L, Olsza I, Knapman FL, Burke PG, Brown EC, Stumbles E, et al. Effect of upper airway fat on tongue dilation during inspiration in awake people with obstructive sleep apnea. Sleep 2021; 44: zsab192.
  37. Shokri A, Mollabashi V, Zahedi F, Tapak L. Position of the hyoid bone and its correlation with airway dimensions in different classes of skeletal malocclusion using cone-beam computed tomography. Imaging Sci Dent 2020; 50: 105-15. https://doi.org/10.5624/isd.2020.50.2.105