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Cone Beam Computed Tomography and Digital Orthodontics
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Cone Beam Computed Tomography and Digital Orthodontics

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Digital Health Technologies".

Deadline for manuscript submissions: closed (31 July 2025) | Viewed by 3983

Editors

Dr. Matteo Saccucci

E-Mail Website
Guest Editor
Department of Oral and Maxillo-Facial Sciences, “Sapienza” University of Rome, Via Caserta 6, 00161 Rome, Italy
Interests: CBCT; clinical orthodontics; digital orthodontics; intra-oral scanners; airway; growth and development; orthodontic appliances
Special Issues, Collections and Topics in MDPI journals
Dr. Gabriele Di Carlo

E-Mail Website
Guest Editor
Department of Oral and Maxillo-Facial Sciences, “Sapienza” University of Rome, Via Caserta 6, 00161 Rome, Italy
Interests: CBCT; clinical orthodontics; digital orthodontics; intra-oral scanners; airway; growth and development; orthodontic appliances
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

In dentistry, CBCT is now the most commonly used technology to acquire digital data on the anatomy of the nose and pharynx. The reduced costs and radiation dose for the patient compared to magnetic resonance imaging (MRI) and CT have contributed to the increased use of this technology. This opens the path to digitalizing orthodontics procedures. Digitalization in orthodontics has fundamentally transformed clinical practices, introducing new methodologies and tools to enhance the precision, efficiency, and treatment outcomes. Digital orthodontics employs advanced technologies such as intraoral scanners, virtual design software, and 3D printers to improve every phase of the orthodontic process. Using specialized software, orthodontists can virtually analyze the patient’s occlusion, plan tooth movement, and simulate the desired treatment outcomes. This virtual design enables precise and personalized treatment planning, optimizing the effectiveness of orthodontic appliances and reducing overall treatment time. Moreover, 3D printers enable the production of physical dental models and custom orthodontic appliances directly from digital data, eliminating the need for manual laboratory techniques and increasing the reproducibility and accuracy of the final result.

In conclusion, digital orthodontics represents a significant evolution in contemporary orthodontics, offering a more precise, efficient, and personalized approach to orthodontic treatment. By integrating advanced digital technologies into the clinical workflow, orthodontists can achieve superior results and enhance patient experience.

We are pleased to invite you to contribute to the following Special Issue, which aims to describe the state of the art of Cone Beam Computed Tomography and digital application in orthodontics.

In this Special Issue, original research articles, short communication, and reviews are welcome. Research areas may include (but are not limited to) the following:

  • Cone beam computed tomography and Orthodontics
  • Airway and Craniofacial development and its clinical implications
  • Digital orthodontics
  • Digital planning in orthodontics
  • Aligners in orthodontic daily practice

I look forward to receiving your contributions.

Dr. Matteo Saccucci
Dr. Gabriele Di Carlo
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-anonymized peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • orthodontics
  • CBCT
  • clinical orthodontics
  • digital orthodontics
  • intra-oral scanners
  • airway
  • growth and development
  • orthodontic appliances
  • CAD CAM technology in orthodontics
  • clinical treatment in orthodontics

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Published Papers (2 papers)

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17 pages, 2684 KB  
Case Report
“Diving into the Gray Zone”: A Case Report of a 19-Year-Old Patient Treated with Tooth-Borne Rapid Maxillary Expansion
by Valentina Coviello, Davide Gentile, Edoardo Staderini, Andrea Camodeca, Angela Guarino and Massimo Cordaro
Healthcare 2025, 13(22), 2854; https://doi.org/10.3390/healthcare13222854 - 10 Nov 2025
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Abstract
Background: This case report aimed to quantify dental, alveolar, and skeletal changes, periodontal health, and sleep quality after treatment with a tooth-borne rapid palatal expander (RPE) in a young adult with bilateral posterior crossbite due to transverse maxillary deficiency. Tooth-borne RPE is typically [...] Read more.
Background: This case report aimed to quantify dental, alveolar, and skeletal changes, periodontal health, and sleep quality after treatment with a tooth-borne rapid palatal expander (RPE) in a young adult with bilateral posterior crossbite due to transverse maxillary deficiency. Tooth-borne RPE is typically indicated during the prepubertal or pubertal growth phases; however, some post-pubertal or young adult patients may still present with incomplete maturation of the midpalatal suture—the so-called “gray zone.” In clinical practice, treatment decisions should ideally consider multiple skeletal resistance areas (the zygomaticomaxillary buttress, the pterygomaxillary junction, the nasal aperture pillars), although midpalatal suture assessment often remains central to case selection. Methods: A 19-year-old male patient presented with a skeletal Class III tendency, dental crowding, and anterior and bilateral posterior crossbites, accompanied by snoring and breathing difficulties. The patient declined surgical- and miniscrew-assisted RPE. Cone-beam computed tomography (CBCT) scan revealed incomplete midpalatal suture maturation. Based on periodontal evaluation, a conventional tooth-borne RPE was chosen. Pre- and post-expansion CBCT scans were used to evaluate dental, skeletal, and periodontal outcomes. Results: After one year of treatment, bilateral posterior crossbite was successfully corrected. Buccal bone thickness showed a slight reduction only on the upper left first molar (from 1.2 mm to 0.9 mm), without evidence of dehiscence or fenestration. A 2° increase in the dental tipping angle (DTA) was observed on both molars, and the palatal alveolar angle (PAA) increased by 3°. Sutural separation expanded from 0.32 mm to 7.82 mm. The Midpalatal Opening Related to Expander Opening (MORE) factor was 0.54, indicating a predominantly skeletal response. Periodontal health remained stable, and CBCT analysis confirmed increases in intermolar width (from 36.08 mm to 50.02 mm) and palatal maxillary width (from 28.04 mm to 34.5 mm). A reduction in the Pittsburgh Sleep Quality Index (PSQI) from 7 to 3 was observed, though this finding should be interpreted cautiously due to its subjective nature and the absence of objective airway measurements. Conclusions: The present case report suggests that tooth-borne RPE may represent a viable and minimally invasive option for correcting posterior crossbite in carefully selected young adults with incomplete midpalatal suture maturation. However, the findings are limited to a single case with short follow-up and should be regarded as hypothesis-generating rather than conclusive. Full article
(This article belongs to the Special Issue Cone Beam Computed Tomography and Digital Orthodontics)
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15 pages, 438 KB  
Systematic Review
Ten Years of Cone-Beam CT Airway Studies on Their Relationship with Different Anteroposterior Skeletal Patterns: A Systematic Review
by Matteo Saccucci, Miriam Fioravanti, Aurora Pasqualini, Iole Vozza, Valeria Luzzi, Gaetano Ierardo, Paolo Maria Cattaneo, Antonella Polimeni and Gabriele Di Carlo
Healthcare 2025, 13(3), 208; https://doi.org/10.3390/healthcare13030208 - 21 Jan 2025
Cited by 1 | Viewed by 1842
Abstract
Objectives: Given the widespread adoption of CBCT in clinical and research activity, it seems reasonable to critically evaluate the evidence produced on the investigations over the relationship between upper airway morphology and skeletal malocclusions patterns. Methods: The analysis method and inclusion criteria were [...] Read more.
Objectives: Given the widespread adoption of CBCT in clinical and research activity, it seems reasonable to critically evaluate the evidence produced on the investigations over the relationship between upper airway morphology and skeletal malocclusions patterns. Methods: The analysis method and inclusion criteria were pre-specified and documented in a protocol to minimize the risk of post hoc selective bias. A methodological quality grading system was used to identify the most valuable studies. Results: The nine selected articles, published between 2009 and 2020, involved subjects recruited from existing databases. The average methodological quality grading assessment score was 18.6 (range: minimum 16, maximum 23). Methodological quality scores ranged from 36.1% to 63.8% of the maximum possible score, with an average quality score of 51.1%. No high-quality studies were found in the sample. Conclusions: This systematic review revealed that no high-quality studies have compared upper airway morphology with skeletal patterns using cone-beam computed tomography. The heterogeneity of the results did not confirm strong evidence of a direct correlation between skeletal patterns and upper airway morphology. This appears to be due to a lack of consistency in CBCT protocols. Full article
(This article belongs to the Special Issue Cone Beam Computed Tomography and Digital Orthodontics)
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