Chapter 31
Three-Dimensional Assessment of Crown Size
and Eruption Space for Developing Third Molars:
Data Collection Techniques Based on Cone-Beam
Computed Tomography (CBCT)
D. F. Marchiori, G. V. Packota, and J. C. Boughner
Abstract
Third molar development and eruption are two related areas of major interest in dental research into the
etiology of “wisdom tooth” impaction. Third molars are not only an excellent model for studying dental
development but also of fundamental clinical importance because they are very frequently impacted.
Because the third molar is located in the distal-most region of the oral cavity, clinical access is relatively
challenging. With the increasingly widespread use of cone-beam computed tomography (CBCT) in
dentistry, studies and measurements of the third molar and its eruption area have become considerably
easier to do. Here we present a novel CBCT-based measurement methodology we developed for our recent
investigations that we hope will also be useful for the broader dental research community.
Key words Third molar, 3D imaging, Measurement techniques, Tooth development, Research
methods, Wisdom tooth impaction
1 Introduction
The third molar (M3) is an optimal model for studying dental
development because this distal-most molar is the only human
tooth that can be observed radiographically from initiation to
root completion [1]. Because the M3 is located in the distal and
less accessible regions of the oral cavity, its actual spatial position
relative to adjacent structures—such as the first (M1) and/or sec-
ond (M2) permanent molars—is not always accurately depicted by
conventional radiographic methods [2–4]. Simultaneously, the
technical limitations [5] of these conventional radiographic meth-
ods (e.g., elongation, distortion, superposition) traditionally used
in dental research also pose challenges for designing measurement-
based studies of M3 mineralization and eruption [6]. As a result,
3D imaging methods such as cone-beam computed tomography
Petros Papagerakis (ed.), Odontogenesis: Methods and Protocols, Methods in Molecular Biology, vol. 1922,
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