{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:52:01Z","timestamp":1772160721319,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T00:00:00Z","timestamp":1667433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is no established acquisition protocol based on scientific evidence for the acquisition of cone\u2010beam computed tomography (CBCT) exams to evaluate the temporomandibular joint (TMJ).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To evaluate the influence of acquisition protocols and jaw positioning on the diagnostic accuracy of TMJ condylar morphological alterations (CMA), dimension, position and excursion\n                      <jats:italic>.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010six TMJs on 18 dry skulls were imaged using a CBCT unit (OP300 Maxio, Instrumentarium, Tuusula, Finland) at two exposure settings (4.5 and 6.3\u00a0mA), three voxel resolutions (0.085, 0.125 and 0.280\u2009mm), three jaw positions (concentric, anteriorised and posteriorised) and three jaw excursions (normoexcursion, hyperexcursion and hypoexcursion). The macroscopic anatomy examination and high\u2010resolution CBCT images were used as ground truth for CMA. Twenty\u2010five TMJs had at least one CMA with 11 healthy TMJs serving as controls. Three experienced oral and maxillofacial radiologists evaluated the parasagittal images for the presence of CMA, position and excursion and measured dimensions. The area under the ROC curve, sensitivity and specificity were calculated. Weighted Kappa (\u03b1\u00a0=\u00a00.05) was used to determine intra\u2010 and interexaminer reliability and comparisons between dependent variables analysed by Analysis of Variance at an\n                      <jats:italic>a prior<\/jats:italic>\n                      level of significance of 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The agreement of the evaluation of the position and excursion with the reference standard was high, independent of the protocol (range, 0.75\u20130.91). Various combinations of acquisition protocols and jaw position did not influence the CMA evaluation. Erosion was overdiagnosed in protocols with larger voxel sizes and the detection of osteophytes greater in images with smaller voxel sizes. The anteroposterior dimension was greater in the open jaw position (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CBCT protocols using reduced radiation exposure from the CBCT machine evaluated in this study can be used to assess condylar morphology, dimension, position and excursion, without compromising diagnostic performances for these parameters.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13381","type":"journal-article","created":{"date-parts":[[2022,10,22]],"date-time":"2022-10-22T03:19:17Z","timestamp":1666408757000},"page":"1-11","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Do cone\u2010beam computed tomography low\u2010dose protocols affect the evaluation of the temporomandibular joint?"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4795-5248","authenticated-orcid":false,"given":"Larissa","family":"de Oliveira Reis","sequence":"first","affiliation":[{"name":"Department of Dentistry Federal University of Juiz de Fora (UFJF\u2010GV)  Governador Valadares Brazil"},{"name":"Department of Oral Diagnosis, Piracicaba Dental School University of Campinas (UNICAMP)  Piracicaba Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5087-5022","authenticated-orcid":false,"given":"Hugo","family":"Ga\u00eata\u2010Araujo","sequence":"additional","affiliation":[{"name":"Department of Stomatology, Public Oral Health, Forensic Dentistry, School of Dentistry of Ribeirao Preto University of Sao Paulo (USP)  Ribeir\u00e3o Preto Brazil"},{"name":"Oral Radiology Section, School of Dentistry Federal University of Alfenas (UNIFAL\u2010MG)  Alfenas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1327-4724","authenticated-orcid":false,"given":"Lucas P. 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