scholarly journals An Extrafollicular Adenomatoid Odontogenic Tumor Mimicking a Periapical Cyst

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Farzaneh Mosavat ◽  
Roxana Rashtchian ◽  
Negar Zeini ◽  
Daryoush Goodarzi Pour ◽  
Shabnam Mohammed Charlie ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Panoramic Radiograph ◽  
Common Type ◽  
Odontogenic Tumor ◽  
Cone Beam ◽  
Adenomatoid Odontogenic Tumor ◽  
Dental Practitioner ◽  
Radiolucent Lesion ◽  
Periapical Cyst

Adenomatoid odontogenic tumor (AOT) is a rare noninvasive odontogenic tumor that occurs mostly in the second decade of life. Based on its tooth association, AOT can be classified into three categories of follicular, extrafollicular, and peripheral types; the follicular classification is considered as the most common type of AOT. This study reported a large extrafollicular case of AOT in a 40-year-old female. She was asymptomatic and tumor was detected accidentally by her dental practitioner. Since the panoramic radiograph showed a well-defined unilocular radiolucent lesion, we observed radiopaque spots within the lesion by using cone beam computed tomography. The extrafollicular type can mimic a periapical radiolucent lesion.

scholarly journals Association between imaging and clinical findings in mandibular third molar surgeries

2018 ◽  
Vol 23 (1) ◽  
Author(s):  
Marcelo Bonifácio da Silva Sampieri ◽  
Danilo Da Silva Correa ◽  
Francisca Lívia Parente Viana ◽  
Thaís Sumie Nozu Imada ◽  
Josfran Da Silva Ferreira Filho ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Statistical Significance ◽  
Third Molar ◽  
Panoramic Radiograph ◽  
Mandibular Canal ◽  
Clinical Findings ◽  
Cone Beam ◽  
The Third ◽  
Close Relationship

Objective: it is important to evaluate the position andestablish the third molar relationship with the mandibularcanal to minimize the risk of nerve injury and assistin planning the extraction of this tooth. The panoramicradiograph is the standard diagnostic tool for this purpose.However, if it indicates a close relationship betweenthe third molar and the mandibular canal, furtherinvestigation using cone beam computed tomography(CBCT) may be recommended to check the three-dimensionalrelationship between the tooth and the mandibularcanal. Thus, this study aimed to correlate the clinicalfindings (observed in third molar surgeries) to imagingfindings (observed in panoramic radiographs andCBCT). Subjects and method: after the extraction of 20mandibular third molars, the panoramic radiograph andthe cone beam computed tomography were analyzed.Then, the surgical findings were correlated to the imagefindings. Results: It was observed that the radiographicfinding type 2 (darkening of roots) observed in the panoramicradiograph presented a greater relation to theabsence of cortical bone between the mandibular canaland the third molar (CBCT finding), with statistical significance(p

scholarly journals Assessment of the Mandibular Incisive Canal by Panoramic Radiograph and Cone-Beam Computed Tomography

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Ricardo Raitz ◽  
Elisabeth Shimura ◽  
Israel Chilvarquer ◽  
Marlene Fenyo-Pereira
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Preoperative Planning ◽  
Panoramic Radiograph ◽  
Mental Foramen ◽  
Cone Beam ◽  
Anterior Portion ◽  
Incisive Canal ◽  
Significant Difference ◽  
Examination Methods

Objectives.The region between mental foramens is considered as a zone of choice for implants. However, complications may arise due to an extension anterior to the mental foramen that forms the mandible incisive canal [MIC]. Our goal is to evaluate identification of MIC by both panoramic radiograph [PAN] and cone-beam computed tomography [CBCT].Methods.150 cases with bilateral MIC were analyzed. Images of a radiolucent canal, within the trabecular bone, surrounded by a radiopaque cortical bone representing the canal walls, and extending to the anterior portion beyond the mental foramen, were considered by two independent radiologists as being images of MIC. PAN and CBCT of these cases were evaluated by 2 other radiologists at different times. Agreement between results of examination methods was assessed by the Kappa coefficient. The interexaminer and intramethod rates for detection of MIC were analyzed by the McNemar test. Gender, mandible side, examiner, and type of method were analyzed by the generalized estimating equations [GEE] model.Results.significant difference between examiners [PAN: P=0.146; CBCT:P=0.749] was not observed. Analysis by GEE model showed no significant difference between genders[P=0.411]and examiners[P=0.183]. However, significant difference was observed for identification in both mandible right side[P=0.001], where the identification frequency was higher, and CBCT method[P<0.001].Conclusions.PAN was not shown to be a safe examination to identify MIC. CBCT should always be used in preoperative planning and to reduce the number of complications in implant surgeries.

scholarly journals Clinical Dilemma and the Role of Cone-Beam Computed Tomography in the Diagnosis of an Unusual Presentation of Central Odontogenic Tumor—A Case Report

2021 ◽  
Vol 31 (03) ◽  
pp. 782-788
Author(s):  
Mouttoukichenin Surenthar ◽  
Subramanian Vasudevan Srinivasan ◽  
Vannathan Kumaran Jimsha ◽  
Ramanathan Vineeth
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Unusual Presentation ◽  
Odontogenic Tumor ◽  
Cone Beam ◽  
Diagnostic Challenge ◽  
Cross Sectional ◽  
Clinical Dilemma ◽  
The Right

AbstractCone beam computed tomography (CBCT) provides a detailed analysis of the dentition and of cortical and medullary bone free of superimposition inherent in radiographs, which are effortlessly plausible, easily available, and relatively inexpensive when compared with other cross-sectional imaging modalities such as computed tomography (CT) and magnetic resonance imaging (MRI). This article presents a case report of a 23-year-old male patient with a complaint of a mass in the right side lower back tooth region for the past 2 and a half months, which had the unusual presentation of prominent exophytic growth masking the central odontogenic tumor, wherein the diagnostic performances of CBCT in unveiling the diagnostic challenge that led to the clinical dilemma is emphasized. Routine radiographs such as orthopantomogram, mandibular occlusal view were taken along with CBCT, which accentuated the precise diagnosis in this case. The lesion was surgically enucleated with curettage and extraction of the involved teeth. CBCT unveiled the classic multilocularity of ameloblastoma, which routine imaging failed to display. CBCT played a pivotal role in counteracting the diagnostic challenges faced and also in distinguishing it from a cystic lesion that was initially deceived by routine two-dimensional radiographs.

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