AI Article Synopsis

  • The study aimed to compare the imaging characteristics of mandibular ameloblastomas and odontogenic keratocysts (OKC) using panoramic radiographs (PR) and CT scans.
  • Nine cases each of ameloblastomas and OKC were analyzed for features like shape, internal structure, borders, and bone erosion through both imaging methods.
  • The results indicated that while PR is useful for locating lesions, CT offered more detailed insights into various aspects like bone structure and tooth root resorption, highlighting that ameloblastomas uniquely showed tooth root resorption.

Article Abstract

Objectives:: The purpose of this study was to describe and compare the main imagenological features of mandibular ameloblastomas and odontogenic keratocyst (OKC) using panoramic radiograph (PR) and CT.

Methods:: The sample consisted of nine cases of ameloblastomas and nine cases of OKC. PR and CT images were analyzed according to shape, internal structure, borders, associated unerupted tooth, root resorption, expansion and perforation of cortical bones.

Results:: PR evaluation allowed the identification of the lesion's location, presence of sclerosis in the periphery, presence of associated non-erupted tooth and expansion of the mandible's lower border cortical bone. CT was more accurate than PR in the assessment of the lesion shape, presence of inner bone septa, root resorption, buccolingual expansion and rupture of cortical bone. Most cases of ameloblastoma and OKC presented buccolingual expansion and erosion of cortical bone. Only ameloblastomas showed tooth root resorption.

Conclusions:: Although PR is very helpful and widely used, CT provides more precise information on buccolingual expansion, calcification, bone septa, perforation of cortical bones and tooth resorption, features that are frequently underdescribed in the literature, particularly in OKC.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196060PMC
http://dx.doi.org/10.1259/dmfr.20170288DOI Listing

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