Detection of Radiolucid Lesions in Digital Panoramic Radiographs
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This study evaluated the presence of radiolucid lesions in digital panoramic radiographs from the archives of the State University of Paraiba (UEPB) Diagnostic Imaging Clinic, performed in 2017. After surveying the radiographs performed by the service in that year, those with radiolucent lesions were selected, being excluded those with poor quality and with patient positioning errors. By means of a structured form, the characteristics observed in the radiographs were recorded by a single trained and calibrated observer. The analysis took place through descriptive statistics and all ethical aspects were respected. There was a low prevalence (14.2%) of radiographs with radiolucent lesions, which mainly affected young female patients. These lesions were small in size, located predominantly in the posterior periapical region of the mandible, with a unilocular aspect, being associated with a posterior tooth, mainly premolar. Inflammatory lesions were the most prevalent, with a presumptive diagnosis highlighting the predominance of abscesses followed by cysts/granulomas. The dentigerous cyst was the third most prevalent odontogenic lesion, occurring in its entirety in females. Odontogenic keratocysts and Stafne's bone cavity were also detected.
References
-
S. Mallya and E. Lam. White and Pharoah’s Oral Radiology: Principles and interpretation. 8th ed. Maryland: Elsevier, 2018.
Google Scholar
1
-
A. Gohel, A. Villa, and O. Sakai, “Benign Jaw Lesions,” Dent Clin North Am. vol. 60, pp.125-141, 2016.
Google Scholar
2
-
A. J. Langaroodi, S. S. Lari, A. Shokri, H. S. H. Zarch, and P. Akbari, “Intraosseus benign lesions of the jaws: a radiographic study,” Iran J Radiol. vol. 11, pp. 7683-7687, 2014.
Google Scholar
3
-
L. Avril, T. Lombardi, A. Ailianou, K. Burkhardt, A. Varoquaux, P. Scolozzi, and M. Becker, “Radiolucent lesions of the mandible: a pattern-based approach to diagnosis,” Ins Image, vol. 5, pp. 85-101, 2014.
Google Scholar
4
-
T. Koivisto, W. R. Bowles, and M. Rohrer, “Frequence and distribuition of radiolucent jaw lesions: A retrospective analysis of 9.723 cases,” J Endod, vol. 38, pp.709-732, 2012.
Google Scholar
5
-
A. K. Ei-Naggar, J. K. C. Chan, J. R. Grandis, T. Takat, and P. J. Slootweg. WHO Classification of Head and Neck Tumours. 4th ed. Lyon: IARC. 2017.
Google Scholar
6
-
M. Harmon, M. Arrigan, M. Toner, and S. A. Okeeffe, “A radiological approach to benign and malignant lesion of the mandible,” Clin Radiol, vol .70, pp. 335-350, 2015.
Google Scholar
7
-
M. Çaliskan, M. E. Kaval, U. Tekin, and T. Unal, “Radiographic and histological evaluation of persistet periapical lesions associated with endodontic failures after apical microsurgery,” Int Endod J, vol. 49, pp. 1011-1019, 2015.
Google Scholar
8
-
J. Araujo, C. A. Lemos, T. G. Miniello, and F. A. Alves, “The relevance of clinical and radiographic features of jaw lesions: A prospective study”, Braz Oral Res, vol. 30, pp. 96-104, 2016.
Google Scholar
9
-
L. X. Wei, F. H. Pei, S. Z. Syed, E. K. Wei Ling, K. V. Suresh, K. B. Abd Muttalib, and D. D. Dicksit, “Radiographic assessment of apical root resorption in inflammatory periapical pathologies,” J Indian Acad Oral Med Radiol, vol. 30, pp. 132-136, 2018.
Google Scholar
10
-
K. Becconsall-Ryan, D. Tong, and R. M. Love, “Radiolucent inflammatory jaw lesions:a twenty-year analysis,” Int Endod,. vol. 43, pp. 859-865, 2010.
Google Scholar
11
-
M. C. C. Antoniazzi, P. L. D. Carvalho, and C. H Koide, “Importance of knowledge about radiographic anatomy for the interpretation of boné pathologies,” RGO, vol. 56, pp. 195-199, 2008. [In Portuguese].
Google Scholar
12
-
D. P. Tavares, J. T. Rodrigues, T. C. R. B. Santos, L. Armada, and F. R. Pires, “Clinical and radiological analyses of a series of periapical cysts and periapical granulomas diagnosed in a Brazilian population,” J Clin Exp Dent, vol. 9, pp. 129-135, 2017.
Google Scholar
13
-
H. P. Lin, Y. P. Wang, H. M. Chen, S. J. Cheng, A. Sun, and C. P. A. Chiang, “Clinicopathological study of 338 dentigerous cysts,” J Oral Pathol, vol. 42, pp. 462-467, 2013.
Google Scholar
14
-
M. Henien, C. Sproat, J. Kwok, K. Beneng, and V. Patel, “Coronectomy and dentigerous cysts: a review of 68 patients,” Oral Surg Oral Med Oral Pathol Oral Radio, vol. 123, pp. 670–674, 2017.
Google Scholar
15
-
L. L. Zhang, R. Yang, L. Zhang, W. Li, D. Macdonald-Jankowski, and C. F. Poh, “Dentigerous cyst: a retrospective clinicopathoogical analysis of 2082 dentigerous cysts in British Columbia, Canada,” Int J Oral Maxillofac Surg, vol. 39, pp. 878-882, 2010.
Google Scholar
16
-
P. Pitak-Annnop, A. Chaine, N. Oprean, K. Dhanuthai, J. Bertrand, and C. Bertolus, “Management of odontogenic keratocysts of the jaws: A ten-year experience with 120 consecutive lesions,” J Cranio Maxillofac Surg, vol. 38, pp. 358-364, 2010.
Google Scholar
17
-
B. L. Dunfee, O. Sakai, R. Pistey, and A. Gohel, “Radiologic and pathologic characteristics of benign and malignant lesions of the mandible,”. RadioGraph. vol. 26, pp. 1752-1768, 2006.
Google Scholar
18
-
A. Z. Syed, B. Jadallah, M. Uzcategui, and S. M. Shaik, “CBCT Diagnosis of a Stafne bone defect. Mich Dent Assoc, vol. 99, pp. 44-46, 2017.
Google Scholar
19
-
L. Benjelloun, N. Cherradi, A. Kessab, and S. Dghough, “An atypical odontogenic myxoma,” J Stomatol Oral Maxillofac Surg, vol. 119, pp. 154-157, 2018.
Google Scholar
20