Evaluation of Sclerotic Bordered Mandibular Pathologic Lesions with Cone Beam Computed Tomography

Year 2024, Volume: 6 Issue: 3, 487 - 490, 24.09.2024

Oğuzhan Altun , Melike Kıranşal , Numan Dedeoğlu

https://doi.org/10.37990/medr.1520822

Abstract

Aim: The aim of this study was to evaluate the radiologic features of intraosseous pathologic lesions with radiolucent and cortical borders in the unilateral posterior mandible using cone beam computed tomography (CBCT).
Material and Method: In the study, the largest size, cortical expansion, and relationship of the lesion to the teeth and mandibular canal were evaluated in radiolucent lesions with cortical borders in the posterior mandible on CBCT images of 36 patients. Mandibular cortical bone thickness was compared between the lesion side and the intact side. Mann Whitney U tests were used to compare the data (p<0.050).
Results: The mean size of the lesions was 16.41 mm. The lesions showed cortical expansion in 83.3%, relationship with teeth in 86.1%, and relationship with mandibular canal in 58.3%. The mandibular cortical thickness was 3.08 mm on the lesioned side and 3.49 mm on the intact side. There was no statistical difference between these two values (p>0.05).
Conclusion: Most of the corticated border mandibular posterior pathologic lesions were found to be associated with teeth and expansion occurred. Care should be taken before surgical procedures as these lesions may be associated with the mandibular canal. There was no change in mandibular cortical thickness on the lesion side.

Keywords

Mandibula pathology, sclerotic border, cone beam computed tomography

Ethical Statement

Ethical approval was obtained

Supporting Institution

no

References

• Kumar J, Vanagundi R, Manchanda A, et al. Radiolucent jaw lesions: imaging approach. Indian J Radiol Imaging. 2021;31:224-36.
• Avril L, Lombardi T, Ailianou A, et al. Radiolucent lesions of the mandible: a pattern-based approach to diagnosis. Insights Imaging. 2014;5:85-101
• Bayrakdar IS, Yilmaz AB, Caglayan F, et al. Cone beam computed tomography and ultrasonography imaging of benign intraosseous jaw lesion: a prospective radiopathological study. Clin Oral Investig. 2018;22:1531-9. Erratum in: Clin Oral Investig. 2018;22:1611.
• Jones AV, Craig GT, Franklin CD. Range and demographics of odontogenic cysts diagnosed in a UK population over a 30-year period. J Oral Pathol Med. 2006;35:500-7.
• da Silva LP, Gonzaga AK, Severo ML, et al Epidemiologic study of odontogenic and non-odontogenic cysts in children and adolescents of a Brazilian population. Med Oral Patol Oral Cir Bucal. 2018;23:e49-53.
• Mascitti M, Togni L, Troiano G, et al Odontogenic tumours: a 25-year epidemiological study in the Marche region of Italy. Eur Arch Otorhinolaryngol. 2020;277:527-38
• Barros CC, Santos HB, Cavalcante IL, et al. Clinical and histopathological features of nasopalatine duct cyst: a 47-year retrospective study and review of current concepts. J Craniomaxillofac Surg. 2018;46:264-8
• Johnson NR, Savage NW, Kazoullis S, Batstone MD. A prospective epidemiological study for odontogenic and non-odontogenic lesions of the maxilla and mandible in Queensland. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;115:515-22.
• Hendra FN, Van Cann EM, Helder MN, et al. Global incidence and profile of ameloblastoma: a systematic review and meta-analysis. Oral Dis. 2020;26:12-21.
• MacDonald D. Lesions of the jaws presenting as radiolucencies on cone-beam CT. Clin Radiol. 2016;71:972-85.
• White SC, Pharoah MJ. Oral Radiology: Principles and Interpretation. 7th edition. Elsevier Health Sciences; 2014;271-84.
• Javadian Langaroodi A, Lari SS, Shokri A, et al. Intraosseous benign lesions of the jaws: a radiographic study. Iran J Radiol. 2014;11:e7683.
• Sanatkhani M, Hoseini Zarch H, Pakfetrat A, Falaki F. Odontogenic cyst: a clinical and radiographic study of 58 cases. Aust J Basic& Appl Sci. 2011;5:329–33.
• Dhanuthai K, Chiramanaphan K, Tevavichulada V, et al. Intraosseous jaw lesions: a 25 year experience. J Oral Maxillofac Pathol. 2022;26:595.
• Silva K, Alves A, Correa M, et al. Retrospective analysis of jaw biopsies in young adults. A study of 1599 cases in Southern Brazil. Med Oral Patol Oral Cir Bucal. 2017;22:e702-7.
• Silva LP, Serpa MS, Sobral AP, et al. A retrospective multicentre study of cystic lesions and odontogenic tumours in older people. Gerodontology. 2018;35:325-32.
• Jaeger F, de Noronha MS, Silva ML, et al. Prevalence profile of odontogenic cysts and tumors on Brazilian sample after the reclassification of odontogenic keratocyst. J Craniomaxillofac Surg. 2017;45:267-70.
• Koseoglu BG, Atalay B, Erdem MA. Odontogenic cysts: a clinical study of 90 cases. J Oral Sci. 2004;46:253-7.