Radiographic and Histopathologic Evaluation of Radiolucent Lesions Involving Impacted Teeth: A Multicenter Study

Year 2022, Volume: 23 Issue: 1, 1 - 9, 30.03.2022

Zeynep Fatma Zor , Zühre Akarslan , Nur Hacıosmanoğlu Yavuz Tolga Korkmaz , Cenk Durmuşlar , Emre Barış , Saadettin Kayıpmaz , İsmail Saygın Murat İçen , Doğan Gün Nuray Bağcı , İlkay Peker

https://doi.org/10.4274/meandros.galenos.2020.16056

Cited By: 1

Abstract

Objective: The purpose of this retrospective study was to evaluate the radiographic and histopathologic features of the pathologic lesions associated with an impacted tooth in the maxilla and mandible of patients who were admitted to three different university hospitals located in different cities.
Materials and Methods: One hundred one patients (36 females and 65 males) aged between 8 and 67 and who have radiolucent lesions associated with the impacted teeth were included in this study. Data related to the age and gender of the patients, and the findings of cone-beam computed tomography, and histopathologic diagnosis of the lesions were recorded and analyzed.
Results: Majority of the lesions were in the posterior region of the mandible (62.4%), related to the mandibular third molars (59.4%), and were diagnosed as a dentigerous cyst. The most common features of the lesions were unilocular radiolucency (91.1%), well-circumscribed (90.1%), and expansive (85.1%). A statistically significant relationship was found between the migration of the impacted tooth/teeth related to the lesion (p<0.05) and the expansion of the lesion (p<0.01) according to gender. A statistically significant relationship was found between the migration of the impacted tooth/teeth related to the lesion (p<0.05) and the histopathological diagnosis of the lesion (p<0.01) according to age groups.
Conclusion: Knowing all of the clinical, radiological and histopathological features of the lesions provide the surgeon to reach the correct diagnosis. Thus, the doctors achieve high success in treatment with the right treatment plan.

Keywords

Cone-beam computed tomography , impacted tooth , lesion

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