A BRIEF RADIOGRAPHIC REPORT FROM TWO COMMON ODONTOGENIC CYSTS IN JAWS WITH FOLLICULAR RADIOLUCENT APPEARANCE
Objectives: Pericoronal radiolucencies are common pathologic findings in regular dental checkups. Since dentigerous cyst is the most common pathologic pericoronal radiolucency and as odontogenic keratocyst (OKC) is a common cyst also and an aggressive lesion with high recurrence, radiographic featur...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Cumhuriyet University
2017-08-01
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| Series: | Cumhuriyet Dental Journal |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/353579 |
| Summary: | Objectives:
Pericoronal radiolucencies are common pathologic
findings in regular dental checkups. Since dentigerous cyst is the most common
pathologic pericoronal radiolucency and as odontogenic keratocyst (OKC) is a
common cyst also and an aggressive lesion with high recurrence, radiographic
features of these lesions were discussed in this study using panoramic
radiography and cone beam computed tomography.Materials
and Methods: In this
cross-sectional case series study, radiographs from 56 patients who were
referred to a private maxillofacial
radiology center or dentistry faculty in
Mashhad/Iran from 2008 to 2013 in which radiolucent pericoronal lesion was
observed in jaws with histopathologic results of dentigerous cyst or OKC were
separately examined by two maxillofacial radiologists. Both observers were
unaware of pathology results. Lesions
were assessed based on their location, periphery, and impaction on the surrounding structures. Then, obtained data
were analyzed using descriptive tables. Results: 56 lesions were
identified in 56 patients. There were 20 odontogenic keratocyst and 36 dentigerous cysts.
The majority of dentigerous cysts and OKCs occurred in the posterior mandible
and showed a well corticated border. External root resorption was higher
in OKC cases. In addition, displacement tendency of surrounding structures
(other than tooth) such as nasal floor, mandibular canal, buccal and lingual
cortex (in the form of expansion) as well as destruction of cortex, nasal floor
or sinus walls was higher in OKC than in dentigerous cyst.
Conclusion: Except of tooth displacement other parameters related to the
effect on surrounding structures in this study showed higher frequency in OKC
than dentigerous cyst. |
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| ISSN: | 1302-5805 2146-2852 |