Clinic and Cone beam computed tomography characterization of the bone maxilofacial lesions from Estomatology Clinic

Authors

  • Sergio Lucio Pereira de Castro Lopes Institute of Science and Technology – UNESP – Univ Estadual Paulista – School of Dentistry – Department of Diagnosis and Surgery – São José dos Campos – SP – Brazil.
  • Mari Eli Leonelli de Moraes Institute of Science and Technology – UNESP – Univ Estadual Paulista – School of Dentistry – Department of Diagnosis and Surgery – São José dos Campos – SP – Brazil.
  • Luiz Roberto Coutinho Manhães Júnior Institute of Science and Technology – UNESP – Univ Estadual Paulista – School of Dentistry – Department of Diagnosis and Surgery – São José dos Campos – SP – Brazil.
  • Afonso Celso Souza de Assis Institute of Science and Technology – UNESP – Univ Estadual Paulista – School of Dentistry – Department of Diagnosis and Surgery – São José dos Campos – SP – Brazil.
  • Estela Kaminagakura Tango Institute of Science and Technology – UNESP – Univ Estadual Paulista – School of Dentistry – Department of Biosciences and Oral Diagnosis – São José dos Campos – SP – Brazil.
  • Fernanda Vital Boson Institute of Science and Technology – UNESP – Univ Estadual Paulista – School of Dentistry – Department of Diagnosis and Surgery – São José dos Campos – SP – Brazil.

DOI:

https://doi.org/10.14295/bds.2016.v19i2.1244

Abstract

Objetivo: Caracterizar as lesões ósseas da região maxilofacial conjugando seus aspectos clínicos aos imaginológicos, por tomografia computadorizada de feixe cônico (TCFC), comparando estes achados da literatura. Material e Métodos: Foram selecionados 12 prontuários da Clínica de Propedêutica Estomatológica do ICT-UNESP, apresentando lesões ósseas na região maxilofacial, com prévia indicação de exame por TCFC, realizados em tomógrafo i-CAT Next Generation (imaging Sciences International, Hatfield, PA, EUA) na clínica de Radiologia da instituição. Foram levantadas informações clínicas como sexo, faixa etária e queixas principais. Avaliou-se as imagens de TCFC quanto: localização, arquitetura interna e limites da lesão, efeito nas corticais ósseas, efeito nos dentes e estruturas de suporte dentário e os aspectos internos da lesão. As imagens foram avaliadas no software i-CAT Vision do tomógrafo em janelas de reconstrução multiplanar (MPR). Resultados: Foram estudadas 04 lesões correspondentes a cistos radiculares, 02 a tumores odontogênicos queratocísticos, 01 a odontoma composto, 01 a hamartoma odontogênico, 01 a displasia óssea focal, 01 tumor odontogênico cístico calcificante e 02 cicatrizes fibrosas. A TCFC auxiliou na conclusão dos diagnósticos, visto sua característica de tridimensionalidade, houve, algumas vezes, divergências em relação aos achados descritos na literatura, eminentemente baseados radiografias bidimensionais. Conclusão: a TCFC é de grande valia na caracterização das lesões ósseas, observa-se uma necessidade na literatura de uma abordagem específica para esta modalidade de imagens, diferente das radiográficas convencionais.

Downloads

Published

2016-07-07

Issue

Vol. 19 No. 2 (2016): Apr. - Jun. / 2016 - Published June 2016

Section

Clinical or Laboratorial Research

License

COPYRIGHT TRANSFER AND RESPONSIBILITY STATEMENT
 (PDF)

For all articles published in the BDS journal, copyright is retained by the authors. Articles are licensed under an open-access Creative Commons CC BY 4.0 license, meaning that anyone may download and read the paper for free. In addition, the article may be reused and quoted, provided that the original published version is cited. These conditions allow for maximum use and exposure of the work while ensuring that the authors receive proper credit. All metadata associated with published articles is released under the Creative Commons CC0 Universal Public Domain Dedication.

Before the submission, authors must obtain permission to reproduce any published material (figures, schemes, tables, or any extract of a text) that does not fall into the public domain or for which they do not hold the copyright. Permission should be requested by the authors from the copyright holder (usually the Publisher, please refer to the imprint of the individual publications to identify the copyright holder).

The authors hereby attest that the study is original and does not present manipulated data, fraud, or plagiarism. All names listed made a significant scientific contribution to the study, are aware of the presented data, and agree with the final version of the manuscript. They assume complete responsibility for the ethical aspects of the study.

This text must be printed and signed by all authors. The scanned version should be submitted as supplemental file during the submission process.