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Case Reports
. 2017:2017:7956041.
doi: 10.1155/2017/7956041. Epub 2017 Feb 15.

Cone Beam CT in Diagnosis and Surgical Planning of Dentigerous Cyst

Affiliations
Case Reports

Cone Beam CT in Diagnosis and Surgical Planning of Dentigerous Cyst

Naira Figueiredo Deana et al. Case Rep Dent. 2017.

Abstract

Diagnosis and preoperative planning are critical in the execution of any surgical procedure. Panoramic radiography is a routine method used in dentistry to assist clinical diagnosis; however, with this technique 3D anatomical structures are compressed into 2D images, resulting in overlapping of structures which are of interest in the diagnosis. In this study we report the case of a patient who presented with a dentigerous cyst of expressive dimensions in the body of the mandible region. The surgery was planned and executed after observing the margins of the lesion by Cone Beam Computed Tomography (CBCT). We conclude that CBCT is a precise method to help diagnosis; it provides greater accuracy in surgical treatment planning through 3D image display, allowing more effective results.

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Conflict of interest statement

The authors declare that they have no conflict of interests.

Figures

Figure 1
Figure 1
CBCT image, axial sections, showing bulging of osseous cortices in the region of the left permanent mandibular second molar.
Figure 2
Figure 2
CBCT image, coronal sections, showing hypodense image associated with the left permanent mandibular second molar, with radicular reabsorption of the left permanent mandibular first molar.
Figure 3
Figure 3
CBCT image: orthoradial reconstructions from the left mandibular first premolar to the left permanent mandibular first molar. An extensive hypodense area can be observed with radicular reabsorption of the left mandibular second premolar and the left permanent mandibular first molar.
Figure 4
Figure 4
CBCT image, 3D reconstructions. Observe the body of the mandible in the region of the left permanent mandibular first molar. Internal (lingual) view (a) and external (vestibular) view (b).

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