Florid osseous dysplasia, lesi radiopak bilateral pada radiograf panoramik

Ratih Trikusumadewi Lubis, Fitri Angraini Nasution, Azhari Azhari, Farina Pramanik
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Abstract

Objectives: The aim of this report is to present a case of florid osseous dysplasia and understand its characteristics from panoramic radiography. Case Report: A 47-years-old female patient came to the oral and maxillofacial radiology department at Dental and Oral Hospital of Universitas Padjadjaran to take panoramic radiography. Patient’s chief complaints were pain on tooth 46 after being extracted about 4 days ago with numbness on the extraction area. Panoramic radiograph showed radioopaque lesions in the extraction area surrounded by a thin radiolucent area. In the periapical region of tooth 36 and 47 showed the same radiopaque image as tooth 46. The radiodiagnostic suspect of the lesions was bilateral florid osseous dysplasia in the posterior region of the mandible. Conclusion: The images of florid osseous dysplasia from panoramic radiography are radioopaque, well-defined, sclerotic border, and having soft tissue capsule when the lesion is  immature condition. The most common condition of FOD affect both upper and lower jaw, but if the lesion only occur in one jaw, the lesion commonly happen in mandible with exact location is more posterior than  canine teeth.
目的:本报告的目的是报告一例红润骨性发育不良,并从全景x线摄影了解其特征。病例报告:一名47岁的女性患者来到Padjadjaran大学口腔医院口腔颌面放射科做全景x线摄影。病人主诉为约4天前拔牙后46号牙疼痛及拔牙区麻木。全景x线片显示拔牙区有不透光的病变,周围有薄的透光区。36、47号牙的根尖周区与46号牙表现相同。放射诊断怀疑病变是双侧红骨发育不良的后区域下颌骨。结论:在病变未成熟的情况下,全景x线片表现为不透明、界限分明、边界硬化、有软组织包膜。FOD最常见的情况是上颌和下颌都有病变,但如果病变只发生在一个颌骨,病变通常发生在下颌骨,其确切位置比犬牙更靠后。
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