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The effectiveness of fractal analysis in diagnosing temporomandibular joint disorders: a systematic review of clinical studies. 分形分析诊断颞下颌关节疾病的有效性:临床研究的系统回顾。
IF 1.6 3区 医学
Oral Radiology Pub Date : 2024-12-09 DOI: 10.1007/s11282-024-00791-1
Sanjana Santhosh Kumar, Ravleen Nagi, Rachel Chacko, Junad Khan
{"title":"The effectiveness of fractal analysis in diagnosing temporomandibular joint disorders: a systematic review of clinical studies.","authors":"Sanjana Santhosh Kumar, Ravleen Nagi, Rachel Chacko, Junad Khan","doi":"10.1007/s11282-024-00791-1","DOIUrl":"https://doi.org/10.1007/s11282-024-00791-1","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to evaluate the application and effectiveness of fractal analysis (FA) in assessing temporomandibular joint disorders (TMDs) with dental imaging.</p><p><strong>Methods: </strong>This systematic review, conducted in adherence to PRISMA-P and Cochrane Handbook guidelines, involved a comprehensive search of five electronic indexed databases up to September 15, 2024. The thorough search aimed to ensure the inclusion of all relevant studies on dental imaging with fractal dimension (FD) analysis for TMDs. The risk of bias was performed using the revised QUADAS 2 tool.</p><p><strong>Results: </strong>Out of 342 studies retrieved, 15 met the inclusion criteria and were included in the systematic review. These studies comprised 7 retrospective and 8 prospective nonrandomized clinical studies. Various imaging modalities were used including panoramic, CT, CBCT, and MRI. Most studies reported significantly lower FD values in TMD patients than in controls suggesting FD analysis' potential for detecting early TMJ degenerative changes. However, a few studies did not find significant differences or lacked control groups, highlighting the variability in findings across the research. The overall risk of bias was high regarding the applicability of all included studies.</p><p><strong>Conclusion: </strong>The fractal dimension (FD) analysis of dental images shows potential as a valuable tool for detecting early degenerative changes in temporomandibular disorders (TMDs). It could enhance diagnostic efficiency by providing additional insights from routine radiographs. However, the variability in findings and methodologies underscores the need for further research to validate and standardize these techniques.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dental-dedicated magnetic resonance imaging in the follow-up of lower third molar removal. 牙科专用磁共振成像在下第三磨牙拔除术后随访中的应用。
IF 1.6 3区 医学
Oral Radiology Pub Date : 2024-11-26 DOI: 10.1007/s11282-024-00787-x
João M C E S Fuglsig, Matheus Sampaio-Oliveira, Rubens Spin-Neto
{"title":"Dental-dedicated magnetic resonance imaging in the follow-up of lower third molar removal.","authors":"João M C E S Fuglsig, Matheus Sampaio-Oliveira, Rubens Spin-Neto","doi":"10.1007/s11282-024-00787-x","DOIUrl":"https://doi.org/10.1007/s11282-024-00787-x","url":null,"abstract":"<p><p>The objective is to present a dental-dedicated magnetic resonance imaging (ddMRI)-based follow-up of inferior third molar removal over 12 months. A 30-year-old female presented with recurrent pain and bleeding from her lower right third molar. With adding diagnostic information from a panoramic image, the tooth was referred for removal. The patient underwent ddMRI using a dental coil with a proton density (PD) weighed turbo spin echo (TSE) sequence and a PD-TSE-STIR with fat suppression to highlight possible inflammatory processes. The scans were performed pre-operatively, immediately post-operatively, and in a rigorous follow-up (weekly basis for the first 6 weeks, bi-weekly from 7 to 12 weeks, and once at 6 and 12 months post-operatively). Using ImageJ software, circular ROIs were selected in the extraction alveolus coronary, middle, and apical regions. Mean grey values (MGVs) and standard deviation (SD) were obtained. A trend of decreasing MGVs in the PD (TSE) pulse sequence was observed over time, irrespective of the root third. Considering the PD-STIR (TSE), no trend was observed. ddMRI is feasible in the follow-up assessment of inferior third molar removal. Further clinical trials with larger samples are needed to define the usability of follow-up with ddMRI, considering a potential added diagnostic value.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence and morphometric evaluation of dilaceration in Indian Tamils: an analysis of 10,089 permanent teeth. 印度泰米尔人牙齿稀疏的发生率和形态评估:对 10,089 颗恒牙的分析。
IF 1.6 3区 医学
Oral Radiology Pub Date : 2024-11-26 DOI: 10.1007/s11282-024-00789-9
Aditya Mantri, Deepak Pandiar, Reshma Poothakulath Krishnan, T N Uma Maheswari, Jency P Evanjelin
{"title":"Prevalence and morphometric evaluation of dilaceration in Indian Tamils: an analysis of 10,089 permanent teeth.","authors":"Aditya Mantri, Deepak Pandiar, Reshma Poothakulath Krishnan, T N Uma Maheswari, Jency P Evanjelin","doi":"10.1007/s11282-024-00789-9","DOIUrl":"https://doi.org/10.1007/s11282-024-00789-9","url":null,"abstract":"<p><strong>Aim: </strong>The present radiographic study was conducted to assess the subject and tooth prevalence of dilaceration in a cohort of Tamil population aided by morphometric analysis.</p><p><strong>Materials and methods: </strong>After obtaining clearance from institutional human ethical clearance committee, 575 panoramic radiographs were retrieved. After exclusion of 233 radiographs based on the inclusion and exclusion criteria, a total of 342 panoramic radiographs were included. The angulation was estimated on Angle Meter software and categorized into three classes as mild, moderate and extreme. The data were recorded on Microsoft Excel spreadsheet 2021, and descriptively analyzed using IBM SPSS software.</p><p><strong>Results: </strong>Of the 342 subjects, there were 172 males and 170 females (1.012M:1F). Overall mean age was 33.75 ± 13.86 years. 100/342 subjects showed dilaceration in one or more teeth yielding a subject prevalence of 29.24%. There was no statistically significant difference in age and gender between the individuals who showed dilaceration and those without. The tooth prevalence was 1.49% (150/10089). The mandibular third molars were the most commonly affected teeth. Further, 97/150 teeth were mildly dilacerated (64.67%), 34/150 teeth showed moderate dilaceration (22.67%) and extreme dilaceration was noted in 19 teeth (12.66%).</p><p><strong>Conclusion: </strong>Within the limits of the present study, we reported morphometric analysis of dilacerated teeth from South Indian population after examination of permanent 10,089 teeth from 342 panoramic radiographs. Mandibular third molars were the most commonly affected teeth, which led us to speculate that dilaceration is a true developmental anomaly, unrelated to trauma or other external stimuli.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Imaging findings in a case of primary intraosseous carcinoma arising from a mandibular cyst. 一例下颌骨囊肿引发的原发性骨内癌的影像学检查结果。
IF 1.6 3区 医学
Oral Radiology Pub Date : 2024-11-23 DOI: 10.1007/s11282-024-00788-w
Yukiko Kami, Toru Chikui, Shinsuke Fujii, Tatsufumi Fujimoto, Wataru Kumamaru, Kana Hasegawa, Koji Nakamatsu, Kazutoshi Okamura, Misa Yasaka, Tamotsu Kiyoshima, Kazunori Yoshiura
{"title":"Imaging findings in a case of primary intraosseous carcinoma arising from a mandibular cyst.","authors":"Yukiko Kami, Toru Chikui, Shinsuke Fujii, Tatsufumi Fujimoto, Wataru Kumamaru, Kana Hasegawa, Koji Nakamatsu, Kazutoshi Okamura, Misa Yasaka, Tamotsu Kiyoshima, Kazunori Yoshiura","doi":"10.1007/s11282-024-00788-w","DOIUrl":"https://doi.org/10.1007/s11282-024-00788-w","url":null,"abstract":"<p><p>Primary intraosseous carcinoma not otherwise specified (PIOC NOS) is a rare tumor assumed to arise from the epithelium, such as odontogenic cysts or benign tumors. Its clinical and imaging diagnoses are often challenging, especially in the early stages, as it mimics jaw cysts and benign tumors, and no specific findings have been identified. This report presents the case of a 66-year-old male patient with mandibular PIOC, highlighting the imaging findings over time. Magnetic resonance imaging (MRI) before symptom onset showed a cystic lesion in the right mandible with a soft tissue component. Both the fluid component and soft tissue exhibited low apparent diffusion coefficient values (1.0 × 10<sup>-3</sup> mm<sup>2</sup>/s and 1.3 × 10<sup>-3</sup> mm<sup>2</sup>/s, respectively). Subsequent MRI approximately 5 months later during symptom onset showed a slight increase in the soft tissue component. Based on the clinical and imaging findings, ameloblastoma was suspected, prompting a biopsy for confirmation. However, the histopathological findings showed squamous cell carcinoma (SCC). MRI performed approximately 1 month later exhibited significant tumor growth and extension beyond the jawbone, consistent with a malignant tumor. Histopathological examination identified areas with a basal layer in a palisading arrangement, indicating a pre-existing odontogenic cyst, and showed a transition from epithelial dysplasia to SCC. In addition, carcinoma cell invasion and proliferation into the cyst were observed. Based on these findings, PIOC of the right mandible was determined to be the definitive diagnosis.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How does the direction of region of interest selection affect the fractal dimension? 兴趣区域选择的方向如何影响分形维度?
IF 1.6 3区 医学
Oral Radiology Pub Date : 2024-11-14 DOI: 10.1007/s11282-024-00786-y
Adem Pekince, Kader Azlağ Pekince, Yasin Yasa
{"title":"How does the direction of region of interest selection affect the fractal dimension?","authors":"Adem Pekince, Kader Azlağ Pekince, Yasin Yasa","doi":"10.1007/s11282-024-00786-y","DOIUrl":"10.1007/s11282-024-00786-y","url":null,"abstract":"<p><strong>Objectives: </strong>Introduction Fractal analysis (FA) is a computational method used to quantify the complex trabecular structure of bone. While FA has been widely applied in dentistry, there are challenges in standardizing the technique due to factors such as image resolution, region of interest (ROI) selection, and image processing. This study aimed to investigate the impact of the direction of ROI selection (DROIS) on fractal dimension (FD) calculations.</p><p><strong>Methods: </strong>Panoramic radiographs of 226 individuals aged 20-35 years were analyzed. ROIs were selected on the mandibular condyle, angular region, and mental region, and oriented at 0°, 22.5°, 45°, and 67.5° angles. FD was calculated using the box-counting method in ImageJ. The Friedman test and Wilcoxon signed-rank test were used for statistical analysis.</p><p><strong>Results: </strong>The FD values differed significantly between the angled ROI groups in all three regions (Friedman test, p < 0.0001). Pairwise comparisons showed significant differences in FD between most ROI orientations, except between 22.5° and 67.5° in the angular region.</p><p><strong>Conclusions: </strong>DROIS is an important factor that should be considered in FA studies to ensure reliable and reproducible FD values. Appropriate methodological choices can help account for the influence of DROIS on FD calculations..</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiological assessment of Sella Turcica morphology correlates with skeletal classes in an Austrian population: an observational study. 在奥地利人口中,蝶鞍形态的放射学评估与骨骼等级相关:一项观察性研究。
IF 1.6 3区 医学
Oral Radiology Pub Date : 2024-11-13 DOI: 10.1007/s11282-024-00785-z
Julia Schwab, Lars Stucki, Sebastian Fitzek, Aliza Tithphit, Andreas Hönigl, Sarah Stackmann, Ina Horn, Hanna Thenner, Philipp Dasser, Ramona Woitek, Kyung-Eun Choi, Sepideh Hatamikia, Julia Furtner
{"title":"Radiological assessment of Sella Turcica morphology correlates with skeletal classes in an Austrian population: an observational study.","authors":"Julia Schwab, Lars Stucki, Sebastian Fitzek, Aliza Tithphit, Andreas Hönigl, Sarah Stackmann, Ina Horn, Hanna Thenner, Philipp Dasser, Ramona Woitek, Kyung-Eun Choi, Sepideh Hatamikia, Julia Furtner","doi":"10.1007/s11282-024-00785-z","DOIUrl":"https://doi.org/10.1007/s11282-024-00785-z","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to analyze variations in the sella turcica (ST) concerning its size, shape, and bridging, providing first reference values in Austrian individuals. Additionally, it assessed associations between these morphological and demographic parameters and their correlation with patients' skeletal class.</p><p><strong>Methods: </strong>208 lateral cephalometric radiographs (154 female, 54 male; age 8-58 years) from DPU Dental Clinic (Austria) were included. Size, skeletal class, shape, age, and gender of ST were tested for significance in correlation using, (M)ANOVA, and chi-square.</p><p><strong>Results: </strong>Linear dimensions of ST ranged from 11.1 to 12.9 mm across readers, with a standard deviation of 2.0-2.2 mm. Normal ST (49.76%) and round ST (58.77%) were the most frequent. ST bridging was detected in 6.97%. Skeletal class I appeared most frequently (54.8%). Statistical significance was observed between age, gender, and ST length, with further significant age effects on ST shape. Moreover, age showed significant modification of ST shape, while skeletal parameters appeared unaffected by other ST parameters.</p><p><strong>Conclusions: </strong>These preliminary findings define normal ST dimensions in an Austrian population, offering reference values for clinical interpretation and broadening the available European data. Clear associations between morphological and demographic parameters were detected. Additionally, these findings may contribute to diagnostic and therapeutic strategies in orthodontics and craniofacial pathology. Future studies employing cone beam computed tomography (CBCT) along a larger sample size could enhance the generalizability of these findings.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improved soft-tissue visibility on cone-beam computed tomography with an image-generating artificial intelligence model using a cyclic generative adversarial network. 利用循环生成对抗网络的图像生成人工智能模型提高锥束计算机断层扫描的软组织可见度。
IF 1.6 3区 医学
Oral Radiology Pub Date : 2024-10-01 Epub Date: 2024-06-28 DOI: 10.1007/s11282-024-00763-5
Motoki Fukuda, Michihito Nozawa, Hironori Akiyama, Eiichiro Ariji, Yoshiko Ariji
{"title":"Improved soft-tissue visibility on cone-beam computed tomography with an image-generating artificial intelligence model using a cyclic generative adversarial network.","authors":"Motoki Fukuda, Michihito Nozawa, Hironori Akiyama, Eiichiro Ariji, Yoshiko Ariji","doi":"10.1007/s11282-024-00763-5","DOIUrl":"10.1007/s11282-024-00763-5","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to enhance the visibility of soft tissues on cone-beam computed tomography (CBCT) using a CycleGAN network trained on CT images.</p><p><strong>Methods: </strong>Training and evaluation of the CycleGAN were conducted using CT and CBCT images collected from Aichi Gakuin University (α facility) and Osaka Dental University (β facility). Synthesized images (sCBCT) output by the CycleGAN network were evaluated by comparing them with the original images (oCBCT) and CT images, and assessments were made using histogram analysis and human scoring of soft-tissue anatomical structures and cystic lesions.</p><p><strong>Results: </strong>The histogram analysis showed that on sCBCT, soft-tissue anatomical structures showed significant shifts in voxel intensity toward values resembling those on CT, with the mean values for all structures approaching those of CT and the specialists' visibility scores being significantly increased. However, improvement in the visibility of cystic lesions was limited.</p><p><strong>Conclusions: </strong>Image synthesis using CycleGAN significantly improved the visibility of soft tissue on CBCT, with this improvement being particularly notable from the submandibular region to the floor of the mouth. Although the effect on the visibility of cystic lesions was limited, there is potential for further improvement through refinement of the training method.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"508-519"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Osteosarcoma associated with cemento-osseous dysplasia: co-incidence or two related entities? 伴有骨水泥骨发育不良的骨肉瘤:巧合还是两个相关实体?
IF 1.6 3区 医学
Oral Radiology Pub Date : 2024-10-01 Epub Date: 2024-06-09 DOI: 10.1007/s11282-024-00758-2
Suvarna Indermun, Fadi Titinchi, Julandi Alwan, Jean Morkel, Christoffel Johannes Nortje
{"title":"Osteosarcoma associated with cemento-osseous dysplasia: co-incidence or two related entities?","authors":"Suvarna Indermun, Fadi Titinchi, Julandi Alwan, Jean Morkel, Christoffel Johannes Nortje","doi":"10.1007/s11282-024-00758-2","DOIUrl":"10.1007/s11282-024-00758-2","url":null,"abstract":"<p><strong>Background: </strong>Osteosarcoma of the jaws is a rare primary malignant tumor of bone. The clinical, radiological and histopathological features of a case associated with cemento-osseous dysplasia is presented.</p><p><strong>Case report: </strong>A 57-year-old mixed-race female presented with a large, progressive, swelling of the right mandible. Radiographic examination revealed two associated lesions. Partially defined irregular radiopacities were noted in the left mandible, extending from the premolar to the molar region. The lesion had a cotton-wool appearance and resembled a fibro-osseous lesion; i.e. cemento-osseous dysplasia. A second large, expansive and irregular, radiopaque lesion was noted on the right angle of the mandible, extending beyond the inferior cortex of the mandible. The internal structure was heterogeneous and resembled irregular bone formation. The classic \"sunburst\" appearance of radiating bony spicules can be seen in the posterior-anterior view and the CBCT 3D reconstruction, indicating the outgrowth of the tumor matrix. Histopathological exam confirmed a final diagnosis of osteosarcoma closely associated with cemento-osseous dysplasia. The patient underwent a fludeoxyglucose-18 (FDG) positron emission tomography (PET) scan which indicated metastasis in the left lung and increased uptake in the right mandible. Chemotherapy was initially administered with a plan to resect the tumor, however, the patient demised as a result of medical complications.</p><p><strong>Conclusion: </strong>The question in the literature remains whether these two entities are coincidentally found or arise from each other. Nevertheless, it is important for clinicians to closely monitor patients with cemento-osseous dysplasia and biopsy any suspicious lesions that may develop into osteosarcoma.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"546-554"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11379726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of canalis sinuosus and accessory canal morphology by cone-beam computed tomography. 通过锥形束计算机断层扫描评估鼻窦和附属管形态。
IF 1.6 3区 医学
Oral Radiology Pub Date : 2024-10-01 Epub Date: 2024-07-26 DOI: 10.1007/s11282-024-00767-1
Ceren Aktuna Belgin, Gozde Serindere, Zarif Ece Hammudioglu, Merve Kucuk
{"title":"Evaluation of canalis sinuosus and accessory canal morphology by cone-beam computed tomography.","authors":"Ceren Aktuna Belgin, Gozde Serindere, Zarif Ece Hammudioglu, Merve Kucuk","doi":"10.1007/s11282-024-00767-1","DOIUrl":"10.1007/s11282-024-00767-1","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate canalis sinuosus (CS) and accessory canalis sinuosus (AC) morphology and their relationship with the impacted canine on cone-beam computed tomography (CBCT) images.</p><p><strong>Methods: </strong>The diameter and location of the CS, its distance from the nasal cavity (NC-CS), its distance from the buccal cortical plate (BC-CS), and its distance from the alveolar ridge crest (AR-CS) were evaluated on 1000 CBCT scans. The prevalence and termination of AC and the presence of impacted canines were also evaluated.</p><p><strong>Results: </strong>CS was detected in 89 (8.9%) of 1000 CBCTs. The mean CS diameter was found as 1.34 ± 0.53 mm. No statistically significant difference was found between gender, age, direction, and CS presence and diameter. CS was most frequently seen in regions 11 (23.6%) and 13 (23.6%). The average NC-CS, BC-CS, and AR-CS length was 6.14, 6.06 and 4.35 mm, respectively. AC was detected in 22 patients (24.71%). There was no statistically significant difference between the presence of AC and gender, age, CS diameter, NC-CS, BC-CS, and AR-CS distance. BC-CS length and AR-CS length were statistically significantly higher in patients with impacted canines.</p><p><strong>Conclusions: </strong>It should be kept in mind that the CS diameter, NC-CS, BC-CS, and AR-CS distance may increase in the presence of an impacted canine and the integrity of the neurovascular structure should be preserved. The fact that the CS is often localized in the palatial region requires a detailed evaluation of the anterior maxillary region with three-dimensional imaging methods.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"530-537"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141768116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Arteriovenous fistula of the mandible: a case report. 下颚动静脉瘘:病例报告。
IF 1.6 3区 医学
Oral Radiology Pub Date : 2024-10-01 Epub Date: 2024-06-19 DOI: 10.1007/s11282-024-00762-6
Mattia Todaro, Ermal Pashaj, Alessandro Pedicelli, Andrea Alexandre, Gianmarco Saponaro, Giulio Gasparini, Alessandro Moro
{"title":"Arteriovenous fistula of the mandible: a case report.","authors":"Mattia Todaro, Ermal Pashaj, Alessandro Pedicelli, Andrea Alexandre, Gianmarco Saponaro, Giulio Gasparini, Alessandro Moro","doi":"10.1007/s11282-024-00762-6","DOIUrl":"10.1007/s11282-024-00762-6","url":null,"abstract":"<p><p>Intraosseous arteriovenous malformations (AVM) are uncommon high-flow vascular malformation that can affect the maxilla or mandible. AVM may present with aspecific and misleading signs and symptoms. The diagnosis is often accidental and bleeding may represent the first symptom. Radiographically, there are few characteristic features and misdiagnosis is easy. Here we report the case of a young male affected by arteriovenous fistula on the right side of the mandible initially misdiagnosed as a cystic lesion. The patient underwent transarterial embolization of the vascular malformation and subsequently the lesion was surgically removed. 1-year follow-up showed complete healing of the mandibular bone and absence of recurrence. Intraosseous arteriovenous malformations are rare entities. However, due to their harmfulness, both clinicians and radiologists must be aware of this type of lesion and should always consider them in the differential diagnosis of osteolytic lesions.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"555-560"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11379768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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