Oral RadiologyPub Date : 2025-04-25DOI: 10.1007/s11282-025-00822-5
Kyoung-A Kim, Kyu-Yun Jang, Chang-Ki Min
{"title":"Kaposiform hemangioendothelioma in the mandibular gingiva: a rare case report with literature review.","authors":"Kyoung-A Kim, Kyu-Yun Jang, Chang-Ki Min","doi":"10.1007/s11282-025-00822-5","DOIUrl":"https://doi.org/10.1007/s11282-025-00822-5","url":null,"abstract":"<p><p>Kaposiform hemangioendothelioma (KHE) is a locally aggressive vascular tumor in neonates and children. KHE can occur anywhere in the body, but occurrence in the oral cavity is exceptionally rare. The clinical features of KHE are similar to those of oral lesions, such as infantine hemangioma, pyogenic granuloma, and chronic periodontitis. However, unlike other oral lesions, KHE invades neighboring tissue planes and recurs frequently as malignancy. Moreover, some instances of KHE are accompanied by a life-threatening condition named Kasabach-Merritt phenomenon. Correct diagnosis of KHE is very difficult despite its importance. KHE lacks not only specific clinical characteristics, but also distinct imaging findings even with advanced modalities such as computed tomography (CT) and magnetic resonance imaging (MRI). Thus, KHE is often misdiagnosed as another disease. We report a case of KHE in the mandibular gingiva. The enlarged gingival mass showed reddish granulomatous appearance with intact mucosal surface. It was misdiagnosed as another disease and underwent simple resection, but it recurred several times. In radiological examination using periapical radiography, cone beam computed tomography, and magnetic resonance imaging, no specific findings other than ill-defined alveolar bone destruction were observed. The subsequent pathological examination showed CD-31 and CD-34 positive, and D2-40 and HHV-8 negative. This report includes discussion about radiological, clinical, and histopathological features of the lesion and comprehensive literature review.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041649","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}
Oral RadiologyPub Date : 2025-04-03DOI: 10.1007/s11282-025-00820-7
C De Vriese, E Van Hul, D Loose
{"title":"Bone alterations in head and neck pleomorphic adenoma: Scoping review.","authors":"C De Vriese, E Van Hul, D Loose","doi":"10.1007/s11282-025-00820-7","DOIUrl":"https://doi.org/10.1007/s11282-025-00820-7","url":null,"abstract":"<p><strong>Objectives: </strong>Bone destruction adjacent to salivary gland tumors has been regarded as an indirect sign of malignancy. This scoping review explores possible bone changes due to head and neck pleomorphic adenoma and identifies risk factors for bone destruction.</p><p><strong>Methods: </strong>Articles on bone alterations in head and neck pleomorphic adenoma were searched online using PubMed, Scopus and Scholar, according to PRISMA-ScR guidelines. Only histopathologically confirmed pleomorphic adenomas were included. Extracted data were age, gender, location and size of tumor, duration of symptoms, type of bone erosion and recurrency status.</p><p><strong>Results: </strong>The search resulted in 145 pleomorphic adenomas with adjacent bone alterations. The majority caused expansile bone changes, such as cortex erosion (61.4%) and scalloping (31.0%). Extensive bone destruction was reported in 11 cases (full thickness erosion in 3.4% and bone marrow invasion in 4.1%). Significant risk factors for aggressive bone destruction were tumor size and duration of symptoms (OR = 1.08; 95% CI 1.02-1.14 and OR = 1.03; 95% CI 1.00-1.05).</p><p><strong>Conclusions: </strong>Although mostly bone erosion or scalloping is observed, larger or longstanding pleomorphic adenomas have the capacity of developing more extensive bone destruction, without malignant transformation. However, bone destruction is very rare in pleomorphic adenoma and more likely indicates the presence of malignancy.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774913","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}
{"title":"Correction: Assessment of the diagnostic accuracy of strip and furcal perforations in different sizes by cone beam computed tomography.","authors":"Zahra Ghoncheh, Hanieh Kaviani, Sara Soleimani, Shifteh Nasri, Fatemeh Malekpour, Farzaneh Afkhami","doi":"10.1007/s11282-024-00790-2","DOIUrl":"10.1007/s11282-024-00790-2","url":null,"abstract":"","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"310"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460938","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}
{"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":"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":"302-309"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","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}
{"title":"Challenges in detecting various peri-implant bone defects on modified intraoral oblique radiographic projections: evaluation of an artificial mandibular model.","authors":"Takayuki Oshima, Rieko Asaumi, Shin Ogura, Taisuke Kawai","doi":"10.1007/s11282-024-00798-8","DOIUrl":"10.1007/s11282-024-00798-8","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to evaluate the effectiveness of oblique radiographic projection using the intraoral paralleling technique in detecting various peri-implant bone defects.</p><p><strong>Methods: </strong>Artificial mandibular models with appropriate radiopacity were created. An alveolar bone model without bone defects and models with 12 types of peri-implant bone defects (buccal, circumferential, and mixed types with different widths and depths) were created. A total of 273 images were obtained with orthoradial projections and 10-, 20-, and 30-degree oblique projections using a modified receptor holder. Two observers independently evaluated the images to detect bone defects. The grayscale values (GVs) of the peri-implant region and the adjacent area were measured and compared. The relationship between the GV and the observers' results was examined. The area under the curve (AUC) and inter-observer agreement were calculated.</p><p><strong>Results: </strong>Circumferential and mixed bone defects were detected on the orthoradial projections, while buccal defects were not detected. However, the detection of buccal defects was markedly improved using the oblique projections. In particular, the highest detection rates were obtained using the 20-degree oblique projection. There were no significant correlations between the GV and the bone defect detection rate. The AUCs for the two observers were 0.712 and 0.669. The inter-observer agreement was 0.502.</p><p><strong>Conclusions: </strong>Compared with orthoradial projections, the use of oblique projection images greatly improved the ability of observers to detect peri-implant bone defects on the buccal side. The results provide new evidence for the selection of radiographic images in the follow-up of implant treatment.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"248-259"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980666","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}
Oral RadiologyPub Date : 2025-04-01Epub Date: 2024-11-14DOI: 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":"180-189"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","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}
{"title":"Reconsideration of the horizontal tube-shifting technique in the intraoral radiography of maxillary molars.","authors":"Kiyomi Kohinata, Yuka Esaki, Yukihiro Iida, Chieko Satomi, Yoshinori Arai, Akitoshi Katsumata","doi":"10.1007/s11282-024-00795-x","DOIUrl":"10.1007/s11282-024-00795-x","url":null,"abstract":"<p><strong>Objective: </strong>The horizontal tube-shifting technique can be adopted to separate overlapping buccal roots of the maxillary molar from the palatal root. A simulation study was performed to determine an appropriate tube-shift angulation when adopting three-dimensional computed tomography imaging.</p><p><strong>Methods: </strong>Cone-beam computed tomography images of 21 volunteers were used for simulation. Adopting image analysis software, maximum intensity projection (MIP) three-dimensional images of maxillary molars observed from directions similar to the direction of an intraoral radiography X-ray beam were reconstructed. The orthoradial projection angle was taken as the baseline and the tube-shifting technique was then simulated to separate superimposed buccal roots from the palatal root.</p><p><strong>Results and conclusion: </strong>The tube-shift technique was considered applicable to maxillary molars for 29/42 teeth (69%) in the case of a mesial tube shift and 40/42 teeth (95.2%) in the case of a distal tube shift. The specific shifting angle suitable for observing the buccal root apex of the maxillary molar without overlapping was obtained.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"216-221"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830456","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}
Oral RadiologyPub Date : 2025-04-01Epub Date: 2024-11-26DOI: 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":"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":"296-301"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909038/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oral RadiologyPub Date : 2025-04-01Epub Date: 2024-12-11DOI: 10.1007/s11282-024-00793-z
Suay Yağmur Ünal, Filiz Namdar Pekiner
{"title":"Evaluation of the mandibular canal and the third mandibular molar relationship by CBCT with a deep learning approach.","authors":"Suay Yağmur Ünal, Filiz Namdar Pekiner","doi":"10.1007/s11282-024-00793-z","DOIUrl":"10.1007/s11282-024-00793-z","url":null,"abstract":"<p><strong>Objective: </strong>The mandibular canal (MC) houses the inferior alveolar nerve. Extraction of the mandibular third molar (MM3) is a common dental surgery, often complicated by nerve damage. CBCT is the most effective imaging method to assess the relationship between MM3 and MC. With advancements in artificial intelligence, deep learning has shown promising results in dentistry. The aim of this study is to evaluate the MC-MM3 relationship using CBCT and a deep learning technique, as well as to automatically segment the mandibular impacted third molar, mandibular canal, mental and mandibular foramen.</p><p><strong>Methods: </strong>This retrospective study analyzed CBCT data from 300 patients. Segmentation was used for labeling, dividing the data into training (n = 270) and test (n = 30) sets. The nnU-NetV2 architecture was employed to develop an optimal deep learning model. The model's success was validated using the test set, with metrics including accuracy, sensitivity, precision, Dice score, Jaccard index, and AUC.</p><p><strong>Results: </strong>For the MM3 annotated on CBCT, the accuracy was 0.99, sensitivity 0.90, precision 0.85, Dice score 0.85, Jaccard index 0.78, AUC value 0.95. In MC evaluation, accuracy was 0.99, sensitivity 0.75, precision 0.78, Dice score 0.76, Jaccard index 0.62, AUC value 0.88. For the evaluation of mental foramen; accuracy 0.99, sensitivity 0.64, precision 0.66, Dice score 0.64, Jaccard index 0.57, AUC value 0.82. In the evaluation of mandibular foramen, accuracy was found to be 0.99, sensitivity 0.79, precision 0.68, Dice score 0.71, and AUC value 0.90. Evaluating the MM3-MC relationship, the model showed an 80% correlation with observer assessments.</p><p><strong>Conclusion: </strong>The nnU-NetV2 deep learning architecture reliably identifies the MC-MM3 relationship in CBCT images, aiding in diagnosis, surgical planning, and complication prediction.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"222-230"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808762","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}
Oral RadiologyPub Date : 2025-04-01Epub Date: 2024-11-26DOI: 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":"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":"190-196"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","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}