Multiple periapical dysplasias analyzed by cone-beam-computer tomography and 99Tcm-Scintigraphy

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Manfred Nilius - , Niliusklinik (Autor:in)
  • Minou Nilius - , Niliusklinik (Autor:in)
  • Charlotte Müller - , Niliusklinik (Zweitautor:in)
  • Henry Leonhardt - , Universitätsklinikum Carl Gustav Carus Dresden (Zweitautor:in)
  • Dominik Haim - , Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Universitätsklinikum Carl Gustav Carus Dresden (Zweitautor:in)
  • Patrick Nowak - , Universitätsklinikum Carl Gustav Carus Dresden (Zweitautor:in)
  • Adrian Franke - , Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Universitätsklinikum Carl Gustav Carus Dresden (Zweitautor:in)
  • Bernhard Weiland - , Universitätsklinikum Carl Gustav Carus Dresden (Zweitautor:in)
  • Guenter Lauer - , Universitätsklinikum Carl Gustav Carus Dresden (Letztautor:in)

Abstract

Periapical cemental dysplasia (PCD) is considered a non-neoplastic proliferation of fibrous tissues and cementum-like hard tissues, usually occurring in the periapical regions of teeth. PCD is characterized by the presence of vital pulp and is often accidentally discovered during a general radiographic survey. PCD may arise from the tissue of odontogenic origin or occur as a reactive process in the periapical tissue. Multilocular occurrences in both jaws are rare. However, we encountered a case of multiple PCDs by orthopantomography, which showed different degrees of maturation in the mandible and maxilla by osteodensitometric detection via cone-beam computed tomography (CB-CT) validated by Tc-99m bone-scintigraphy (BS). Biopsies confirmed the radiological results. CB-CT osteodensitometry allows for the categorization and assessment of different stages of PCD maturation from beginning to florid, detection of remittent osseous changes, and evaluation in the clinical follow-up. When using the local cortical bone as a reference value of 100%, periapical dysplasias show density values of 75% in the mandible and 80% in the maxilla. Early classification of PCD is possible with CB-CT osteodensitometry.

Details

OriginalspracheEnglisch
Seiten (von - bis)3757-3765
Seitenumfang9
FachzeitschriftRadiology case reports
Jahrgang16
Ausgabenummer12
PublikationsstatusVeröffentlicht - Dez. 2021
Peer-Review-StatusJa

Externe IDs

PubMedCentral PMC8493495
Scopus 85122795813

Schlagworte

Schlagwörter

  • Abnormality, Cementum, Computed tomographic scintigraphy, Computed tomography, Cone beam, Densitometry, Dental, Disease, Jaw, Periapical