Department of Oral Medicine and Radiology, Nair Hospital Dental College, Mumbai, India.
Dentomaxillofac Radiol. 2011 May;40(4):251-6. doi: 10.1259/dmfr/75047143.
Oral tuberculosis and its radiographic findings are not commonly encountered in an oral and maxillofacial radiology practice. Literature has occasional mention of the radiographic findings of oral tuberculosis, which are still ambiguous. When affected, it is manifested majorly in the oral mucosa and rarely in the jaw bones. Here, we report certain unusual radiographic findings of oral tuberculosis which have been rarely mentioned in the literature. Four illustrative cases describe bony resorption, condylar resorption, resorption of the inferior border of the mandible and rarefaction of the alveolar bone as radiographic findings of oral tuberculosis. Follow up of the first case demonstrated regeneration of the condylar head after anti-Kochs therapy was completed, a hitherto unreported phenomenon. The importance of including tuberculosis in the differential diagnosis of some of the unusual radiographic manifestations is emphasized.
口腔结核及其影像学表现并不常见于口腔颌面放射学实践中。文献中偶尔会提到口腔结核的影像学表现,但仍存在歧义。当受影响时,主要表现为口腔黏膜,很少累及颌骨。在此,我们报告了某些在文献中很少提到的口腔结核的不寻常影像学表现。四个典型病例描述了骨吸收、髁突吸收、下颌骨下缘吸收和牙槽骨稀疏作为口腔结核的影像学表现。对第一个病例的随访显示,在完成抗 Koch 治疗后,髁突头再生,这是一个以前未报道的现象。强调了在一些不寻常的影像学表现中包括结核作为鉴别诊断的重要性。