Pereira de Castro Lopes Sérgio Lúcio, Flores Isadora Luana, de Oliveira Gamba Thiago, Ferreira-Santos Rivea Ines, Leonelli de Moraes Mari Eli, Alvarez Cabello Aline, Nascimento Moutinho Paula
Department of Diagnosis and Surgery, São José dos Campos Dental School, São Paulo State University, São José dos Campos, Brazil.
Department of Dentistry, Federal University of Juiz de Fora, Campus Governador Valadares, Governador Valadares, Brazil.
J Korean Assoc Oral Maxillofac Surg. 2017 Apr;43(2):115-119. doi: 10.5125/jkaoms.2017.43.2.115. Epub 2017 Apr 25.
Maxillofacial images must be examined to find pathologies not identified during clinical examination. Unicystic ameloblastoma (UA) extending to the mandibular body and ramus was neglected on initial panoramic radiographic examination. After orthodontic therapy, a huge lesion was observed clinically and through imaging exams. After the conservative surgery, no recurrence was observed during five years of follow-up. This case emphasized the need for careful evaluation of patient images focusing on the oral diagnosis before any dental treatment planning, including orthodontic therapy.
必须检查颌面图像，以发现临床检查中未识别出的病变。最初的全景放射检查忽略了延伸至下颌体和下颌支的单囊性成釉细胞瘤（UA）。正畸治疗后，通过临床检查和影像学检查发现了一个巨大的病变。保守手术后，在五年的随访中未观察到复发。该病例强调了在进行任何牙科治疗计划（包括正畸治疗）之前，需要仔细评估患者图像，重点是口腔诊断。
