Lombardo L, Arreghini A, Guarneri M P, Lauritano D, Nardone M, Siciliani G
Department of Orthodontics, University of Ferrara, Ferrara, Italy.
Department of Translational Medicine and Surgery, Neuroscience Center of Milan, University of Milano Bicocca, Monza, Italy.
Oral Implantol (Rome). 2017 Sep 27;10(2):97-104. doi: 10.11138/orl/2017.10.2.097. eCollection 2017 Apr-Jun.
To present the most frequent occult pathologies unexpectedly encountered via cone-beam computed tomography (CBCT), with particular reference to the diagnostic role of the dentist and that of the radiographer, with a view to clarifying where the diagnostic responsibility lies.
A narrative literature review on the most diffused occult pathologies under CBCT was conducted, with iconographical guide as an example for each category.
The most frequent forms of unexpected pathologies encountered are: the presence of foreign bodies, airway anomaly, and the presence of radio-opacity or -transparency in the maxillofacial district.
The orthodontists must know that they are responsible to recognize these frequent, and potentially serious, pathologies of the head and neck. If the dentist feels unable to take on this responsibility, he or she should, however, be sure to have the scans read by a specialist radiologist.
介绍通过锥形束计算机断层扫描(CBCT)意外发现的最常见隐匿性病变,特别提及牙医和放射技师的诊断作用,以明确诊断责任所在。
对CBCT下最常见的隐匿性病变进行叙述性文献综述,并为每个类别举例提供影像学指南。
意外发现的最常见病变形式为:异物存在、气道异常以及颌面部区域的不透射线性或透射线性表现。
正畸医生必须明白,他们有责任识别这些常见且可能严重的头颈部病变。然而,如果牙医觉得无法承担此责任,他或她应确保请专业放射科医生解读扫描图像。