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特发性骨硬化症酷似牙齿病变:病例报告。

Idiopathic osteosclerosis mimicry of a tooth: case report.

机构信息

Center for Oral and Maxillofacial Diagnostics and Medicine Studies, Faculty of Dentistry, Universiti Teknologi MARA Selangor, Sungai Buloh, Selangor, Malaysia.

Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti Teknologi MARA Selangor, Sungai Buloh, Selangor, Malaysia.

出版信息

Aust Dent J. 2020 Dec;65(4):308-312. doi: 10.1111/adj.12756. Epub 2020 May 12.

Abstract

This report presents two cases of idiopathic osteosclerosis involving the maxilla and mandible which were identified as a buccally impacted canine and a retained root, respectively, on clinical and plain radiographical examinations. Both patients were females who presented with hypodontia. Radiographic evaluation revealed solitary well-defined radiopaque masses with thickened cortical border. Both patients were undergoing orthodontic treatment and one was planned for a surgical traction of unerupted tooth prior to cone-beam CT assessment. In this report, we reviewed the clinical findings and explained the radiographic appearance of idiopathic osteosclerosis through plain radiographs and cone-beam CT to facilitate its identification among general dentists and oral and maxillofacial radiologists.

摘要

本报告介绍了两例累及上颌骨和下颌骨的特发性骨硬化症病例,分别在临床和普通放射学检查中被确定为颊侧阻生的犬齿和滞留的牙根。两名患者均为女性,存在先天性缺牙。放射学评估显示为孤立的、界限清楚的、不透射线的肿块,伴有增厚的皮质边界。两名患者均正在接受正畸治疗,其中一名患者计划在锥形束 CT 评估前进行未萌出牙齿的手术牵引。在本报告中,我们回顾了临床发现,并通过普通放射学和锥形束 CT 解释了特发性骨硬化症的放射学表现,以帮助普通牙医和口腔颌面放射科医生识别。

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