Gen Dent. 2023 Sep-Oct;71(5):34-37.
Conventional radiography is the mainstay for evaluation of developmental and pathologic disorders of oral and maxillofacial structures. Occasionally, clinicians may experience diagnostic pitfalls during interpretation of these imaging modalities. The aim of this article is to present 4 cases of pseudopathologic disorders found on intraoral and panoramic radiographs. Subsequent use of cone beam computed tomographic (CBCT) imaging determined that the initial concerning findings represented anatomical or radiographic anomalies rather than pathologic processes. Supplemental use of CBCT scans may enhance diagnostic assessment, possibly reducing the need for surgical intervention, and elucidate structurally compromised regions of the jaw that could predispose it to fracture.
传统放射摄影术是评估口腔颌面结构发育和病理障碍的主要方法。偶尔,临床医生在解读这些影像学方式时可能会遇到诊断陷阱。本文的目的是介绍 4 例在口腔内和全景片上发现的假性病理疾病。随后使用锥形束 CT(CBCT)成像确定,最初令人担忧的发现代表解剖学或影像学异常,而不是病理过程。辅助使用 CBCT 扫描可以增强诊断评估,可能减少手术干预的需要,并阐明可能导致骨折的颌骨结构受损区域。