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根尖周牙骨质骨发育异常:从诊断困境到借助三维成像实现准确诊断的历程

Periapical Cemento-Osseous Dysplasia: A Journey from Diagnostic Dilemma to Accurate Diagnosis with Use of 3D Imaging.

作者信息

Tidke Priyanka, Gupta Neha, Patil Dipooja, Ghadage Mahesh, Sinha Anamika, Dalave Pranita, Makkad Ramanpal S

机构信息

Department of Oral Medicine and Radiology, MGM Dental College and Hospital, Navi Mumbai, Maharashtra, India.

Department of Oral Pathology, Microbiology and Forensic Odontology, Dental Institute, Rajendra Institute of Medical Sciences (RIMS), Ranchi, Jharkhand, India.

出版信息

J Pharm Bioallied Sci. 2024 Feb;16(Suppl 1):S951-S954. doi: 10.4103/jpbs.jpbs_465_23. Epub 2023 Nov 7.

DOI:10.4103/jpbs.jpbs_465_23
PMID:38595463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11000969/
Abstract

Cemento-osseous dysplasia is a subgroup of fibro-osseous dysplasia commonly invading the tooth-bearing regions of the mandible quite often. These bony pathologies are asymptomatic and are seen on radiographs as an incidental finding. Accurate diagnosis of periapical cemento-osseous dysplasia is very crucial as it will help in the proper management of the patient as the incorrect diagnosis can lead to the unnecessary endodontic treatment of the concerned teeth as it may be misdiagnosed as a periapical pathology. We describe a case of periapical cemento-osseous dysplasia in which a 52-year-old woman had been experiencing discomfort in the right mental area of her mandible for the previous 6 months and had finally sought help at the outpatient department. This case study aims to highlight the significance of making an accurate diagnosis of cemento-osseous dysplasias in the tooth-bearing area.

摘要

牙骨质骨发育异常是骨纤维发育异常的一个亚组,常侵袭下颌骨的牙区。这些骨质病变无症状,在X线片上常为偶然发现。准确诊断根尖周牙骨质骨发育异常非常关键,因为这有助于对患者进行恰当的治疗,因为错误的诊断可能导致对相关牙齿进行不必要的牙髓治疗,因为它可能被误诊为根尖周病变。我们描述了一例根尖周牙骨质骨发育异常病例,一名52岁女性在过去6个月里一直感到下颌右颏部不适,最终到门诊寻求帮助。本病例研究旨在强调在牙区准确诊断牙骨质骨发育异常的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d61/11000969/f10962c4e68b/JPBS-16-951-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d61/11000969/ebd791109eae/JPBS-16-951-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d61/11000969/5370c324e0f0/JPBS-16-951-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d61/11000969/f10962c4e68b/JPBS-16-951-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d61/11000969/ebd791109eae/JPBS-16-951-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d61/11000969/5370c324e0f0/JPBS-16-951-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d61/11000969/f10962c4e68b/JPBS-16-951-g003.jpg

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本文引用的文献

1
Cemento-Osseous Dysplasias: Imaging Features Based on Cone Beam Computed Tomography Scans.骨水泥发育异常:基于锥形束计算机断层扫描的影像特征
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Fibro-Osseous and Other Lesions of Bone in the Jaws.颌骨的纤维骨性及其他骨病变
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Update from the 4th Edition of the World Health Organization Classification of Head and Neck Tumours: Odontogenic and Maxillofacial Bone Tumors.
世界卫生组织头颈部肿瘤分类第4版更新:牙源性和颌面骨肿瘤
Head Neck Pathol. 2017 Mar;11(1):68-77. doi: 10.1007/s12105-017-0794-1. Epub 2017 Feb 28.
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Diagnosis and management of benign fibro-osseous lesions of the jaws: a current review for the dental clinician.颌骨良性纤维-骨病变的诊断与管理:牙科临床医生的最新综述
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Benign Fibro-Osseous Lesions of the Jaws.颌骨的良性纤维-骨病变
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Central Cemento-Ossifying Fibroma: Primary Odontogenic or Osseous Neoplasm?中央型骨化性纤维瘤:原发性牙源性肿瘤还是骨肿瘤?
J Oral Maxillofac Surg. 2015 Dec;73(12 Suppl):S87-93. doi: 10.1016/j.joms.2015.05.010.
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Maxillofacial fibro-osseous lesions.颌面部纤维-骨病变
Clin Radiol. 2015 Jan;70(1):25-36. doi: 10.1016/j.crad.2014.06.022. Epub 2014 Oct 17.
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Periapical cemento-osseous dysplasia: a case report with twelve-year follow-up and review of literature.
Int Endod J. 2015 Nov;48(11):1086-99. doi: 10.1111/iej.12417. Epub 2014 Dec 24.
9
CBCT findings of periapical cemento-osseous dysplasia: A case report.根尖周牙骨质-骨发育异常的锥形束计算机断层扫描(CBCT)表现:一例报告
Imaging Sci Dent. 2013 Sep;43(3):215-8. doi: 10.5624/isd.2013.43.3.215. Epub 2013 Sep 23.
10
Benign fibro-osseous lesions: clinicopathologic features from 143 cases diagnosed in an oral diagnosis setting.良性纤维-骨病变:口腔诊断环境中诊断的 143 例病例的临床病理特征。
Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 May;115(5):e56-65. doi: 10.1016/j.oooo.2012.05.022. Epub 2012 Sep 13.