1.Cone-beam CT features of ameloblastomas.
Jingjing LUO ; Meng YOU ; Chenni WEN ; Laiqing XU ; Guangning ZHENG
West China Journal of Stomatology 2014;32(4):373-377
OBJECTIVETo summarize and analyze the cone-beam CT (CBCT) imaging features of ameloblastomas for clinical preoperative diagnosis.
METHODSThirty-seven cases with complete data proven by pathology were retrospectively studied for distinct CBCT features.
RESULTSOf the 37 cases, 31 were primary and 6 were recurrent. On CBCT images, the 37 cases were composed of 36 cases (97.3%) of intraosseous lesions (17 cases of multilocular lesions, 17 cases of unilocular lesions, and 2 cases of honeycomb lesion) and 1 case (2.7%) of extraosseous lesion (soft tissue lesion). Of the 17 multilocular cases, 15 (88.2%) showed tongue-shaped crests in lesions. Thirty-four cases (94.4%) showed apparent expansible change toward lip/buccal and (or) palatal/lingual sides ofjaw, with partialcortical erosion.
CONCLUSIONCBCT imaging yields accurate three-dimensional images of lesion shape and structure. Therefore, CBCT can be usedfor the clinical diagnosis and surgical assessment of ameloblastoma.
Ameloblastoma ; Cone-Beam Computed Tomography ; Humans ; Jaw Neoplasms ; Retrospective Studies
2.Evaluation of cone-beam CT in diagnosis of supernumerary teeth in the anterior maxilla.
Chenni WEN ; Guo LI ; Jiayin REN ; Guangning ZHENG
West China Journal of Stomatology 2012;30(4):399-401
OBJECTIVETo evaluate the value of cone-beam CT (CBCT) in the diagnosis and orientation of supernumerary teeth in the anterior maxilla.
METHODS195 supernumerary teeth in the anterior maxilla of 146 patients were included, which were examined by CBCT. The number, shape, size, 3-dimensional position, growth direction of the supernumeraries and their relationship with the neighboring teeth were analyzed.
RESULTSThe 146 patients aged from 5 to 39, and males were affected more than females in a ratio of 2.95:1. 102 (69.9%) patients had single supernumerary teeth. Of the 195 supernumerary teeth, 126 (64.6%) were near the middle line, 131 (67.2%) were conical, 51 (26.2%) were curved root, 98 (50.3%) were inverted and had a length of (11.97 +/- 2.40) mm. The supernumerary teeth often caused complications.
CONCLUSIONThe position of the supernumerary teeth is varied in the maxilla, and often causes permanent dentition complications. CBCT imaging yields accurate 3-dimensional pictures of supernumerary teeth, local dental and bony structures, which is helpful for diagnosis and orientation of supernumerary teeth.
Adolescent ; Adult ; Child ; Child, Preschool ; Cone-Beam Computed Tomography ; Female ; Humans ; Male ; Maxilla ; Tooth Root ; Tooth, Supernumerary ; Young Adult