Clinic and Cone beam computed tomography characterization of the bone maxilofacial lesions from Estomatology Clinic

Authors

  • Sergio Lucio Pereira de Castro Lopes Institute of Science and Technology – UNESP – Univ Estadual Paulista – School of Dentistry – Department of Diagnosis and Surgery – São José dos Campos – SP – Brazil.
  • Mari Eli Leonelli de Moraes Institute of Science and Technology – UNESP – Univ Estadual Paulista – School of Dentistry – Department of Diagnosis and Surgery – São José dos Campos – SP – Brazil.
  • Luiz Roberto Coutinho Manhães Júnior Institute of Science and Technology – UNESP – Univ Estadual Paulista – School of Dentistry – Department of Diagnosis and Surgery – São José dos Campos – SP – Brazil.
  • Afonso Celso Souza de Assis Institute of Science and Technology – UNESP – Univ Estadual Paulista – School of Dentistry – Department of Diagnosis and Surgery – São José dos Campos – SP – Brazil.
  • Estela Kaminagakura Tango Institute of Science and Technology – UNESP – Univ Estadual Paulista – School of Dentistry – Department of Biosciences and Oral Diagnosis – São José dos Campos – SP – Brazil.
  • Fernanda Vital Boson Institute of Science and Technology – UNESP – Univ Estadual Paulista – School of Dentistry – Department of Diagnosis and Surgery – São José dos Campos – SP – Brazil.

DOI:

https://doi.org/10.14295/bds.2016.v19i2.1244

Abstract

Objetivo: Caracterizar as lesões ósseas da região maxilofacial conjugando seus aspectos clínicos aos imaginológicos, por tomografia computadorizada de feixe cônico (TCFC), comparando estes achados da literatura. Material e Métodos: Foram selecionados 12 prontuários da Clínica de Propedêutica Estomatológica do ICT-UNESP, apresentando lesões ósseas na região maxilofacial, com prévia indicação de exame por TCFC, realizados em tomógrafo i-CAT Next Generation (imaging Sciences International, Hatfield, PA, EUA) na clínica de Radiologia da instituição. Foram levantadas informações clínicas como sexo, faixa etária e queixas principais. Avaliou-se as imagens de TCFC quanto: localização, arquitetura interna e limites da lesão, efeito nas corticais ósseas, efeito nos dentes e estruturas de suporte dentário e os aspectos internos da lesão. As imagens foram avaliadas no software i-CAT Vision do tomógrafo em janelas de reconstrução multiplanar (MPR). Resultados: Foram estudadas 04 lesões correspondentes a cistos radiculares, 02 a tumores odontogênicos queratocísticos, 01 a odontoma composto, 01 a hamartoma odontogênico, 01 a displasia óssea focal, 01 tumor odontogênico cístico calcificante e 02 cicatrizes fibrosas. A TCFC auxiliou na conclusão dos diagnósticos, visto sua característica de tridimensionalidade, houve, algumas vezes, divergências em relação aos achados descritos na literatura, eminentemente baseados radiografias bidimensionais. Conclusão: a TCFC é de grande valia na caracterização das lesões ósseas, observa-se uma necessidade na literatura de uma abordagem específica para esta modalidade de imagens, diferente das radiográficas convencionais.

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Published

2016-07-07

How to Cite

1.
Lopes SLP de C, Moraes MEL de, Manhães Júnior LRC, de Assis ACS, Tango EK, Boson FV. Clinic and Cone beam computed tomography characterization of the bone maxilofacial lesions from Estomatology Clinic. BDS [Internet]. 2016 Jul. 7 [cited 2025 Aug. 21];19(2):64-71. Available from: https://ojs.ict.unesp.br/index.php/cob/article/view/1244

Issue

Vol. 19 No. 2 (2016): Apr. - Jun. / 2016 - Published June 2016

Section

Clinical or Laboratorial Research

License

Brazilian Dental Science uses the Creative Commons (CC-BY 4.0) license, thus preserving the integrity of articles in an open access environment. The journal allows the author to retain publishing rights without restrictions.

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