scholarly journals Crown root fracture imaging on Cone Beam Computed Tomography

2021 ◽  
Vol 5 (3) ◽  
pp. 112
Author(s):  
Anak Agung Gde Dananjaya Agung ◽  
Ni Ketut Ayu Lestarini

Objectives: This case report is aimed to describe the features of CBCT in assessing tooth fracture. Case Report: A 50-year-old man came with complaints of discomfort in the right lower jaw area, especially when used for chewing. The results of the percussion test were positive. CBCT examination showed that there was a radiolucent image of the enamel in the middle of the crown root to the 1/3 apical of the mesial and distal roots of tooth 47 which resembled a fracture line. The fracture line also appears to have reached the pulp. In addition, there is a well-defined radiolucent appearance with an irregular shape along the root from the buccal to lingual alveolar crest and accompanied by a decrease in the alveolar crest. The fracture that occurred in this case was from the enamel to the apical and involved the pulp, thus the radiodiagnosis on tooth 47 was a complicated crown root fracture with lateral periodontal cyst. Conclusion: CBCT can be used to help identify tooth fractures by obtaining a more accurate and useful value in differentiating conditions associated with fractures. CBCT provides data on the size and length of the fracture line and the size of the lesion.

2020 ◽  
Vol 3 (3) ◽  
pp. 33
Author(s):  
Siska Damayanti Saifuddin ◽  
Farina Pramanik ◽  
Ria Noerianingsih Firman

Objectives: This purpose of this  case report is to explain the imaging characteristics of unilocular ameloblastoma in CBCT 3D radiograph. Case Report: A 32-year-old male patient came to the dentist complaining his painful right lower jaw over the past few days. Clinical examination showed extensive swelling in the posterior region of the right mandible to cause asymmetry at the inferior border of the mandibular corpus. Panoramic radiography showed radiolucent area in periapical mesial root of 46 tooth, extending to the right angular mandibular with a clearly demarcated shape,  and there was a root resorption of 47 tooth. CBCT 3D examination showed the presence of unilocular radiolucent lesion in a regular shape and a clear borderline, extending to the inferior border of the mandible and causing buccal-lingual cortical perforation accompanied with the resorption of adjacent 47 tooth. Conclusion: CBCT is a supporting radiography that may act as a more accurate diagnostic tool for the diagnosis of unique ameloblastoma lesions.


2020 ◽  
Vol 4 (1) ◽  
pp. 7
Author(s):  
Fitri Angraini Nasution ◽  
Azhari Azhari ◽  
Fahmi Oscandar

Objectives: The purpose of this case report was to report the finding of styloid process morphology in patients with TMD. Case Report: A 22-years-old female patient came to the radiology installation of Rumah Sakit Gigi dan Mulut Unpad Bandung for a Cone Beam Computed Tomography – 3 Dimension (CBCT-3D) examination with a clinical diagnosis of temporomandibular joint disorders (TMD). CBCT-3D examination results showed a change in the shape and position of the right and left condyle head. The length of the styloid process from the sagittal view on the right side was 34,0 mm and the left side 35,0 mm with the elongation type styloid process according to Langlais et al on the right and the left sides were elongated (type I). The styloid process undergoes bilateral elongation with the same type of elongation between the right and the left sides. Angulation of the styloid process from the coronal view on the right side was 68,6° and the left side 55,9°. There was a change in the shape of the right and left styloid processes from the axial view at the temporal base, middle and the tip of styloid process. Conclusion: TMD provides an abnormality in elongation of styloid process, CBCT is an effective diagnostic imaging modalities in evaluation of styloid process length.  


2021 ◽  
Vol 31 (03) ◽  
pp. 782-788
Author(s):  
Mouttoukichenin Surenthar ◽  
Subramanian Vasudevan Srinivasan ◽  
Vannathan Kumaran Jimsha ◽  
Ramanathan Vineeth

AbstractCone beam computed tomography (CBCT) provides a detailed analysis of the dentition and of cortical and medullary bone free of superimposition inherent in radiographs, which are effortlessly plausible, easily available, and relatively inexpensive when compared with other cross-sectional imaging modalities such as computed tomography (CT) and magnetic resonance imaging (MRI). This article presents a case report of a 23-year-old male patient with a complaint of a mass in the right side lower back tooth region for the past 2 and a half months, which had the unusual presentation of prominent exophytic growth masking the central odontogenic tumor, wherein the diagnostic performances of CBCT in unveiling the diagnostic challenge that led to the clinical dilemma is emphasized. Routine radiographs such as orthopantomogram, mandibular occlusal view were taken along with CBCT, which accentuated the precise diagnosis in this case. The lesion was surgically enucleated with curettage and extraction of the involved teeth. CBCT unveiled the classic multilocularity of ameloblastoma, which routine imaging failed to display. CBCT played a pivotal role in counteracting the diagnostic challenges faced and also in distinguishing it from a cystic lesion that was initially deceived by routine two-dimensional radiographs.


2014 ◽  
Vol 4 (2) ◽  
pp. 51-55
Author(s):  
Nisha Acharya ◽  
Praveen Singh Samant ◽  
Vanita Gautam ◽  
Ourvind Singh ◽  
Hemanta Halwai

The management of patients with traumatic injuries to their dentition poses a serious challenge in everyday general dental practice. For the rehabilitation of the complicated subgingival crown fracture of anterior teeth, multidisciplinary approach is often indicated. A combination of endodontic, orthodontic, periodontal and prosthodontic approach may be required. Orthodontic or periodontal intervention becomes an integral part for the exposure of the sound tooth structure of fractured anterior teeth with fracture line extending subgingivally. The aim of this paper is to discuss the immediate endodontic management followed by orthodontic extrusion of traumatized upper anterior teeth with fracture at the subgingival level. In order to expose the sound tooth structure for prosthodonticintervention, orthodontic extrusion was performed after endodontic treatment. To avoid extraction of the involved teeth, the multidisciplinary approach was adopted and finally the teeth were restored prosthodontically. The final result was esthetically pleasant and periodontically sound. 


2021 ◽  
pp. 85-87
Author(s):  
Rudrax Jindal ◽  
Rekha Gupta ◽  
Divyajoti Das ◽  
Abhishek Kumar Gupta

Radiology is an essential tool in the dental clinical practice as most structures harbouring disease are not visible to the naked eye. There are various entities that are generally not noticed until periapical pathology occurs. Under such circumstances, the diagnosis is difcult, as they mimic various other conditions. One of such condition is root fracture after an endodontic treatment of tooth. Vertical root fracture (VRF) usually starts from an internal dentinal crack and develops over time, due to masticatory forces and occlusal loads. Here in this paper we will discuss how we stepwise diagnostic radiographic modalities are used to see the actual cause of pain in a 60 year old male patient. Cone Beam Computed Tomography (CBCT) was done to view in 3D which revealed VRF of tooth. Throughout the paper the edge of CBCT over other diagnostic modalities is discussed till we get our diagnosis.


2020 ◽  
Vol 3 (3) ◽  
pp. 49
Author(s):  
Rellyca Sola Gracea ◽  
Ria Noerianingsih Firman

Objectives: The purpose of this study was to report a case of mandibular cementoblastoma with radiologic approach  and describe its characteristics. Case Report: A 32-year-old female came to the Hospital  and  complained of swelling of the left side of the lower jaw. Clinical examination showed a strong swelling in the buccal region of teeth 44-45, with the same soft tissue color as the surrounding tissue. In the picture cone beam computed tomography appears as a rounded lesion, the internal structure of the radiointermediet with clear and firm boundaries, surrounded by a halo radiolucent. Cementoblastoma radiodiagnosis is established. The patient was referred for surgery. Conclusion: Cementoblastoma was a benign tumor with radiographic characteristics in the form of clearly demarcated radiopaque lesion with radiolucent halo. Some early-stage lesions can show lower density.


Author(s):  
Esraa Ahmed Eid ◽  
Fatma Mostafa El-Badawy ◽  
Walaa Mohamed Hamed

Abstract Background The proximity of the maxillary sinus floor to the maxillary molar roots increases the probability of oroantral communication on conducting any surgical or endodontic procedure in the involved area. The aim of this study is to evaluate the relationship between each maxillary molar root and maxillary sinus floor using cone beam computed tomography. Predicting the probability of protrusion of each root into the sinus will consequently predict the probability of occurrence of the oroantral fistula in a sample of the Egyptian population. Results The total number of roots located outside the sinus was 121 (35.3%), while those contacting the sinus floor were 80 (23.3%) and those intruded the sinus were 141 (41.2%). The percentage of root intrusion into the sinus in males (56.9%) was significantly (p = 0.01) higher than females (42.9%). The probability of root intrusion in the left molars (54.2%) was non-significantly (p = 0.067) higher than that of the right side (44.3%). As for the type of tooth, the second molar showed the highest probability of root intrusion into the sinus (55.3%) followed by the third molars (52.6%) then the first molars (40.9). According to the type of root, the mesiobuccal root showed the highest probability of intrusion into the sinus (50.9%) followed by the palatal root (49.1%) then the distobuccal root (47.4%). However, the difference in both type of tooth and type of root was statistically non-significant (p = 0.051 and 0.869 respectively). As for the individual root with the highest probability of intrusion, the mesio-buccal root of the right third molar is the most frequent root to intrude the sinus (71.4%) and the mesio-buccal root of the right first molar is the least frequent (22.7%). Conclusions In a sample of the Egyptian population, males exhibit higher probability of root protrusion into the sinus than females. The side and type of tooth are of higher impact on the probability of its intrusion into the sinus compared to the type of root. Left second molars are at a higher risk of oroantral communications on surgical or endodontic procedures compared to other molars due to its highest probability of intrusion into the sinus.


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