Clinical Dilemma and the Role of Cone-Beam Computed Tomography in the Diagnosis of an Unusual Presentation of Central Odontogenic Tumor—A Case Report
Cone 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 modal...
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2021
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oai:doaj.org-article:7f1190bb27414471b3f57167b362be6c2021-11-13T23:32:31ZClinical Dilemma and the Role of Cone-Beam Computed Tomography in the Diagnosis of an Unusual Presentation of Central Odontogenic Tumor—A Case Report0971-30261998-380810.1055/s-0041-1736401https://doaj.org/article/7f1190bb27414471b3f57167b362be6c2021-07-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1736401https://doaj.org/toc/0971-3026https://doaj.org/toc/1998-3808Cone 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.Mouttoukichenin SurentharSubramanian Vasudevan SrinivasanVannathan Kumaran JimshaRamanathan VineethThieme Medical and Scientific Publishers Pvt. Ltd.articleameloblastomacone beam computed tomographyexophyticplexiformMedical physics. Medical radiology. Nuclear medicineR895-920ENIndian Journal of Radiology and Imaging, Vol 31, Iss 03, Pp 782-788 (2021) |
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ameloblastoma cone beam computed tomography exophytic plexiform Medical physics. Medical radiology. Nuclear medicine R895-920 |
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ameloblastoma cone beam computed tomography exophytic plexiform Medical physics. Medical radiology. Nuclear medicine R895-920 Mouttoukichenin Surenthar Subramanian Vasudevan Srinivasan Vannathan Kumaran Jimsha Ramanathan Vineeth Clinical Dilemma and the Role of Cone-Beam Computed Tomography in the Diagnosis of an Unusual Presentation of Central Odontogenic Tumor—A Case Report |
description |
Cone 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. |
format |
article |
author |
Mouttoukichenin Surenthar Subramanian Vasudevan Srinivasan Vannathan Kumaran Jimsha Ramanathan Vineeth |
author_facet |
Mouttoukichenin Surenthar Subramanian Vasudevan Srinivasan Vannathan Kumaran Jimsha Ramanathan Vineeth |
author_sort |
Mouttoukichenin Surenthar |
title |
Clinical Dilemma and the Role of Cone-Beam Computed Tomography in the Diagnosis of an Unusual Presentation of Central Odontogenic Tumor—A Case Report |
title_short |
Clinical Dilemma and the Role of Cone-Beam Computed Tomography in the Diagnosis of an Unusual Presentation of Central Odontogenic Tumor—A Case Report |
title_full |
Clinical Dilemma and the Role of Cone-Beam Computed Tomography in the Diagnosis of an Unusual Presentation of Central Odontogenic Tumor—A Case Report |
title_fullStr |
Clinical Dilemma and the Role of Cone-Beam Computed Tomography in the Diagnosis of an Unusual Presentation of Central Odontogenic Tumor—A Case Report |
title_full_unstemmed |
Clinical Dilemma and the Role of Cone-Beam Computed Tomography in the Diagnosis of an Unusual Presentation of Central Odontogenic Tumor—A Case Report |
title_sort |
clinical dilemma and the role of cone-beam computed tomography in the diagnosis of an unusual presentation of central odontogenic tumor—a case report |
publisher |
Thieme Medical and Scientific Publishers Pvt. Ltd. |
publishDate |
2021 |
url |
https://doaj.org/article/7f1190bb27414471b3f57167b362be6c |
work_keys_str_mv |
AT mouttoukicheninsurenthar clinicaldilemmaandtheroleofconebeamcomputedtomographyinthediagnosisofanunusualpresentationofcentralodontogenictumoracasereport AT subramanianvasudevansrinivasan clinicaldilemmaandtheroleofconebeamcomputedtomographyinthediagnosisofanunusualpresentationofcentralodontogenictumoracasereport AT vannathankumaranjimsha clinicaldilemmaandtheroleofconebeamcomputedtomographyinthediagnosisofanunusualpresentationofcentralodontogenictumoracasereport AT ramanathanvineeth clinicaldilemmaandtheroleofconebeamcomputedtomographyinthediagnosisofanunusualpresentationofcentralodontogenictumoracasereport |
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1718430085022744576 |