Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 30
Filtrar
Mais filtros

Base de dados
País/Região como assunto
Tipo de documento
País de afiliação
Intervalo de ano de publicação
1.
BMC Oral Health ; 24(1): 6, 2024 01 03.
Artigo em Inglês | MEDLINE | ID: mdl-38172760

RESUMO

BACKGROUND: Very recently, a significant relationship between tonsilloliths and dental plaque-related pathologies was reported using digital panoramic radiographs. Their dynamics over time suggest that tonsilloliths may be in a permanently active phase that functions to remove foreign matter. The aim of the study was to evaluate the relationship between the occurrence of tonsilloliths and the extent of periodontitis. METHODS: A total of 608 patients who underwent both CT and panoramic radiographs were included in the study. Both of two imaging were retrospectively and independently assessed with respect to the presence of tonsilloliths detected on CT and panoramic radiographs, and bone defects caused by periodontitis detected on panoramic radiographs. The type of retrospective study is case-control. Then, the differences between age groups were evaluated with respect to the degree of bone resorption and its correlation with the presence of tonsilloliths. The relationships between categorical variables were assessed using Pearson's correlation coefficient or Spearman's correlation coefficient. RESULTS: There was a significant relationship between tonsilloliths on CT and the extent of the bone defect on panoramic radiographs (Spearman's correlation coefficient, r = 0.648, p = 0.043). In addition, there was a significant difference in the extent of the bone defect caused by periodontitis between subjects with and without tonsilloliths in the 60 to 69-year-old group (Mann-Whitney U test, p = 0.025), 70 to 79-year-old group (Mann-Whitney U test, p = 0.002), and 80 to 89-year-old group (Mann-Whitney U test, p = 0.022), but not in other age groups (Mann-Whitney U test: under 9-year-old group, p = 1.000; 10 to 19-year-old group, p = 1.000; 20 to 29-year-old group, p = 0.854; 30 to 39-year-old group, p = 0.191, 40 to 49-year-old group, p = 0.749; 50 to 59-year-old group, p = 0.627; ≥90-year-old group, p = 1.000). CONCLUSIONS: The presence of tonsilloliths was related to the extent of periodontitis because the structures were responding dynamically.


Assuntos
Periodontite , Doenças Faríngeas , Humanos , Pessoa de Meia-Idade , Idoso , Criança , Adolescente , Adulto Jovem , Adulto , Idoso de 80 Anos ou mais , Estudos Retrospectivos , Projetos Piloto , Doenças Faríngeas/epidemiologia , Doenças Faríngeas/patologia , Radiografia Panorâmica , Periodontite/complicações , Periodontite/diagnóstico por imagem
2.
BMC Oral Health ; 14: 124, 2014 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-25304016

RESUMO

BACKGROUND: The purpose of this study was to use functional magnetic resonance imaging (fMRI) to quantify changes in brain activity during experimental occlusal interference. METHODS: Fourteen healthy volunteers performed a rhythmical tapping occlusion task with experimental occlusal interference of the right molar tooth at 0 mm (no occlusion), 0.5 mm, and 0.75 mm. The blood-oxygen-level dependent (BOLD) signal was quantified using statistical parametric mapping and compared between rest periods and task periods. RESULTS: In tapping tasks with experimental occlusal interference of 0.75 mm or 0.5 mm, there was clear activation of the contralateral teeth-related primary sensory cortex and Brodmann's area 46. At 0 and 30 minutes after removal of the experimental occlusal interference, the activation clearly appeared in the bilateral teeth-related primary sensory cortices and Brodmann's area 46. At 60 minutes after the removal of the experimental occlusal interference, the activation of Brodmann's area 46 had disappeared, and only the bilateral teeth-related primary sensory cortices were active. CONCLUSIONS: The present results suggest that adjustments for experimental occlusal interference can be objectively evaluated using fMRI. We expect that this method of evaluating adjustments in occlusal interference, combined with fMRI and the tapping task, could be applied clinically in the future.


Assuntos
Encéfalo/fisiologia , Oclusão Dentária Traumática/fisiopatologia , Imageamento por Ressonância Magnética/métodos , Adulto , Cerebelo/fisiologia , Córtex Cerebral/fisiologia , Feminino , Humanos , Aumento da Imagem/métodos , Masculino , Pessoa de Meia-Idade , Córtex Motor/fisiologia , Vias Neurais/fisiologia , Oxigênio/sangue , Córtex Pré-Frontal/fisiologia , Córtex Somatossensorial/fisiologia , Tálamo/fisiologia , Fatores de Tempo , Dente/inervação , Percepção do Tato/fisiologia
3.
Quant Imaging Med Surg ; 14(1): 397-407, 2024 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-38223101

RESUMO

Background: The distribution and drainage of the sublingual gland ducts have various patterns that might be related to sublingual gland-related diseases, including ranula. This study aimed to elucidate the characteristics of the distribution of Bartholin and/or Rivinus ducts in patients with ranula using magnetic resonance (MR) sialography. Methods: In this retrospective cross-sectional study, the distributions and drainage patterns of sublingual gland ducts on MR sialography were classified in 74 subjects without sublingual gland-related disease as confirmed by both medical history and clinical examination and 15 patients with ranula, respectively. All patients had visited Kyushu Dental University Hospital from July 2015 to June 2022 to undergo MR imaging. Data on the distributions and drainage patterns of the sublingual gland ducts, including the characteristics of the Bartholin and/or Rivinus ducts, were then statistically compared between subjects without sublingual gland-related disease and patients with ranula. The images were assessed by an experienced oral and maxillofacial radiology specialist certified by the Japanese Society for Oral and Maxillofacial Radiology. The distributions (five groups) and drainage patterns (three patterns) of the sublingual gland ducts on MR sialography were classified in reference to previous studies, with some modifications in all subjects without sublingual gland-related disease and patients with ranula. Results: A significant difference in the distribution of the ducts (P<0.001), with a low number of patients exposing an undetected canal or Rivinius duct, was found in the group of patients with ranula (P<0.05). Regarding drainage patterns, no patient with ranula presented a Rivinius duct only. A significant difference in the drainage patterns of the sublingual gland ducts on MR sialography was observed between subjects without sublingual gland-related disease and patients with ranula (P=0.001). Conclusions: The present results suggest that the distribution of the sublingual gland ducts, mainly, the Bartholin duct, may be related to ranula formation. These findings also demonstrate that MR sialography contributes well to preoperative evaluation and is effective for assessing the complex excretory distribution of the sublingual gland ducts.

4.
Tomography ; 10(2): 231-242, 2024 Feb 08.
Artigo em Inglês | MEDLINE | ID: mdl-38393286

RESUMO

BACKGROUND: Since there are many differential diagnoses for cemento-osseous dysplasia (COD), it is very difficult for dentists to avoid misdiagnosis. In particular, if COD is related to an embedded tooth, differential diagnosis is difficult. However, there have been no reports on the characteristics of the imaging findings of COD associated with embedded teeth. The aim of the present study was to investigate the occurrence and imaging characteristics of cemento-osseous dysplasia (COD) associated with embedded teeth, in order to appropriately diagnose COD with embedded teeth. METHODS: The radiographs with or without histological findings of 225 patients with COD were retrospectively analyzed. A retrospective search through the picture archiving and communication system (PACS) of the Division of Oral and Maxillofacial Radiology of Kyushu Dental University Hospital was performed to identify patients with COD between 2011 and 2022. RESULTS: Fifteen COD-associated embedded mandibular third molars were identified in 13 patients. All 13 patients were asymptomatic. On imaging, COD associated with embedded mandibular third molars appeared as masses that included calcifications around the apex of the tooth. On panoramic tomography, COD showed inconspicuous internal calcification similar to that of odontogenic cysts or simple bone cysts, especially in patients with COD only around the mandibular third molar region. Those with prominent calcification resembled cemento-ossifying fibroma, calcifying epithelial odontogenic tumor, calcifying odontogenic cyst, adenomatoid odontogenic tumor, and so on, as categories of masses that include calcifications on panoramic tomography and computed tomography. CONCLUSIONS: The current investigation is the first to report and analyze the imaging characteristics of COD associated with embedded teeth. It is important to consider the differences between COD and other cystic lesions on panoramic tomography, and the differences between COD and masses that include calcifications on CT.


Assuntos
Cementoma , Tumores Odontogênicos , Humanos , Estudos Retrospectivos , Tumores Odontogênicos/complicações , Tumores Odontogênicos/diagnóstico por imagem , Cementoma/diagnóstico por imagem , Cementoma/patologia , Radiografia , Tomografia Computadorizada por Raios X
5.
Artigo em Inglês | MEDLINE | ID: mdl-38839481

RESUMO

OBJECTIVES: To elucidate the imaging characteristics of the gubernaculum tract (GT) in patients with cleidocranial dysplasia (CCD) as visualized with computed tomography (CT). STUDY DESIGN: This was a retrospective analysis of the presence and shape of GTs of unerupted permanent teeth and supernumerary teeth on CT in 9 patients with CCD. RESULTS: The overall GT detection rate for unerupted permanent teeth was 83.5% (81/97), with no significant difference between permanent teeth without and with adjacent supernumerary teeth (P = .414). The overall GT detection rate for unerupted supernumerary teeth was 83.1% (49/59). Of the 156 total unerupted teeth analyzed, 83.3% (130/156) were judged to have GTs. No significant difference in detection rate of GTs was found between permanent and supernumerary teeth (P > 0.999). A composite morphology consisted of a single GT for a permanent unerupted tooth with 1 or 2 supernumerary teeth in which the dental follicles of the permanent and supernumerary teeth were confluent. In total, 44 groups consisted of 1 permanent and 1 or 2 supernumerary teeth; 79.5% (35/44) had GTs. CONCLUSIONS: A specific composite structure of GTs and dental follicles may signify that 2 or 3 teeth are derived from a single dental lamina in patients with CCD. In such cases, tooth eruption may fail due to the presence of only 1 GT for multiple teeth.

6.
BMC Oral Health ; 13: 54, 2013 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-24125195

RESUMO

BACKGROUND: Recent studies suggest that tonsilloliths are clinically related to halitosis and tonsillar abscess. Based on our empirical knowledge, tonsilloliths are relatively commonly encountered in daily clinical practice. It has been reported that the detection rate of tonsilloliths was under 24% in previous reports, although experience suggests otherwise. The purpose of the study was to evaluate the prevalence and characteristics of tonsilloliths using computed tomography (CT). In addition, the possible causes of low detection rates on panoramic radiographs were evaluated based on comparisons between CT images and panoramic radiographs in order to elucidate the limitations of visualizing the area around the palatine tonsils on panoramic radiographs. METHODS: 482 pairs of CT images and panoramic radiographs were retrospectively assessed with respect to the presence and characteristics of tonsilloliths. In addition, the causes in cases of disagreement between the two modalities were analyzed. RESULTS: The detection rate of tonsilloliths was 46.1% using CT scans, unlike previous reports. The characteristics of tonsillolith were dot-like figures with about 300-500 Hounsfield units within the palatine tonsil under the soft palate. The most common length of tonsilloliths was about 3 or 4 mm. As the subjects aged, the detection rate increased gradually. A significant difference in the tonsillolith detection rate was found between the over and under 40-year-old groups (p < 0.0001). However, the detection rate of tonsilloliths was only 7.3% on panoramic radiographs. A significant correlation was observed between the detection rate of tonsilloliths on panoramic radiographs and CT number (Spearman r = 0.429), size, (Spearman r = 0.318), and number of tonsilloliths (Spearman r = 0.333). CONCLUSION: The present results suggest that tonsilloliths are relatively more common than previously suggested. However, panoramic radiographs detect only a small percentage of palatine tonsilloliths. The low detection rates on panoramic radiographs might be related to the degree of calcification, size, and number of tonsilloliths.


Assuntos
Litíase/diagnóstico por imagem , Tonsila Palatina/diagnóstico por imagem , Doenças Faríngeas/diagnóstico por imagem , Doenças Faríngeas/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Cálculos/diagnóstico por imagem , Cálculos/patologia , Distribuição de Qui-Quadrado , Criança , Pré-Escolar , Feminino , Humanos , Japão/epidemiologia , Litíase/epidemiologia , Litíase/patologia , Masculino , Pessoa de Meia-Idade , Tonsila Palatina/patologia , Doenças Faríngeas/patologia , Prevalência , Radiografia Panorâmica , Estatísticas não Paramétricas , Tomografia Computadorizada por Raios X , Adulto Jovem
7.
J Clin Med ; 11(20)2022 Oct 18.
Artigo em Inglês | MEDLINE | ID: mdl-36294457

RESUMO

The aim of this study was to evaluate whether a balanced steady-state free-precession (SSFP) sequence with a time-spatial labeling inversion pulse (time-SLIP) without contrast medium could elucidate branches of the lingual and facial arteries on the lingual aspect of the mandible as a potential technique for preventing severe complications in dental implantation surgery. In this study, magnetic resonance angiography (MRA) using SSFP with a time-SLIP was evaluated in 40 subjects. The outline and course of branches of the lingual and facial arteries near the mandible were assessed clinically in the same subjects against contrast-enhanced computed tomography (CT) images as the gold standard. The submental, sublingual, and deep lingual arteries could be visualized via MRA in 16, 20, and 16 of the 40 subjects, respectively. The major axes of the respective arteries were approximately 24, 24, and 16 mm. The outline and course of all visualized arteries coincided with those on CT. MRA using SSFP with a time-SLIP appears to have potential as a non-contrast technique for visualizing branches of the lingual and facial arteries on the lingual aspect of the mandible. Information regarding the outline and course of these arteries as obtained using this MRA technique could assist in preventing severe complications in dental implantation surgery.

8.
Congenit Anom (Kyoto) ; 62(6): 241-247, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36116034

RESUMO

The purpose of this study was to elucidate the imaging characteristics of the gubernaculum tracts in successional teeth related to fused deciduous teeth on computed tomography. The imaging findings of 15 gubernaculum tracts in successional teeth related to fused deciduous teeth were retrospectively analyzed using cone-beam computed tomography or multidetector computed tomography. In cases without a congenitally defected successor, the two gubernaculum tracts of two successional teeth related to fused deciduous teeth were fused into one. Gubernaculum tracts (GTs) in mesial successors were vertical, but in distal successors they were inclined to mesial. The major abnormalities of the successional teeth related to fused deciduous teeth were delayed eruption and delayed formation. No inclined mesial successors were found, whereas most of the distal successors were inclined to mesial along with the inclined GT. The gubernaculum tracts of successors with a congenital defect of the other successors were vertical, and such successors had no abnormalities. The present study showed the imaging characteristics of gubernaculum tracts in successional teeth related to fused deciduous teeth. The abnormal eruption of successional teeth related to fused deciduous teeth may be associated with the characteristics of their gubernaculum tracts.


Assuntos
Dentes Fusionados , Humanos , Gubernáculo , Erupção Dentária , Estudos Retrospectivos , Dente Decíduo , Tomografia Computadorizada de Feixe Cônico
9.
Dent Traumatol ; 27(4): 300-4, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21496202

RESUMO

In the present case of a 9-year-old girl with prominent swelling in the mental and facial regions after trauma, repeated magnetic resonance (MR) examinations were performed to evaluate areas of incision, because the swelling became worse and more prominent despite intravenous antibiotic treatment. However, there was no evidence of respiratory tract impingement or deformation, including obliteration, on MR imaging. Therefore, surgical treatment involving an incision because of facial region swelling was cancelled, and the intravenous antibiotic therapy was continued. To prevent misdiagnosis and over-treatment of young children with inflammation of the oral and maxillofacial regions, dentists, including pediatric dentists, should be aware of the clinical usefulness of MR examinations. In particular, MR examinations are non-invasive for young children, because there is no X-ray exposure, and they can be used repetitively. At the same time, the present case demonstrated that it is very difficult to understand and predict changes in the inflammation process associated with children's facial trauma.


Assuntos
Antibacterianos/uso terapêutico , Edema/etiologia , Imageamento por Ressonância Magnética/estatística & dados numéricos , Traumatismos Dentários/complicações , Traumatismos Dentários/diagnóstico , Acidentes por Quedas , Criança , Face , Feminino , Humanos , Lábio/lesões , Pescoço , Tomografia Computadorizada por Raios X/estatística & dados numéricos
10.
Clin Exp Dent Res ; 7(6): 1205-1214, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34137209

RESUMO

OBJECTIVES: The shapes of gubernaculum tracts (GTs) in molars as accessional teeth remain unidentified. To elucidate imaging peculiarities of GTs in molars with aging on multidetector-row computed tomography (MDCT). MATERIAL AND METHODS: This retrospective study was conducted using CT images, including maxillary and mandibular molars, with no abnormal findings from 239 patients. Shapes of alveolar bone, GTs, and dental sacs of the maxillary and mandibular molars were analyzed multi-sectionally. Correlations between 2- and 3-dimensional imaging figures of GTs in molars and chronological age or stage of molar formation were analyzed. RESULTS: Some forms of GTs in maxillary and mandibular third molars were observed. In the early stage, GTs were visualized as bone defect lines on the dentition and grooves on the mesial alveolar crest continuous with the dental sac to mesial tooth bud. GTs of the third molar formed a J-shape in maxillary teeth and Y-shape in mandibular teeth in the middle stage, as alveolar bone around the GT developed. In the mature stage, the course of the GT changed to straight and perpendicular. Some GT forms were also identified in first and second molars. Significant correlations were found between GT alterations and chronological age or stage of molar formation. Moreover, tracts continuing from the distal side of mandibular third molars were detected. CONCLUSIONS: This paper describes the peculiarities and process of progression for GTs in molars, and the existence of tracts continuing from the distal side of mandibular third molars, unlikely dentition with deciduous predecessors. These preliminary data should prove beneficial for studies focusing on GTs in molars.


Assuntos
Gubernáculo , Dente Molar , Humanos , Dente Molar/diagnóstico por imagem , Dente Serotino/diagnóstico por imagem , Estudos Retrospectivos , Tomografia Computadorizada por Raios X
11.
J Clin Med ; 10(14)2021 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-34300216

RESUMO

The eruption pathway from the dental follicle to the gingiva for permanent teeth is known as the gubernaculum tract (GT), a physiologic structure thought to play a role in tooth eruption. Cone beam computed tomography and multi-detector computed tomography have recently been used to visualize the GT, with the results indicating that this structure might be related to the normal eruption of teeth. By contrast, curved and/or constricted GTs may lead to abnormal tooth eruption. In addition, complex odontomas have been reported from within the GT or dental sac of unerupted permanent teeth. If an odontoma occurs within the GT, the tooth will not erupt normally. Moreover, the imaging characteristics of the GT from the top of the odontogenic mass to the alveolar crest are extremely useful for making a differential pathological diagnosis and for differentiating between odontogenic and non-odontogenic masses. Therefore, radiological studies on the GT have been attracting increasing attention. Given this background, the present review aims to clarify the imaging characteristics and review recent studies on the GT considering the importance of the research.

12.
J Oral Maxillofac Surg ; 68(12): 3022-7, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20739116

RESUMO

PURPOSE: To elucidate the relationship between the anatomic position of the inferior alveolar nerve (IAN) at the mandibular second molar and the occurrence of neurosensory disturbances of the IAN after sagittal split ramus osteotomy (SSRO) in patients with mandibular prognathism. Also, the present study evaluated the difference in anatomic position of the IAN between patients with and without mandibular prognathism. PATIENTS AND METHODS: Computed tomography images were taken of 28 patients with mandibular prognathism and 30 without prognathism. On these scans, the IANs from the mandibular second molar region to the mandibular foramen in the mandibular ramus were identified. The present study was designed as a cross-sectional study. The distance from the buccal aspect of the IAN canal to the outer buccal cortical margin of the mandible in the mandibular second molar regions was measured on the computed tomography images. Also, the linear distance between the superior aspect of the IAN canal and the alveolar crest in these regions was calculated. In addition, we investigated the presence or absence of contact between the IAN canal and the inner buccal cortical margin of the mandible from the mandibular second molar to the mandibular foramen in the mandibular ramus. Next, we examined whether neurosensory disturbances occurring after SSRO were related to the position of the IAN at the mandibular second molar. RESULTS: A significant difference was found in the occurrence of neurosensory disturbances of the IAN after SSRO between men and women (χ(2) test, P < .05). For the distance from the buccal aspect of the IAN canal to the outer buccal cortical margin of the mandible in the mandibular second molar region, a significant difference was found between groups with and without neurosensory disturbances (Student's t test, P < .01). The shorter the distance from the buccal aspect of the IAN canal to the outer buccal cortical margin, the more frequent the occurrence of neurosensory disturbances of the IAN. CONCLUSIONS: The present results have demonstrated that gender and the anatomic position of the IAN canal at the mandibular second molar are significantly related to the occurrence of neurosensory disturbances of the IAN after SSRO. Therefore, surgeons should clearly inform patients of the increased possibility of neurosensory disturbances after SSRO when the patients are female and are found to have a shorter distance from the buccal aspect of the IAN canal to the outer buccal cortical margin.


Assuntos
Traumatismos dos Nervos Cranianos/prevenção & controle , Mandíbula/anatomia & histologia , Osteotomia/métodos , Prognatismo/cirurgia , Transtornos de Sensação/etiologia , Traumatismos do Nervo Trigêmeo , Adolescente , Adulto , Estudos de Casos e Controles , Traumatismos dos Nervos Cranianos/complicações , Estudos Transversais , Feminino , Humanos , Masculino , Mandíbula/anormalidades , Mandíbula/diagnóstico por imagem , Mandíbula/cirurgia , Nervo Mandibular/diagnóstico por imagem , Pessoa de Meia-Idade , Dente Molar , Osteotomia/efeitos adversos , Prognatismo/diagnóstico por imagem , Valores de Referência , Transtornos de Sensação/prevenção & controle , Tomografia Computadorizada por Raios X , Adulto Jovem
13.
Dentomaxillofac Radiol ; 49(2): 20190214, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31596128

RESUMO

OBJECTIVE: The aim of this study was to examine whether a decreased occurrence rate of adverse drug reactions (ADRs) to contrast media in contrast-enhanced CT and MRI was attributable to appropriate criteria for patients with some diseases. A secondary aim was to elucidate safety profiles for contrast media and factors influencing the occurrence of ADRs. METHODS: Clinical data of patients who underwent contrast-enhanced CT (5576 cases) or MRI (3357 cases) were retrospectively analyzed to evaluate rates of ADRs to contrast media, symptoms of ADRs, treatments for ADRs, and differences in medical history, blood test results, and other factors between patients with and without ADRs in a dental hospital. RESULTS: The rate of ADRs to contrast media was 0.54% for CT and 0.09% for MRI. The most frequent ADRs in contrast-enhanced CT or MRI were nausea and vomiting as physiologic reactions. Two serious reactions were seen for CT, but none for MRI. Significant differences between patients with and without ADRs were seen in liver function according to blood tests for CT, and in digestive disorders elicited from medical interviews for MRI. CONCLUSION: The lower occurrence rate of ADRs to contrast media in dental hospitals could be due to the adoption of appropriate criteria for patients with some diseases undergoing enhanced CT or MRI. Complete suppression of ADRs to contrast media for CT or MRI is unrealistic, so attention is warranted for patients with decreased liver function when performing enhanced CT, and for patients with digestive disorders when performing enhanced MRI.


Assuntos
Meios de Contraste , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Meios de Contraste/efeitos adversos , Humanos , Imageamento por Ressonância Magnética , Seleção de Pacientes , Estudos Retrospectivos , Tomografia Computadorizada por Raios X
14.
Head Face Med ; 15(1): 25, 2019 Oct 22.
Artigo em Inglês | MEDLINE | ID: mdl-31640721

RESUMO

BACKGROUND: The purpose of the present study was to describe the CT imaging findings of normal incisive canals and incisive canal cysts and propose cut-off values to differentiate between them. METHODS: A total of 220 normal subjects and 40 patients with incisive canal cysts on multi-detector row computed tomography (MDCT) were retrospectively analyzed. The shapes, sizes, anatomic variations, Hounsfield scale values, and so on of maxillary incisive canals and the sizes and Hounsfield scale values of maxillary incisive canal cysts were analyzed. RESULTS: A significant difference in sizes of maxillary incisive canals in normal subjects was found between males and females. The sizes of maxillary incisive canals were significantly wider during aging, but shapes, anatomic variations, and Hounsfield scale values in the maxillary incisive canals were not significantly different with aging. A significant difference in sizes but not Hounsfield scale values was found between normal maxillary incisive canals and maxillary incisive canal cysts. Based on a cut-off of over 6 mm in the width of incisive canals, maxillary incisive canal cysts could not be appropriately diagnosed for subjects over 60 years of age. Over 60 years of age, maxillary incisive canal cysts could be appropriately diagnosed based on a cut-off of over 7.1 mm in width of incisive canals. When maxillary incisive canals of the hourglass types were seen on sagittal sections, significantly more patients had maxillary incisive canal cysts than other types. CONCLUSION: In coincidentally diagnosing asymptomatic incisive canal cysts on imaging, we should apply different cut-offs for the size of the maxillary incisive canal for patients over and under 60 years of age. Specifically, the cut-offs for the long axis of maxillary incisive canal cysts were 7.1 mm for patients over 60 years of age and 6.0 mm for those under 60 years of age. In addition, we should pay attention to wider canals with hourglass shapes as indicative of cystic change of maxillary incisive canals.


Assuntos
Tomografia Computadorizada de Feixe Cônico , Cistos , Maxila , Cistos/diagnóstico por imagem , Feminino , Humanos , Japão , Masculino , Maxila/diagnóstico por imagem , Pessoa de Meia-Idade , Estudos Retrospectivos
15.
Artigo em Inglês | MEDLINE | ID: mdl-30292557

RESUMO

OBJECTIVE: The aim of this study was to evaluate the characteristics of diffusion-weighted imaging (DWI) and apparent diffusion coefficient (ADC) values of ranulas. In addition, to elucidate DWI findings and ADC values of other representative masses in and around the floor of the mouth. STUDY DESIGN: DWI findings and ADC values in 35 patients with ranulas and 33 patients with other masses were retrospectively reviewed with a central focus on cystic masses or lesions that may have cyst-like components in and around the floor of the mouth based on the diagnosis of each respective disease. RESULTS: Ranulas were all well-defined, homogeneous masses with high signal intensity on DWI. The mean ± standard deviation ADC value of the 35 ranulas was 2.59 ± 0.31 × 10-3 mm2/s. There was a significant difference in ADC values between simple and plunging ranulas. On DWI, most other masses were heterogeneous, and most ADC values, except those for thyroglossal duct cysts, hemangiomas, and pleomorphic adenomas, were significantly lower than those for ranulas. CONCLUSIONS: The characteristic DWI and ADC findings of ranulas can be determined accurately, and these data can be significantly useful in the differential diagnosis of many kinds of diseases in and around the oral floor.


Assuntos
Imagem de Difusão por Ressonância Magnética , Rânula , Diagnóstico Diferencial , Humanos , Rânula/diagnóstico por imagem , Estudos Retrospectivos , Sensibilidade e Especificidade
16.
PLoS One ; 13(7): e0199285, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29979687

RESUMO

We aimed to determine the significance and usefulness of imaging characteristics of gubernaculum tracts (GT) for the diagnosis of odontogenic tumors or cysts. This was a retrospective analysis of relationships between odontogenic or non-odontogenic tumors or cysts and the GT that were visualized using multi-detector computed tomography (MDCT). The relationship between the size of a mass and expansion of the GT in all odontogenic tumors or cysts to which GTs were contiguous on MDCT, was statistically analyzed. Intact or expanded GTs were detected in MDCT images on the top of almost all odontogenic tumors or cysts, but not on non-odontogenic tumors or cysts. Characteristic image findings regarding the relationship between the GT and the odontogenic mass were detected for the respective odontogenic tumors or cysts in which the GTs were contiguous to the mass on MDCT. In ameloblastomas, expansion of the GTs significantly and very strongly correlated with tumor size (r = 0.741, p = 0.0001), but this correlation was very weak in dentigerous cysts (r = 0.167, p = 0.028) and there was no correlation between these parameters in odontogenic keratocysts (r = -0.089, p = 0.557). The imaging characteristics of GTs at the top of masses should be very useful for both the differential diagnosis of the pathological diagnosis of odontogenic masses and for differentiation between odontogenic and non-odontogenic masses.


Assuntos
Maxila/diagnóstico por imagem , Cistos Odontogênicos/diagnóstico , Tumores Odontogênicos/diagnóstico , Tomografia Computadorizada por Raios X/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Osso e Ossos/diagnóstico por imagem , Osso e Ossos/patologia , Criança , Diagnóstico Diferencial , Feminino , Gubernáculo/diagnóstico por imagem , Gubernáculo/patologia , Humanos , Masculino , Maxila/patologia , Pessoa de Meia-Idade , Cistos Odontogênicos/diagnóstico por imagem , Cistos Odontogênicos/patologia , Tumores Odontogênicos/diagnóstico por imagem , Tumores Odontogênicos/patologia , Estudos Retrospectivos , Dente/diagnóstico por imagem , Dente/patologia , Adulto Jovem
17.
Oral Radiol ; 34(3): 277-280, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-30484032

RESUMO

A Stafne bone defect is a static bone depression in the mandible that is commonly observed in cortical bone near the mandibular angle. We herein present a rare case in which static bone depressions attached to the three major salivary glands were observed on panoramic radiography and computed tomography (CT). The three static bone depressions in the mandible were visualized on a panoramic radiograph and CT as oval radiolucent masses in a 68-year-old man. The CT numbers in the bone depressions ranged from 10 to 50 HU, and they were close to those of the respective salivary glands. Based on the CT numbers, the areas in the bone depressions were determined to be a normal parotid gland, sublingual gland, and submandibular gland. The patient underwent a follow-up examination and did not request further consultation.


Assuntos
Doenças Ósseas/diagnóstico por imagem , Mandíbula/diagnóstico por imagem , Glândulas Salivares/diagnóstico por imagem , Idoso , Humanos , Masculino , Tomografia Computadorizada por Raios X
18.
Artigo em Inglês | MEDLINE | ID: mdl-27651289

RESUMO

OBJECTIVES: To elucidate the characteristics of the gubernaculum tracts (GTs) in maxillary anterior teeth with normal or delayed eruption and in mesiodens by using multidetector computed tomography and cone beam computed tomography. STUDY DESIGN: The characteristics of GTs in maxillary anterior teeth of 205 patients with impacted mesiodens were retrospectively analyzed by using multidetector computed tomography and cone beam computed tomography. The GTs of teeth with normal or delayed eruption and the GTs of mesiodens were examined. RESULTS: The detection ratio of GTs in impacted mesiodens and anterior teeth with delayed eruption was significantly lower than in teeth with normal eruption. A significant difference in the angulation was found between normal and delayed eruptions. Almost all detectable GTs in the inverted mesiodens were derived from the incisive canal, while the remaining were from the alveolar crest. The connecting area of major GTs to tooth in inverted mesiodens was the cervical or root area, but in all other anterior teeth, it was the crown area. CONCLUSIONS: GTs of inverted mesiodens may exhibit characteristics that are different from those of normal GTs when the teeth and/or the palate are developing.


Assuntos
Tomografia Computadorizada de Feixe Cônico , Gubernáculo/diagnóstico por imagem , Incisivo/diagnóstico por imagem , Maxila/diagnóstico por imagem , Tomografia Computadorizada Multidetectores , Dente Impactado/diagnóstico por imagem , Dente Supranumerário/diagnóstico por imagem , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
19.
Artigo em Inglês | MEDLINE | ID: mdl-26679362

RESUMO

OBJECTIVES: The purpose of this study was to identify the spatial relationship and/or association between odontomas and the gubernaculum tract or the dental sac and the characteristic findings for radiographic diagnosis of odontomas. STUDY DESIGN: The visualizations of the odontomas and the gubernaculum tract were retrospectively analyzed using cone beam computed tomography or multidetector computed tomography. RESULTS: Most of odontomas were within the gubernaculum tract or dental sac of unerupted permanent teeth on computed tomography. In some odontomas, the gubernaculum tract existed as a well-defined low density tract extending from the top of odontomas on computed tomography. CONCLUSIONS: A close spatial relationship and/or association between odontomas and the gubernaculum tract or dental sac on computed tomography may be used as one of the criteria for radiographic diagnosis of odontomas. Development of odontomas may be associated with the gubernaculum tract or dental sac of unerupted permanent teeth.


Assuntos
Neoplasias Maxilomandibulares/diagnóstico por imagem , Odontoma/diagnóstico por imagem , Germe de Dente/diagnóstico por imagem , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Tomografia Computadorizada de Feixe Cônico , Saco Dentário/diagnóstico por imagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada Multidetectores , Estudos Retrospectivos , Dente não Erupcionado
20.
Artigo em Inglês | MEDLINE | ID: mdl-26166033

RESUMO

PURPOSE: To elucidate the appearance and imaging characteristics of the gubernacular tract (GT) during the growth stage of children. Furthermore, this study evaluated the significance of the appearance of the GT. STUDY DESIGN: The visualizations of the GT were retrospectively analyzed by using panoramic radiographs and computed tomography (CT) in children. RESULTS: In patients with normal eruption who had unerupted permanent teeth, except maxillary central supernumerary teeth, the GT was clearly visualized as a well-defined low-density tract on CT but not on panoramic radiographs. In patients with obstructive eruption, including impaction, the GT was deformed and not visible on CT. CONCLUSIONS: This paper describes the frequency of detection and appearance of the GT in unerupted teeth. Preliminary data suggest that any alteration to the GT may be used to predict abnormal eruption of permanent teeth.


Assuntos
Processo Alveolar/diagnóstico por imagem , Tomografia Computadorizada de Feixe Cônico , Tomografia Computadorizada Multidetectores , Germe de Dente/diagnóstico por imagem , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Radiografia Panorâmica , Estudos Retrospectivos , Erupção Dentária
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA