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[en] We report here a case of unusually large brown tumor of mandible mimicking cherubism in a patient with secondary hyperparathyroidism (HPT). The patient is a young male with a large head and a protruding jaw with an open mouth appearance. Initial clinical appearance looked like cherubism. However further clinical, biochemical, and radiological evaluation revealed a large brown tumor in a case of prolonged secondary HPT, which was confirmed on histopathology. All of the typical advanced radiological features of HPT were noted, highlighting the severity of progression of the disease. This case emphasizes the need for surveillance of serum calcium levels on routine biochemical investigations as to enable an early diagnosis of HPT. With timely proper management, such cases should be on the decline in the future.
[en] The keratocystic odontogenic tumor (KCOT) is a relatively rare, benign neoplasm which develops in the maxilla or mandible, arising from the dental lamina or basal cells of the oral epithelium. It is often found incidentally and brings about late symptoms as it does not cause bone distension for a long time. The presented case is of a young woman with a giant keratocystic odontogenic tumor of the mandible. Despite its rare occurrence, it must be taken into consideration in radiological and clinical diagnostics. Due to the frequent recurrence of KCOT, patients are recommended to be kept under long-term and close radiological supervision
[en] The mandibular canal must be considered carefully during surgical treatment, especially surgical extraction of the impacted tooth and intraosseous implant because it contains the important inferior alveolar nerve and vessel. Th e author investigated the curvature of the mandibular canal, the positional frequency of mandibular foramen to the occlusal plane and gonial angle and the positional frequency of the mental foramen to the tooth site using orthopantomorgrams. The materials considered of 295 orthopantomograms divided into seven groups ranging from the first decade to 6th decade. The results were as follows: 1. The position of mandibular foramen was most frequently below occlusal plane in Group I (78.6%) and Group II (71.2%) , above occlusal plane in Group III (63.0%), Group IV (71.1%), Group V (57.6%), Group VI (76.7%) and Group VII (70.0%). 2. The curvature of mandibular canal was 142.82 .deg. in Group I, 142.09 .deg. in Group II, 139.34 .deg. in Group III, 141.48 .deg. in Group IV, 138.45 .deg. in Group V, 140.77 .deg. in Group VI and 143.89 .deg. in Group VII. 3. The gonial angle was 125.82 .deg. in Group I, 123.18 .deg. in Group II, 124.06 .deg. in Group III, 120.45 .deg. in Group IV, 121.12 .deg. in Group V, 121.63 .deg. in Group VI and 121.24 .deg. in Group VII. 4. The position of the mental foramen was most frequently below the apex of mandibular first premolar in Group I ( 57.2%), between the apex of mandibular first and second premolar in Group II (59.6%) and Group III (48.9%), and below the apex of mandibular second premolar in Group IV (39.2%), Group V (48.5%) Group VI (46.7%) and Group VII (56.4%).
[en] The purpose of the present study was to investigate associations between periapical and bitewing techniques by assessing the crestal alveolar bone. This article also reports the ability of these two techniques to correctly detect evidence of interproximal dental caries, and comparison between the interproximal overlapping of teeth. Bitewing and periapical radiographs were used from posterior quadrants of 243 dental students in Seoul National University. The distance from cemento-enamel junction to the alveolar crest (CEJ-AC) was measured for each proximal surface from the distal of cuspid to the distal of second molar. Data were arranged according to the proximal surface examined, and bitewing and periapical measurements were compared using paired tests. The obtained results were as follows: 1. In maxilla, a significant ratio with a P value of 0.05 or les reached for 100% and in mandible, reached for 94%. 2. The anatomic limitations imposed on periapical radiographic technique, most often result in somewhat foreshortened radiographic images. This situation would tend to be accentuated by the anatomical restrictions of the hard palate. 3. Consequently, since the significant differences frequently exist between measurements obtained from bitewing and periapical techniques, it is importance to define which technique is used. 4. The number of the interproximal overlapping was the largest media side of the maxillary second molar, while the smallest at the distal side of the mandibular second premolar. And the overall number of the interproximal overlapping was more (538) in the periapical technique than in the bitewing technique (372). 5. The interproximal dental carious lesions were detected more (74) on the bitewing films than on the periapical ones (23). The fact was resulted from the small number of interproximal overlapping and relative easiness of obtaining horizontal angulation in taking the bitewing radiographs.
[en] Three cases of florid osseous dysplasia of the jaw were investigated. Radiographs showed sclerotic, globular and ground glass opacities throughout the jaws. Two cases were asymptomatic but one case failed to heal following extraction of the mandibular molar and infection complicated the disease. These cases appear to represent the most exuberant manifestations of this reactive benign fibro-osseous lesion of the jaws.
[en] To determine the effect of interpolation functions when processing the digital periapical images. The digital images were obtained by Digora and CDR system on the dry skull and human subject. 3 oral radiologists evaluated the 3 portions of each processed image using 7 interpolation methods and ROC curves were obtained by trapezoidal methods. The highest Az value(0.96) was obtained with cubic spline method and the lowest Az value(0.03) was obtained with facet model method in Digora system. The highest Az value(0.79) was obtained with gray segment expansion method and the lowest Az value(0.07) was obtained with facet model method in CDR system. There was significant difference of Az value in original image between Digora and CDR system at alpha=0.05 level. There were significant differences of Az values between Digora and CDR images with cubic spline method, facet model method, linear interpolation method and non-linear interpolation method at alpha= 0.1 level.
[en] Odontomas are nonaggressive, hamartomatous developmental malformations composed of mature tooth substances and may be compound or complex depending on the extent of morphodifferentiation or on their resemblance to normal teeth. Among them, complex odontomas are relatively rare tumors. They are usually asymptomatic in nature. Occasionally, these tumors become large, causing bone expansion followed by facial asymmetry. Odontoma eruptions are uncommon, and thus far, very few cases of erupted complex odontomas have been reported in the literature. Here, we report the case of an unusually large, painless, complex odontoma located in the right posterior mandible.
[en] The purpose of this study was to compare the interpretation results of the panoramic radiographs with those of intraoral radiographs in evaluation of alveolar bone loss. All radiographs were obtained from 100 patients who had visited the Dental Infirmary of Kyunpook National University Hospital for periodontal state evaluation. The results were as follows: The percentages of interpretable sites were 95.9% (94.6% in maxilla, 97.4% in mandible) on the intraoral radiographs, and 90.7% (84.0% in maxilla, 97.3% in mandible) on panoramic radiographs. The concordance of interpretation scores of marginal bone loss between intraoral and panoramic radiographs was 66.3% (65.6% in maxilla, 66.8% in mandible). And according to the site, the highest concordance was in distal surface of the mandibular 2nd premolar ant 82.0%, and the distal surface of the mandibular 1st premolar (76.8%), the distal surface of the maxillary central incisor (75.8%), the mesial surface of the 2nd premolar (75.0%) in descending order of frequency. According to the interpretation scores of the marginal bone loss, the percentages of concordance between intraoral and panoramic radiographs were the highest on the score 10 at 76.4%, and the lowest on the score 8, 9. And the percentages of concordance were inverse proportional rate from the score 5 to the score 9. Number of the observed sites of the function involvement in bitewing and panoramic radiographs were 268 sites, and the percentage of interpretable sites was 92.9% in bitewing radiographs and 86.6% in panoramic radiographs. And the concordance rate of interpretation was 79.5%.
[en] This study was performed to evaluate the accuracy of orthopantomogram by measuring the actual and radiographic tooth length and by analyzing the vertical magnification rate. For this study, total 90 teeth of the maxilla and mandible teeth and a dry skull were used. This experiment was attached with metal balls of 1 ± 0.02 mm at the root and the crown cusp tips of central, 2nd premolar, 1st molar of the maxilla and mandible and the teeth were embedded in dry skull, and then orthopantomogram was taken. The obtained results were as follows: 1. The average of tooth length in orthopantomogram was longer that of actual tooth length. 2. The average of vertical magnification rate in orthopantomogram to actual tooth length was 17-26%. 3. Vertical magnification rate of the maxilla teeth was 18-26% and that of mandibular teeth was 17-23%, and the magnification of maxillary teeth was larger than that of mandible teeth (p<0.01). 4. Vertical magnification rate of posterior was 22-26% and that of anterior area was 17-18%, and the magnification of anterior area was less than that of posterior area (p<0.01).
[en] The purpose of this study was to observe mandibular condyle shape in an asymptomatic population. In order to carry out this study, 96 temporomandibular joints in 48 adults (22 males, 26 females), who were asymptomatic for temporomandibular disturbances and had no history of prosthodontic or orthodontic treatments, were selected, and radiographed using the Sectograph(Denar Co., U.S.A.) for lateral and frontal individualized corrected TMJ tomograph and submentovertex radiograph. Mandibular condyles were classified morphologically, and measured mediolateral and anteroposterior dimensions and condylar angulation. The obtained results were as follows. 1. In the classification of condyle shape on lateral tomographs, 94.8% were convex type and 5.2% were angled type. 2. In the classification of condyle shape on frontal tomographs, 45.3% were convex type, 32.0% were round type, 16.0% were flat type, and 6.7% were angled type. 3. In the classification of condyle shape on submentovertex radiographs, 34.5% were flat-convex type, 22.9% were flat-flat type, 20.8% were concave-convex type, 19.8% were convex-concave type, and flat-concave type were not observed. 4. The average mediolateral length of the condyle was 19.3 mm and the average anteroposterior length was 9.4 mm. The average angle between the long axis of condyle and the coronal plane made on submentovertex view was 19.6 degrees.