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DOI: 10.1055/s-0041-1736401
Clinical Dilemma and the Role of Cone-Beam Computed Tomography in the Diagnosis of an Unusual Presentation of Central Odontogenic Tumor—A Case Report
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Abstract
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.
Declaration of Patient Consent
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient's guardian has given his/her consent for the patient's images and other clinical information to be reported in the journal. The patient's guardian understands that the names and initials will not be published, and due efforts will be made to conceal their identity. Approval from the Institutional Review Board for publishing the same was also obtained.
Financial Support and Sponsorship
None.
Publikationsverlauf
Artikel online veröffentlicht:
13. November 2021
© 2021. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Venkatesh E, Elluru SV. Cone beam computed tomography: basics and applications in dentistry. J Istanb Univ Fac Dent 2017; 51 (3, suppl 1): S102-S121
- 2 Whyte A, Boeddinghaus R, Matias MATJ. Diagnostic imaging principles and applications in head and neck pathology. In: Farah C, Balasubramaniam R, McCullough M. eds. Contemporary Oral Medicine. Cham: Springer; 2017: 1-82
- 3 Wright JM, Vered M. Update from the 4th Edition of the World Health Organization classification of head and neck tumours: odontogenic and maxillofacial bone tumors. Head Neck Pathol 2017; 11 (01) 68-77
- 4 Kuru H. Ueber das Adamantinom. Zentralbl Allg Pathol 1911; 22: 291-295
- 5 Masthan KMK, Anitha N, Krupaa J, Manikkam S. Ameloblastoma. J Pharm Bioallied Sci 2015; 7 (Suppl. 01) S167-S170
- 6 Shafer WG, Hine MK, Levy BM. A Textbook of Oral Pathology. Philadelphia: Saunders; 1983
- 7 Sanjay CJ, David CM, Kaul R, Bk R, Ramachandra P. Intraosseous ameloblastoma masquerading as exophytic growth: a case report. Imaging Sci Dent 2011; 41 (02) 89-93
- 8 Martinelli-Kläy CP, Martinelli CR, Martinelli C, Macedo HR, Lombardi T. Unusual imaging features of dentigerous cyst: a case report. Dent J (Basel) 2019; 7 (03) 76
- 9 Nasim A, Mohan RPS, Nagaraju K, Malik SS, Goel S, Gupta S. Application of cone beam computed tomography gray scale values in the diagnosis of cysts and tumors. J Indian Acad Oral Med Radiol 2018; 30: 4-9
- 10 Holikatti K, Deore S, Gothe P, Shinde N. Ameloblastoma masquerading as gingival enlargement: a case report with unusual presentation. J Oral Maxillofac Surg Med Pathol 2015; 27: 588-591
- 11 Tabatabaei SH, Akhavan Karbasi MH, Danesh Ardekani M, Gholami N, Khabazian A. Central ameloblastoma with a peripheral ameloblastoma-like component: a case report. Iran J Med Sci 2014; 39 (05) 480-483
- 12 Shetty RM, Rath S, Iyer V, Shetty S. Central plexiform ameloblastoma with exophytic growth: a rare case report with review of literature. Ann Essences Dent. 2010; 2: 106-111
- 13 Janardhanan M, Rakesh S, Savithri V, Aravind T. Peripheral ameloblastoma with neoplastic osseous invasion versus peripheral intraosseous ameloblastoma: A challenging diagnosis. J Oral Maxillofac Pathol 2018; 22 (03) 396-400