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All Journal Journal of Case Reports in Dental Medicine
Rahman, Fadhlil UA.
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Dentistry Health Professions

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Radiological analysis and postoperative evaluation of multilocular ameloblastoma in young patient through panoramic radiograph: a case report Rahman, Fadhlil UA.; Yunus, Barunawaty; Rasul, Irfan; Faisal, Faisal
Journal of Case Reports in Dental Medicine Vol 1, No 3 (2019)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1407.21 KB) | DOI: 10.20956/jcrdm.v1i3.99

Abstract

Objective: Radiographic examination is the main supporting modality in helping to establish the diagnosis of lesion in the jaw.This paper aimed to describe how panoramic radiograph used to analyze the diagnosis and evaluate the results of treatment of ameloblastoma lesions.Methods: Panoramic radiographic examination was performed on an 18-year-old female patient with a chief complaint of swelling of the left mandible which caused the asymmetrical face. In addition to panoramic radiographs, CT scans were also added.Results: Radiograph panoramic showed a sizable well-defined multilocular radiolucency in left mandibular body area to the ramus extend to incisura of the mandible The lesion border had curved-corticated and scalloped border. The internal structure of the lesion was totally radiolucent with the presence of internal septa creating multilocular appearance. Effect the lesions on surrounding structures was destruction inferior cortical of mandible and root resorption. 3-dimensional CT scan was also performed and showed a pattern of lingual and buccal cortical involvement. Based on clinicoradiograph pattern this lesion was diagnosed as ameloblastoma.Conclusion: Panoramic radiographic examination is an important modality not only to help establish the diagnosis of ameloblastoma but also can be used to evaluate the results of lesion elimination by surgical intervention.Keywords: multilocular ameloblastoma, panoramic radiograph, postoperative evaluation
Radiological analysis of large and aggressive mandibular ossifying fibroma in panoramic radiograph: A case report Wulansari, Dwi P.; Rahman, Fadhlil UA.
Journal of Case Reports in Dental Medicine Vol 6, No 1 (2024)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v6i1.227

Abstract

Objective: This case report aimed to explain the specific radiological features and interpretation of the finding of a mixed radiolucent-radiopaque lesion in the mandible, which was subsequently suspected to be an ossifying fibroma and was confirmed histopathologically according to the results of the radiological interpretation. Methods: A 25-year-old man was referred to the oral maxillofacial radiology unit of Hasanuddin University Dental Hospital with a chief complaint of facial asymmetry caused by enlargement in the left mandibular region without pain. Extra oral examination showed an asymmetrical face caused by enlargement in the left mandibular with no crepitus or pain on palpation. Intra-oral examination revealed swelling on the lower left buccal vestibule of the first premolar to the second molar with mobility in the lower left second molar.Results: The patient underwent a panoramic radiography examination, with the results of radiological interpretation showing the presence of well-defined mixed radiolucent-radiopaque lesions in the left mandibular from mesial lower left canine extended to the distal of the third molar. The effect of the lesion also shows the mandibular bone expansion involving the inferior cortex of the mandible.Conclusion: Ossifying fibroma is more common in the mandible, frequently has a mixed radiographic appearance, and tends to grow into large size, resulting in facial disfigurement. Correlation between clinical, imaging, and histopathological features is essential for establishing a proper diagnosis.
Co-Authors Barunawaty Yunus Faisal Faisal Rasul, Irfan Wulansari, Dwi P.