Imaging analysis 3D cone-beam computed tomography of a suspected infected radicular cyst in the mandible

  • Merry Annisa Damayanti Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
  • Ria Noerianingsih Firman Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
  • Fahri Reza Ramadhan Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
  • Ika Rachmawati Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
  • Fadhlil Ulum Abdul Rahman Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Universitas Hasanuddin, Makasar, Indonesia, 90245 http://orcid.org/0000-0002-5857-6294
  • Aga Satria Nurrachman Department of Oral and Maxillofacial Radiology, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia, 60132 http://orcid.org/0000-0003-3788-8499
  • Norlaila Sarifah Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Lambung Mangkurat, Banjarmasin, Indonesia, 70236 http://orcid.org/0000-0002-9937-2714
  • Alongsyah Zulkarnaen Ramadhan Faculty of Dentistry, Universitas YARSI, Jakarta, Indonesia, 10510
  • Indra Gunawan Faculty of Dentistry, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia, 57141
DOI: https://doi.org/10.32793/jrdi.v6i3.898

Abstract

Objectives: This article is aimed to report the use of cone-beam computed tomography (CBCT) imaging analysis on a radiolucent lesion case.
Case Report: A 24-year-old female patient was referred to dentomaxillofacial radiology installation, at Universitas Padjadjaran Dental Hospital for a CBCT examination of a lower jaw lesion. The CBCT result demonstrated a large radiolucent lesion at the periapical of tooth 37 with a mostly diffuse border that extended posteriorly to the ramus. There was a cortical thinning on the lingual side alveolar bone. Density analysis revealed an average density of –22,9 grayscale.
Conclusion: CBCT 3D could analyze lesions from qualitative and quantitative approaches. Based on these approaches, the lesion of this case led to a suspect of infected radicular cyst.

Author Biographies

Merry Annisa Damayanti, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
Staff
Ria Noerianingsih Firman, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
Staff
Fahri Reza Ramadhan, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
Dentomaxillofacial Radiology Residency Program
Ika Rachmawati, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
Dentomaxillofacial Radiology Residency Program
Fadhlil Ulum Abdul Rahman, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Universitas Hasanuddin, Makasar, Indonesia, 90245
Staff
Aga Satria Nurrachman, Department of Oral and Maxillofacial Radiology, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia, 60132
Staff
Norlaila Sarifah, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Lambung Mangkurat, Banjarmasin, Indonesia, 70236
Staff
Alongsyah Zulkarnaen Ramadhan, Faculty of Dentistry, Universitas YARSI, Jakarta, Indonesia, 10510
Staff
Indra Gunawan, Faculty of Dentistry, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia, 57141
Staff

References

Venkatesh E, Elluru SV. Cone beam computed tomography: basics and applications in dentistry. J Istanb Univ Fac Dent. 2017 Dec 2;51(3 Suppl 1):S102-S121.
Weiss R, Read-Fuller A. Cone Beam Computed Tomography in oral and maxillofacial surgery: An evidence-based review. Dent J. 2019;7(2):1–23.
Parmar NK, Nisha KJ, Padmanabhan S. The diagnostic dillema of an infected radicular cyst: A Case report. International Journal of Applied Dental Science. 2018;4(2):168-70.
Rosenberg PA, Frisbie J, Lee J, Lee K, Frommer H, Kottal S, et al. Evaluation of Pathologists (Histopathology) and Radiologists (Cone Beam Computed Tomography) Differentiating Radicular Cysts from Granulomas. J Endod [Internet]. 2010;36(3):423–8.
Shivhare P. Multilocular Radicular Cyst – A Common Pathology with Uncommon Radiological Appearance. J Clin Diagnostic Res. 2016;10(3):13–5.
Ducommun F, Bornstein MM, Bosshardt D, Katsaros C, Dula K. Diagnosis of tooth ankylosis using panoramic views, cone beam computed tomography, and histological data: a retrospective observational case series study. Eur J Orthod [Internet]. 2018;40(3):231–8.
Etöz M, Amuk M, Avcı F, Yabacı A. Investigation of the effectiveness of CBCT and gray scale values in the differential diagnosis of apical cysts and granulomas. Oral Radiol [Internet]. 2021;37(1):109–17.
Pratyusha M, Nadig P, Jayalakshmi K, Math S. CBCT assessment of healing of a large radicular cyst treated with enucleation followed by PRF and osseograft placement: A case report. Saudi J Oral Dent Res. 2017;2(3):72–6.
Shah N, Bansal N, Logani A. Recent advances in imaging technologies in dentistry. World J Radiol. 2014;6(10):794-807.
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(1):4–9.
Razi T, Niknami M, Alavi Ghazani F. Relationship between Hounsfield Unit in CT Scan and Gray Scale in CBCT. J Dent Res Dent Clin Dent Prospects [Internet]. 2014;8(2):107–10.
Azeredo F, De Menezes LM, Enciso R, Weissheimer A, De Oliveira RB. Computed gray levels in multislice and cone-beam computed tomography. Am J Orthod Dentofac Orthop. 2013;144(1):147–55.
Sghaireen MG, Ganji KK, Alam MK, Srivastava KC, Shrivastava D, Rahman SA, et al. Comparing the diagnostic accuracy of CBCT grayscale values with DXA values for the detection of osteoporosis. Appl Sci. 2020;10(13):4584.
Jagtap R, Shuff N, Bawazir M, Garrido M, Bhattacharyya I, Hansen M. A Rare Presentation of Radicular Cyst: A Case Report and Review of Literature. Eur Ann Dent Sci. 2021;48(1):23-7.
Parkar MI, Belgaumi UI, Suresh K V., Landge JS, Bhalinge PM, Dawoodbhoy RI. Bilaterally symmetrical infected radicular cysts: Case report and review of literature. J Oral Maxillofac Surgery, Med Pathol [Internet]. 2017;29(5):458–62.
Kesharwani P, Bhowmick S, S S, Pentakota VN, Kuntamukkula VKS, Kaswan U. Massive Infected Radicular Cyst of Posterior Maxilla A Case Report. Saudi J Med Pharm Sci. 2019;05(09):800–3.
Li D, Yang Z, Chen T, Guan C, Wang F, Matz EL, et al. 3D cone beam computed tomography reconstruction images in diagnosis of ameloblastomas of lower jaw: A case report and mini review. J Xray Sci Technol. 2018;26(1):133–40.
White SC, Pharoah MJ. Oral Radiology Principles and Interpretation. 7th ed. Elsevier: Mosby; 2014.
Whaites E, Drage N. Essentials of Dental Radiography and Radiology. 5th ed. Elsevier: Churchill Livingstone; 2013.
Jose Maji. Shafer's Textbook of Oral Pathology. 8th ed. Elsevier: Mosby; 2016.
Published
2022-12-26
How to Cite
DAMAYANTI, Merry Annisa et al. Imaging analysis 3D cone-beam computed tomography of a suspected infected radicular cyst in the mandible. Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 6, n. 3, p. 119-124, dec. 2022. ISSN 2686-1321. Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/898>. Date accessed: 17 nov. 2024. doi: https://doi.org/10.32793/jrdi.v6i3.898.
Citation Formats
Issue
Vol 6 No 3 (2022): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Section
Case Report
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Most read articles by the same author(s)

Obs.: This plugin requires at least one statistics/report plugin to be enabled. If your statistics plugins provide more than one metric then please also select a main metric on the admin's site settings page and/or on the journal manager's settings pages.