CONE BEAM COMPUTED TOMOGRAPHY IMAGING CHARACTERISTICS OF MANDIBULAR DENTIGEROUS CYSTS AND POSSIBLE IMAGING FEATURES ASSOCIATED WITH BONE EXPANSION

Objective: Dentigerous cysts (DC) are one of the most common cysts in the jaw, and radiographic features are important for diagnosis. This study aims to evaluate the radiographic features of mandibular DCs on cone beam computed tomography (CBCT) images and investigate the possible associations betwe...

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Main Authors: Gökçen Akçiçek, Leyla Berna Çağırankaya, Nursel Akkaya, Hatice Yağmur Zengin
Format: Article
Language:English
Published: Istanbul University Press 2023-10-01
Series:Sabiad
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Online Access:https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/CA06E8269E114978AE164B42372EFB40
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author Gökçen Akçiçek
Leyla Berna Çağırankaya
Nursel Akkaya
Hatice Yağmur Zengin
author_facet Gökçen Akçiçek
Leyla Berna Çağırankaya
Nursel Akkaya
Hatice Yağmur Zengin
author_sort Gökçen Akçiçek
collection DOAJ
description Objective: Dentigerous cysts (DC) are one of the most common cysts in the jaw, and radiographic features are important for diagnosis. This study aims to evaluate the radiographic features of mandibular DCs on cone beam computed tomography (CBCT) images and investigate the possible associations between the imaging features and bone expansion. Material and Methods: Patients who had CBCT images with pathologically proven DC within the mandible were included the study. On CBCT images, besides lesion radiographic features, the position of the impacted tooth and cyst-to-crown relationship were also recorded. Results: Among 36 DCs, 69.4% affected the impacted tooth (61.1% were displaced, 5.6% were resorbed and 2.8% were both displaced and resorbed), 80.6% expanded, 100% had cortical involvement (perforation and thinning), 80.6% affected the inferior alveolar canal (%13.9 resorption, %11.1 displacement, 55.6% resorption and displacement), 65.7% affected the adjacent teeth (27.8% resorption, 30.6% lamina dura loss, 5.6% displacement and lamina dura loss), 25% of impacted tooth position were in buccal/lingual obliquity, and 55.5% had a lateral type cyst-to-crown relationship. There was a statistically significant relationship between the expansion rate and effect on the impacted tooth (p=0.023), between the expansion rate and effect on the adjacent tooth (p=0.011), and between the cyst-to-crown relationship and impacted tooth buccolingual position (p=0.031). Conclusion: Resorption and displacement of the impacted tooth and resorption, displacement and lamina dura loss of the adjacent tooth were common and statistically related with DCs expansion rates. These imaging features could be a sign of expansion and should be carefully examined.
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publishDate 2023-10-01
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spelling doaj-art-e4954a5d037a41d2b627d35b2e43ac4a2025-08-20T02:56:13ZengIstanbul University PressSabiad2651-40602023-10-016332333110.26650/JARHS2023-1221508123456CONE BEAM COMPUTED TOMOGRAPHY IMAGING CHARACTERISTICS OF MANDIBULAR DENTIGEROUS CYSTS AND POSSIBLE IMAGING FEATURES ASSOCIATED WITH BONE EXPANSIONGökçen Akçiçek0Leyla Berna Çağırankaya1https://orcid.org/0000-0003-0761-5166Nursel Akkaya2Hatice Yağmur Zengin3https://orcid.org/0000-0002-9855-2449Hacettepe Üniversitesi, Ankara, TurkiyeHacettepe Üniversitesi, Ankara, TurkiyeHacettepe Üniversitesi, Ankara, TurkiyeHacettepe Üniversitesi, Ankara, TurkiyeObjective: Dentigerous cysts (DC) are one of the most common cysts in the jaw, and radiographic features are important for diagnosis. This study aims to evaluate the radiographic features of mandibular DCs on cone beam computed tomography (CBCT) images and investigate the possible associations between the imaging features and bone expansion. Material and Methods: Patients who had CBCT images with pathologically proven DC within the mandible were included the study. On CBCT images, besides lesion radiographic features, the position of the impacted tooth and cyst-to-crown relationship were also recorded. Results: Among 36 DCs, 69.4% affected the impacted tooth (61.1% were displaced, 5.6% were resorbed and 2.8% were both displaced and resorbed), 80.6% expanded, 100% had cortical involvement (perforation and thinning), 80.6% affected the inferior alveolar canal (%13.9 resorption, %11.1 displacement, 55.6% resorption and displacement), 65.7% affected the adjacent teeth (27.8% resorption, 30.6% lamina dura loss, 5.6% displacement and lamina dura loss), 25% of impacted tooth position were in buccal/lingual obliquity, and 55.5% had a lateral type cyst-to-crown relationship. There was a statistically significant relationship between the expansion rate and effect on the impacted tooth (p=0.023), between the expansion rate and effect on the adjacent tooth (p=0.011), and between the cyst-to-crown relationship and impacted tooth buccolingual position (p=0.031). Conclusion: Resorption and displacement of the impacted tooth and resorption, displacement and lamina dura loss of the adjacent tooth were common and statistically related with DCs expansion rates. These imaging features could be a sign of expansion and should be carefully examined.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/CA06E8269E114978AE164B42372EFB40cone beam computed tomographydentigerous cystmandible
spellingShingle Gökçen Akçiçek
Leyla Berna Çağırankaya
Nursel Akkaya
Hatice Yağmur Zengin
CONE BEAM COMPUTED TOMOGRAPHY IMAGING CHARACTERISTICS OF MANDIBULAR DENTIGEROUS CYSTS AND POSSIBLE IMAGING FEATURES ASSOCIATED WITH BONE EXPANSION
Sabiad
cone beam computed tomography
dentigerous cyst
mandible
title CONE BEAM COMPUTED TOMOGRAPHY IMAGING CHARACTERISTICS OF MANDIBULAR DENTIGEROUS CYSTS AND POSSIBLE IMAGING FEATURES ASSOCIATED WITH BONE EXPANSION
title_full CONE BEAM COMPUTED TOMOGRAPHY IMAGING CHARACTERISTICS OF MANDIBULAR DENTIGEROUS CYSTS AND POSSIBLE IMAGING FEATURES ASSOCIATED WITH BONE EXPANSION
title_fullStr CONE BEAM COMPUTED TOMOGRAPHY IMAGING CHARACTERISTICS OF MANDIBULAR DENTIGEROUS CYSTS AND POSSIBLE IMAGING FEATURES ASSOCIATED WITH BONE EXPANSION
title_full_unstemmed CONE BEAM COMPUTED TOMOGRAPHY IMAGING CHARACTERISTICS OF MANDIBULAR DENTIGEROUS CYSTS AND POSSIBLE IMAGING FEATURES ASSOCIATED WITH BONE EXPANSION
title_short CONE BEAM COMPUTED TOMOGRAPHY IMAGING CHARACTERISTICS OF MANDIBULAR DENTIGEROUS CYSTS AND POSSIBLE IMAGING FEATURES ASSOCIATED WITH BONE EXPANSION
title_sort cone beam computed tomography imaging characteristics of mandibular dentigerous cysts and possible imaging features associated with bone expansion
topic cone beam computed tomography
dentigerous cyst
mandible
url https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/CA06E8269E114978AE164B42372EFB40
work_keys_str_mv AT gokcenakcicek conebeamcomputedtomographyimagingcharacteristicsofmandibulardentigerouscystsandpossibleimagingfeaturesassociatedwithboneexpansion
AT leylabernacagırankaya conebeamcomputedtomographyimagingcharacteristicsofmandibulardentigerouscystsandpossibleimagingfeaturesassociatedwithboneexpansion
AT nurselakkaya conebeamcomputedtomographyimagingcharacteristicsofmandibulardentigerouscystsandpossibleimagingfeaturesassociatedwithboneexpansion
AT haticeyagmurzengin conebeamcomputedtomographyimagingcharacteristicsofmandibulardentigerouscystsandpossibleimagingfeaturesassociatedwithboneexpansion