Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
권호 표지
DOI QR코드

DOI QR Code

Jaw lesions associated with impacted tooth: A radiographic diagnostic guide

  • Mortazavi, Hamed (Department of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences) ;
  • Baharvand, Maryam (Department of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences)
  • Received : 2016.04.03
  • Accepted : 2016.06.06
  • Published : 2016.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

This review article aimed to introduce a category of jaw lesions associated with impacted tooth. General search engines and specialized databases such as Google Scholar, PubMed, PubMed Central, MedLine Plus, Science Direct, Scopus, and well-recognized textbooks were used to find relevant studies using keywords such as "jaw lesion", "jaw disease", "impacted tooth", and "unerupted tooth". More than 250 articles were found, of which approximately 80 were broadly relevant to the topic. We ultimately included 47 articles that were closely related to the topic of interest. When the relevant data were compiled, the following 10 lesions were identified as having a relationship with impacted tooth: dentigerous cysts, calcifying odontogenic cysts, unicystic (mural) ameloblastomas, ameloblastomas, ameloblastic fibromas, adenomatoid odontogenic tumors, keratocystic odontogenic tumors, calcifying epithelial odontogenic tumors, ameloblastic fibro-odontomas, and odontomas. When clinicians encounter a lesion associated with an impacted tooth, they should first consider these entities in the differential diagnosis. This will help dental practitioners make more accurate diagnoses and develop better treatment plans based on patients' radiographs.

Keywords

References

  1. Juodzbalys G, Daugela P. Mandibular third molar impaction: review of literature and a proposal of a classification. J Oral Maxillofac Res 2013; 4: e1.
  2. Peterson LJ. Principles of management of impacted teeth. In: Peterson LJ, Ellis E III, Hupp JR, Tuker MR. Contemporary oral and maxillofacial surgery. 3rd ed. St. Louis: Mosby-Yearbook Inc; 1998. p. 215-48.
  3. Chu FC, Li TK, Lui VK, Newsome PR, Chow RL, Cheung LK. Prevalence of impacted teeth and associated pathologiesa radiographic study of the Hong Kong Chinese population. Hong Kong Med J 2003; 9: 158-63.
  4. Bedoya MM, Park JH. A review of the diagnosis and management of impacted maxillary canines. J Am Dent Assoc 2009; 140: 1485-93. https://doi.org/10.14219/jada.archive.2009.0099
  5. Ahlqwist M, Grondahl HG. Prevalence of impacted teeth and associated pathology in middle-aged and older Swedish women. Community Dent Oral Epidemiol 1991; 19: 116-9. https://doi.org/10.1111/j.1600-0528.1991.tb00124.x
  6. Hugoson A, Kugelberg CF. The prevalence of third molars in a Swedish population. An epidemiological study. Community Dent Health 1988; 5: 121-38.
  7. Kruger E, Thomson WM, Konthasinghe P. Third molar outcomes from age 18 to 26: findings from a population-based New Zealand longitudinal study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 92: 150-5. https://doi.org/10.1067/moe.2001.115461
  8. Santosh P. Impacted mandibular third molars: review of literature and a proposal of a combined clinical and radiological classification. Ann Med Health Sci Res 2015; 5: 229-34. https://doi.org/10.4103/2141-9248.160177
  9. Mortazavi H, Baharvand M, Rahmani S, Jafari S, Parvaei P. Radiolucent rim as a possible diagnostic aid for differentiating jaw lesions. Imaging Sci Dent 2015; 45: 253-61. https://doi.org/10.5624/isd.2015.45.4.253
  10. Neville BW, Damm DD, Allen CM, Chi AC. Oral and maxillofacial pathology. St Louis: Elsevier; 2016. p. 632-90.
  11. White SC, Pharoah MJ. Oral radiology: principles and interpretation. 7th ed. St Louis: Elsevier; 2014.
  12. Wood NK, Goaz PW. Differential diagnosis of oral and maxillofacial lesions. 5th ed. St Louis: Mosby-Yearbook Inc; 1997.
  13. Rohilla M, Namdev R, Dutta S. Dentigerous cyst containing multiple impacted teeth: a rare case report. J Indian Soc Pedod Prev Dent 2011; 29: 244-7. https://doi.org/10.4103/0970-4388.85834
  14. Agacayak KS, Kose I, Gunes N, Bahsi E, Yaman F, Atilgan S. Dentigerous cyst with impacted canine: case report. J Int Dent Med Res 2011; 4: 21-4.
  15. Wali GG, Sridhar V, Shyla HN. A study on dentigerous cystic changes with radiographically normal impacted mandibular third molars. J Maxillofac Oral Surg 2012; 11: 458-65. https://doi.org/10.1007/s12663-011-0252-7
  16. Avril L, Lombardi T, Ailianou A, Burkhardt K, Varoquaux A, Scolozzi P, et al. Radiolucent lesions of the mandible: a pattern-based approach to diagnosis. Insights Imaging 2014; 5: 85-101. https://doi.org/10.1007/s13244-013-0298-9
  17. Gadipelly S, Reddy VB, Sudheer M, Kumar NV, Harsha G. Bilateral calcifying odontogenic cyst: a rare entity. J Maxillofac Oral Surg 2015; 14: 826-31. https://doi.org/10.1007/s12663-014-0706-9
  18. Rastogi V, Pandilwar PK. Calcifying epithelial odontogenic cyst associated with complex odontome of maxilla. J Maxillofac Oral Surg 2013; 12: 85-9. https://doi.org/10.1007/s12663-010-0165-x
  19. Rajendran R, Sivapathasundharam B. Shafer's textbook of oral pathology. 5th ed. New Delhi: Elsevier; 2006. p. 357-432.
  20. Shiva A, Nosrati K. A calcifying odontogenic cyst associated with complex odontoma: a case report. J Babol Univ Med Sci 2015; 17: 57-61.
  21. Wang YP, Chang YF, Wang JT, Liu BY, Sun A, Chiang CP. Characteristics of calcifying odontogenic cyst in Taiwanese. J Formos Med Assoc 2003; 102: 715-21.
  22. Iida S, Fukuda Y, Ueda T, Aikawa T, Arizpe JE, Okura M. Calcifying odontogenic cyst: radiologic findings in 11 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: 356-62. https://doi.org/10.1016/j.tripleo.2005.08.037
  23. Sharma B, Balaji N, Sumathi MK, Sunitha JD. Unicystic ameloblastoma of mandible - a diagnostic dilemma. TMU J Dent 2014; 1: 131-3.
  24. Nagalaxmi V, Sangmesh M, Maloth KN, Kodangal S, Chappidi V, Goyal S. Unicystic mural ameloblastoma: an unusual case report. Case Rep Dent 2013; 2013: 957418.
  25. Gupta N, Saxena S, Rathod VC, Aggarwal P. Unicystic ameloblastoma of the mandible. J Oral Maxillofac Pathol 2011; 15: 228-31. https://doi.org/10.4103/0973-029X.84511
  26. Gumgum S, Hoşgoren B. Clinical and radiologic behaviour of ameloblastoma in 4 cases. J Can Dent Assoc 2005; 71: 481-4.
  27. More C, Tailor M, Patel HJ, Asrani M, Thakkar K, Adalja C. Radiographic analysis of ameloblastoma: a retrospective study. Indian J Dent Res 2012; 23: 698.
  28. Santos Tde S, Piva MR, Andrade ES, Vajgel A, Vasconcelos RJ, Martins-Filho PR. Ameloblastoma in the Northeast region of Brazil: a review of 112 cases. J Oral Maxillofac Pathol 2014; 18(Suppl 1): S66-71. https://doi.org/10.4103/0973-029X.141368
  29. Melo Lde A, Barros AC, Sardinha Sde C, Cerqueira A, dos Santos JN. Ameloblastic fibroma: a rare case report with 7-year follow-up. Srp Arh Celok Lek 2015; 143: 190-4. https://doi.org/10.2298/SARH1504190A
  30. Chen Y, Li TJ, Gao Y, Yu SF. Ameloblastic fibroma and related lesions: a clinicopathologic study with reference to their nature and interrelationship. J Oral Pathol Med 2005; 34: 588-95. https://doi.org/10.1111/j.1600-0714.2005.00361.x
  31. JK DR, Sharma A, Sharma S, Arya V, Das R. An aggressive ameloblastic fibroma in maxilla of a 5-year-old child - reconstruction of the defect with buccal flap advancement - a conservative approach. Int J Clin Med 2015; 6: 579-85. https://doi.org/10.4236/ijcm.2015.68077
  32. John JB, John RR. Adenomatoid odontogenic tumor associated with dentigerous cyst in posterior maxilla: a case report and review of literature. J Oral Maxillofac Pathol 2010; 14: 59-62. https://doi.org/10.4103/0973-029X.72502
  33. More CB, Das S, Gupta S, Bhavsar K. Mandibular adenomatoid odontogenic tumor: radiographic and pathologic correlation. J Nat Sci Biol Med 2013; 4: 457-62. https://doi.org/10.4103/0976-9668.116965
  34. Mortazavi H, Sotoode SM, Khodadoustan A, Baharvand M. Adenomatoid odontogenic tumor: report of a rare case in terms of size and location. Int J Clin Dent 2014; 7: 235-40.
  35. Sanchez-Burgos R, Gonzalez-Martin-Moro J, Perez-Fernandez E, Burgueno-Garcia M. Clinical, radiological and therapeutic features of keratocystic odontogenic tumours: a study over a decade. J Clin Exp Dent 2014; 6: e259-64.
  36. Borgonovo AE, Bernardini L, Francinetti P, Rizza F, Re D. Odontogenic keratocyst mimicking paradental cyst. Case Rep Dent 2014; 2014: 974241.
  37. Singh M, Gupta KC. Surgical treatment of odontogenic keratocyst by enucleation. Contemp Clin Dent 2010; 1: 263-7.
  38. Deboni MC, Naclerio-Homem Mda G, Pinto Junior DS, Traina AA, Cavalcanti MG. Clinical, radiological and histological features of calcifying epithelial odontogenic tumor: case report. Braz Dent J 2006; 17: 171-4. https://doi.org/10.1590/S0103-64402006000200017
  39. Muller D, Manojlovic S, Luksic I, Grgurevic J. Calcifying epithelial odontogenic tumor of the maxilla (Pindborg tumor). Coll Antropol 2012; 36(Suppl 2): 205-8.
  40. Kaushal S, Mathur SR, Vijay M, Rustagi A. Calcifying epithelial odontogenic tumor (Pindborg tumor) without calcification: a rare entity. J Oral Maxillofac Pathol 2012; 16: 110-2. https://doi.org/10.4103/0973-029X.92985
  41. Cavalcante AS, Anbinder AL, Costa NC, Lima JR, Carvalho YR. Ameloblastic fibro-odontoma: a case report. Med Oral Patol Oral Cir Bucal 2009; 14: e650-3.
  42. Chang H, Precious DS, Shimizu MS. Ameloblastic fibroodontoma: a case report. J Can Dent Assoc 2002; 68: 243-6.
  43. Silva GC, Jham BC, Silva EC, Horta MC, Godinho SH, Gomez RS. Ameloblastic fibro-odontoma. Oral Oncol Extra 2006; 42: 217-20. https://doi.org/10.1016/j.ooe.2005.12.005
  44. Buchner A, Merrell PW, Carpenter WM. Relative frequency of central odontogenic tumors: a study of 1,088 cases from Northern California and comparison to studies from other parts of the world. J Oral Maxillofac Surg 2006; 64: 1343-52. https://doi.org/10.1016/j.joms.2006.05.019
  45. Philipsen HP, Reichart PA, Praetorius F. Mixed odontogenic tumours and odontomas. Considerations on interrelationship. Review of the literature and presentation of 134 new cases of odontomas. Oral Oncol 1997; 33: 86-99. https://doi.org/10.1016/S0964-1955(96)00067-X
  46. Baldawa RS, Khante KC, Kalburge JV, Kasat VO. Orthodontic management of an impacted maxillary incisor due to odontoma. Contemp Clin Dent 2011; 2: 37-40. https://doi.org/10.4103/0976-237X.79312
  47. Choudhary PJ, Gharote HP, Hegde K, Gangwal P. Compound odontoma associated with impacted teeth: a case report. IJSS Case Rep Rev 2014; 1: 12-5.

Cited by

  1. Adenomatoid odontogenic tumor: Clinical and radiological diagnostic challenges vol.31, pp.2, 2017, https://doi.org/10.1016/j.jpfa.2017.06.001
  2. Evaluation of cell proliferation in cystic lesions associated with impacted third molars vol.81, pp.11, 2016, https://doi.org/10.1002/jemt.23128
  3. Calcifying Odontogenic Cyst Associated With Dentigerous Cyst in a 15-Year-Old Girl vol.26, pp.8, 2016, https://doi.org/10.1177/1066896918777639
  4. A Clinical, Radiographic and Histological Study of Unerupted Teeth in Dogs and Cats: 73 Cases (2001-2018) vol.6, pp.None, 2016, https://doi.org/10.3389/fvets.2019.00357
  5. Common conditions associated with displacement of the inferior alveolar nerve canal: A radiographic diagnostic aid vol.49, pp.2, 2016, https://doi.org/10.5624/isd.2019.49.2.79
  6. Three-dimensional radiographic features of ameloblastoma and cystic lesions in the maxilla vol.48, pp.6, 2016, https://doi.org/10.1259/dmfr.20190066
  7. Evaluation of biological behavior of odontogenic keratocyst and orthokeratinized odontogenic cyst using picrosirius red stain: A clinicopathological retrospective study vol.8, pp.3, 2016, https://doi.org/10.4103/jdrntruhs.jdrntruhs_69_19
  8. The extraction of first, second or third permanent molar teeth and its effect on the dentofacial complex vol.64, pp.4, 2016, https://doi.org/10.1111/adj.12716
  9. Evaluation of Radiolucent Lesions Associated with Impacted Teeth: A Retrospective Study vol.16, pp.10, 2016, https://doi.org/10.2174/1573405616666200206115827
  10. Calcifying Odontogenic Cyst of the Oral Cavity: A Clinical Case and Current Updates on the Ethiopathogenesis vol.10, pp.9, 2016, https://doi.org/10.4236/ojst.2020.109024
  11. Pediatric Ameloblastic Fibroma: A Case Report vol.21, pp.3, 2016, https://doi.org/10.5005/jp-journals-10024-2780
  12. Ectopic maxillary third molar in Early Pleistocene Homo antecessor from Atapuerca‐Gran Dolina site (Burgos, Spain) vol.171, pp.4, 2016, https://doi.org/10.1002/ajpa.24010
  13. The correlation between the three-dimensional radiolucency area around the crown of impacted maxillary canines and dentigerous cysts vol.49, pp.4, 2016, https://doi.org/10.1259/dmfr.20190402
  14. Cross-Sectional Imaging of Third Molar–Related Abnormalities vol.41, pp.11, 2016, https://doi.org/10.3174/ajnr.a6747
  15. A Radiolucency Associated With an Impacted Mandibular Canine Tooth in an Adult Man vol.146, pp.11, 2020, https://doi.org/10.1001/jamaoto.2020.2589
  16. The Correlation between Impacted Third Molar and Blood Group vol.2021, pp.None, 2016, https://doi.org/10.1155/2021/2775913
  17. Transantral approach for surgical removal of impacted maxillary second premolar located in trifurcation of molar roots: a case report vol.14, pp.2, 2016, https://doi.org/10.1111/ors.12539
  18. Differentiation of cystic lesions in the jaw by conventional magnetic resonance imaging and diffusion-weighted imaging vol.51, pp.1, 2016, https://doi.org/10.1259/dmfr.20210212