DOI:

10.37988/1811-153X_2022_3_84

Characteristics of dense intraosseous inclusions found in patients during routine dental examination according to cone-beam computed tomography

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Authors

  • L.K. Abrahamyan 1, postgraduate at the Surgical dentistry Department
    ORCID: 0000-0003-1719-4377
  • A.M. Tsitsiashvili 1, PhD in Medical Sciences, full professor of the Surgical dentistry Department
    ORCID: 0000-0002-4737-8508
  • A.M. Panin 1, PhD in Medical Sciences, full professor of the Maxillofacial surgery Departmen
    ORCID: 0000-0001-6073-1591
  • D.A. Lezhnev 1, 2, PhD in Medical Sciences, full professor of the Radiology Department; professor of the Therapeutic dentistry Department
    ORCID: 0000-0002-7163-2553
  • K.G. Gurevich 1, PhD in Medical Sciences, full professor of the UNESCO Department “A healthy lifestyle is a guarantee of progress”
    ORCID: 0000-0002-7603-6064
  • 1 Moscow State University of Medicine and Dentistry, 127473, Moscow, Russia
  • 2 Russian Medical Academy of Continuous Professional Education, 125993, Moscow, Russia

Abstract

Inclusions that do not correspond to the normal structure may occur in the jaw bones. They may represent areas of increased ossification, formations, neoplasms, fragments or fragments of teeth, filling materials, broken tools. Such objects are found, as a rule, by a dentist accidentally, during a clinical and radiological examination of the patient. In part, this is due to the lack of clinical manifestations. Some of these objects have a typical scialogical picture, but this does not always allow them to be verified with sufficient accuracy, to give an objective X-ray conclusion, to clarify the indications for invasive diagnostics, for example, trepan biopsy, and, in general, to determine the need for treatment and its scope. An analysis of the scientific literature has shown insufficient information about the characteristics of dense intraosseous inclusions and the preferred management tactics of these patients, despite the fact that they occur in our daily work. . 5008 CBCT patients of both sexes, aged from 16 to 93 years for 2010-2015 were studied. The location of intraosseous inclusions (segment, department, areas of teeth) was evaluated, their X-ray density, size, distance from the nearest anatomical structures and bone surface were measured. . The detected inclusions were on average the size of 4.7×3.7×3.4 (3.5-6.4×2.5-5.4×2.6-4.5) mm; most often, in 68.4% of cases, they were found on the lower jaw in the lateral sections, in the molar region; they were located at a distance of 0 to 10 mm from adjacent anatomical structures and at a distance of 0 to 5.9 mm from the nearest bone surface. The majority, 77.4%, of inclusions were found in the alveolar process of the upper jaw and the alveolar part of the lower jaw and had a density of 1300 (1188.3-1725) HU. . The presented results provide new knowledge about the characteristic features of dense intraosseous inclusions encountered in daily practice, which will allow assessing the possibility of invasive diagnostics, as well as determining the method and protocol of biopsy.

Key words:

dense inclusions of the jaws, CBCT of the jaws, diseases of the jaw bones

For Citation

[1]
Abrahamyan L.K., Tsitsiashvili A.M., Panin A.M., Lezhnev D.A., Gurevich K.G. Characteristics of dense intraosseous inclusions found in patients during routine dental examination according to cone-beam computed tomography. Clinical Dentistry (Russia).  2022; 25 (3): 84—88. DOI: 10.37988/1811-153X_2022_3_84

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Received

June 15, 2022

Accepted

July 15, 2022

Published on

October 30, 2022