Objective To determine the prevalence, types of teeth, and distribution of intracoronal resorption in permanent dentition in a large population. Methods A total of 9,570 panoramic radiographs were screened, and 2,922 unerupted teeth were examined. Results The prevalence of intracoronal dentine defects was 1.55% in subjects and 0.95% in teeth. The highest prevalence of intracoronal radiolucencies was noted in the mandibular second molar (9.5%), followed by the maxillary second premolar tooth (4.7%). To our knowledge, this is the first report of coronal radiolucency in maxillary supernumerary teeth. Of the lesions identified, 39.3% were two-thirds of the dentine thickness, and 21.4% included the enamel; 85.7% of the defects were located at the central aspect of the crown. Ectopically positioned teeth showing intracoronal resorption accounted for 14.3% of the cases. Conclusions Intracoronal resorption in an unerupted tooth occurs frequently and can be seen in more than one tooth in an individual. This condition is usually associated with not only an ectopic position but also resorption, which may be a progressive process. Dental clinicians should conduct periodic follow-ups, both clinical and radiographic, of these unerupted teeth.
Objective: To determine the relative frequency and distribution of odontogenic and nonodontogenic cysts in a large Turkish population.
Study Design A retrospective survey of jaw cysts was undertaken at the Oral Diagnosis and Radiology and Oral and Maxillofacial Surgery Department, Ondokuz Mayıs University Dental School, Samsun, Turkey. Data were retrieved from clinical files, imaging, and histopathology reports from 2000 to 2008; a total of 12,350 patients were included. In each case, we analyzed age, gender, type and number of cysts, and cyst location. Imaging patterns and pathologies associated with cystic lesions were also determined.
Results: The prevalence of odontogenic and nonodontogenic cysts was 3.51%; males were affected more frequently than females. There were 452 odontogenic cysts (98.5%) and seven nonodontogenic cysts (1.5%). The most frequent odontogenic cyst was radicular (54.7%), followed by dentigerous (26.6%), residual (13.7%), odontogenic keratocyst (3.3%), and lateral periodontal cyst (0.2%). Nasopalatine duct cyst (1.5%) was the only nonodontogenic cyst. By age, cysts peaked in the third decade (24.2%). Concerning location, no statistically significant difference was found between the maxilla and mandible (p>0.05). The most frequent radiological feature of these lesions was unilocular cyst (93.7%). Pathologies associated with cystic lesions occurred in 14.7%.
Conclusion: The prevalence of both odontogenic and nonodontogenic cysts were lower than that reported in many other studies. In our study population, cysts were mainly inflammatory in origin.
Key words: Prevalence, odontogenic, nonodontogenic, cysts.
Objectives:The purpose of this clinical study was to identify a clinical and histopathological relationship between verrucous hyperplasia, verrucous keratosis, and verrucous carcinoma.Methods:We evaluated 12 patients who had developed oral verrucous carcinoma in the past 10 years in a follow-up study. In this study, the diagnostic criteria included clinical and histopathological features of the lesions. Each lesion was examined by a single oral pathologist.Results:All the patients were diagnosed with verrucous carcinoma following excisional biopsy. One patient was diagnosed with verrucous hyperplasia and another with verrucous keratosis in their initial histological findings. Mandibular, posterior alveolar crest, and retromolar trigone were the most affected sites (41.6%), followed by the buccal mucosa (16.6%), the palate (16.6%), the floor of the mouth (16.6%), and the lip (8.3%). No patients had evidence of recurrence after treatment.Conclusions:Verrucous hyperplasia, verrucous keratosis, and verrucous carcinoma may not be distinguished clinically or may coexist, resulting in diagnostic difficulties. It should be kept in mind that verrucous hyperplasia may also develop from leukoplakic lesions, and it may transform into verrucous carcinoma or squamous-cell carcinoma, acting as a potential precancerous lesion.
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