Developing Skill and Expertise in the Use of Panoramic Radiography
Developing Skill and Expertise in the Use of Panoramic Radiography
Developing Skill and Expertise in the Use of Panoramic Radiography
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5/13/2013<br />
Ameloblastoma<br />
• Multilocular radiolucent<br />
“soap bubble” or<br />
“honeycomb”<br />
• Tx: Depends on size <strong>of</strong><br />
lesion<br />
• Small: aggressive curettage<br />
or bloc resection<br />
• Large: bloc or segmental<br />
resection<br />
• Recurrence: 55-90%<br />
Malignant Tumors<br />
• Symptoms:<br />
• Ill-def<strong>in</strong>ed Radolucent <strong>and</strong>/or Radiopaque, moth<br />
eaten appearance<br />
• Fast grow<strong>in</strong>g<br />
• Perforation <strong>of</strong> bone<br />
• Pa<strong>in</strong> <strong>and</strong> swell<strong>in</strong>g<br />
• Loose teeth<br />
• Altered sensations<br />
• Poorly def<strong>in</strong>ed mixed<br />
Radiolucent/Radiopaque<br />
lesion<br />
– Sunburst or sunray<br />
appearance <strong>in</strong> 20% <strong>of</strong><br />
cases<br />
• Tx: Radical surgical<br />
excision, Radiation <strong>and</strong><br />
chemo<strong>the</strong>rapy<br />
• Prognosis Poor (30-50%)<br />
survival rate<br />
Osteosarcoma<br />
12
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