Abdu-eddaiem J. Qidarah, Mohamed A. Tawfik, Wael M. Said And Wael M. Safwat,
ABSTRACT
Objective: The Purpose Of This Study Is To Investigate The Efficiency Of The Radiological Evaluate Of The Cone Beam Computer Tomography (CBCT) In The Diagnosis And Treatment Planning Of Odontogenic Tumors.
Patients And Methods: The Study Sample Included 20 Patients (11 Male, And 9 Female), With Total 20 Odontogenic Tumors (8 Cases Of Amelobastoma, 5 OKC, 4 Odontoma, 2 Myxoma And One Case Of Cementoblastoma), The Patients Age Ranged From 10 To 70 Years, With Mean Age 30 Years. That Underwent To The Clinical, Radiographic Examination (computed Tomography (CT) And Cone Beam Computer Tomography (CBCT)) And Histopathological Examination.
Results: For Anterior-posterior Liner Measurement Of OT There Were No Significant Differences (p>0.05) Between CT, CBCT And The Intraoperative Finding. Also There Were No Significant Differences (p>0.05) Between CT, CBCT And The Intraoperative Finding For Height And Width Liner Measurement Of OT. While, Presence And Absence Of Cortical Expansion And Perforation Of OT In CT, CBCT Images And The Intraoperative Finding Was Showed There Were No Significant Differences Between CT And CBCT. Also, For The Presence Of Nerve Involvement And Displacement By OT In CT, CBCT Images And The Intraoperative Finding There Was No Statistically Significant Difference Between Two Groups. For The Presence Of Teeth Involvement (root Resorption) By OT In CT, CBCT Images And The Intraoperative Finding There Was No Statistically Significant Difference Between CT, CBCT And The Intraoperative Finding. Finally, The Maxillary Sinus Involvement By OT In CT CBCT Images And The Intraoperative Finding, There Was No Statistically Significant Difference Between CT, CBCT And The Intraoperative Finding.
Conclusions: The CBCT It Has Higher Ability To Provide Valuable Diagnostic Information Compared To Conventional Radiography Even With Its Higher Cost, Which Makes CBCT First Diagnostic Tool For Detection And Localization Of Odontogenic Tumors, And Assessment Of Odontogenic Tumors Severity, And Surgical Treatment Planning For The Odontogenic Tumors.