Oral and Maxillofacial Radiology Commons^™

Identifying Pyle's Metaphyseal Dysplasia – An Incidental Finding Of Skeletal Pathology On A Dental Checkup, Shruthi Parthasarathy, Amudhan Azhagan, Arthisri Anandhi Sekar, Poongodi V, Ram Shankar

Chulalongkorn Medical Journal

Introduction:

Pyle's disease, also known as familial metaphyseal dysplasia, is a rare autosomal recessive genetic disorder that primarily affects the skeletal system, particularly in children and adolescents. Characterized by distinctive radiographic features such as Erlenmeyer flask deformity and metaphyseal widening, Pyle's disease often goes underdiagnosed due to its mild clinical manifestations.

Case report:

This case report details a 15-year-old female patient presenting with retained milk teeth and unerupted permanent teeth, alongside notable skeletal abnormalities including genu valgum and kyphosis. Clinical and radiographic evaluations revealed significant dental anomalies, including multiple impacted permanent teeth and mild dysmorphic facial features. Although genetic testing …

Morphometric Evaluation Of The Styloid Process Using Cone-Beam Ct In A Central Anatolian Population, Melda Misirlioglu, Aslı Atacan Aslan

Journal of Dentistry Indonesia

Background: Accurate evaluation of craniofacial anatomy is essential for diagnostic planning. Variations of the styloid process (SP) provide anatomical data that guide evidence-based clinical and surgical decisions in the head and neck region.

Methods: Retrospective cone-beam computed tomography (CBCT) scans retrieved from the Department of Oral and Maxillofacial Radiology were examined. SP length, medial angles, calcification patterns, and the radiomorphometric index were assessed.

Results: Middle-aged adults represented the majority of the sample. Gender had a statistically significant effect on SP morphology Type 1 was the most common bilaterally, followed by Type 2. Calcification patterns varied between genders …

Employing Artificial Intelligence For Non-Invasive Diagnosis Of Craniofacial Deformities: A Systematic Review Of Non-Ionizing Radiation Methods, Nurul Mutmainnah, Harun Achmad, Lusy Damayanti

International Arab Journal of Dentistry

Introduction: Craniofacial deformities, like craniosynostosis and plagiocephaly, require early diagnosis, but traditional methods like CT scans use harmful ionizing radiation. Artificial Intelligence (AI) offers a non-invasive, radiation-free alternative, using 2D and 3D imaging for accurate diagnosis, improving safety and accessibility, especially in remote areas.

Objective: This review evaluates the use of AI in diagnosing craniofacial deformities without ionizing radiation, focusing on its strengths, limitations, and challenges in clinical implementation.

Methods: The literature was searched across five databases—PubMed, Google Scholar, ScienceDirect, Wiley, and Cochrane—over the last decade, following PRISMA guidelines. Inclusion criteria were AI-based, non-invasive imaging techniques for craniofacial deformities. The …

Comparison Of Chatgpt, Claude Ai, And Dental Students In The Detection Of Artifacts On Panoramic Radiography, Elif Çeçen Erol, Ceren Aktuna Belgin, Gözde Serindere, Kaan Gunduz

Journal of Dentistry Indonesia

Background: Accurate radiographic diagnosis requires images obtained with proper technique. Artifacts are unwanted irregularities or densities not produced by the primary X-ray beam and may obscure anatomical details in radiographic images. This retrospective study aimed to evaluate the performance of ChatGPT, Claude AI, and intern dental students in detecting artifacts in panoramic radiographs (PRs).

Methods: Between January and December 2024, panoramic radiographs of 40 patients containing 74 artifacts (motion, mispositioning, airway/soft tissue, and foreign body/metal artifacts) were retrospectively evaluated. The artifact detection performance of ChatGPT-4.0, Claude AI 3.5 Sonnet, and intern dental students was subsequently evaluated and compared …

Dens Invaginatus Prevalence In Maxillary Lateral Incisors In Egyptian Population: Cone Beam Computed Tomography 3-Dimensional Analysis, Marwa Ezz, Sherif Heidar, Mahinaz Reda Abdelhamed

Dentistry

Introduction: Dens invaginatus also called dens in dente is frequent developmental anomaly, most commonly affect maxillary lateral incisors. It can create an inflammatory and microbial pathway that may compromise pulp vitality. Once detected, intervention must be planned. Aim of the study : This study investigated Dens invaginatus prevalence in maxillary lateral incisors in Egyptian population and its categorization according to Oehlers classification using CBCT. Materials and Methods This study assessed 296 cone beam computed tomography scans including a total number of 592 maxillary lateral incisor. Two experienced examiners: an oral and maxillofacial radiologist and an endodontist, inspected Dens invaginatus in …

Study Of The Changes In Vestibular Bone Plate Absorption Values After Implant Placement Under Immediate Loading For A Period Of 5 Months Using Cbct: An In Vivo Study, Hassen Merzouk, Samir Habibi, Ben Ali Boutabout

International Arab Journal of Dentistry

Introduction: The study focuses on the success and durability of dental implants, which depends heavily on the bone surrounding them. Changes in this bone affect how the implant looks and functions. The researchers aimed to use CBCT, a modern three-dimensional imaging tool, to accurately measure changes in the thickness of the bone plate on the cheek side (vestibular bone plate) around implants placed in the lower jaw (mandible). Specifically, they looked at bone changes five months after placing implants that were immediately loaded (meaning they were used for chewing right away) in 15 patients who had missing molars or premolars. …

Case Study: Unique Presentation Of Odontogenic Keratocyst (Okc), Austin J. Davies, Ladan Daly, Jesse M. Fa, Bernadette Alvear Fa

Oral Health

Optimized patient centered care in complex surgical cases requires comprehensive preparation through both clinical examination and radiographic interpretation. Our case demonstrates how diagnostic imaging can reveal critical radiographic findings that alter treatment approach. Pre-operative preparation involving thorough clinical and radiographic examination, in combination with excellent clinician rapport, leads to a biopsychosocial approach to dental treatment, emphasizing whole patient care.

Biopsy returned from oral pathology with diagnosis of odontogenic keratocyst (OKC). At the time of publication, the patient is nearing definitive treatment of the cystic lesion with enucleation and removal of tooth #16. In our case, thorough radiographic interpretation, the professional …

Artificial Intelligence Versus Human Dental Expertise In Diagnosing Periapical Pathosis On Periapical Radiographs: A Multicenter Study, Fatma E.A Hassanen, Radwa R. Hussein, Mohamed Riad Elgarhy, Shaymaa Mohamed Maher, Marwa Ezz, Ahmed Hassen, Sherif Heidar, Amr Edress, Asmaa Abou-Bakr

Dentistry

Periapical pathosis in periapical radiographs must be properly diagnosed for the success of endodontic treatment but is often muddled by 2D imaging limitations and subjective interpretation. Artificial intelligence (AI) offers a solution, but whether the diagnostic granularity of AI versus human clinicians in everyday clinical practice has been adequately explored remains to be addressed. The purpose of this study was to evaluate the diagnostic accuracy of ChatGPT-5 in detecting periapical radiographic abnormalities compared with the three-expert consensus reference standard. Methods: In this diagnostic accuracy retrospective study, 270 periapical radiographs were independently read by a large language model (ChatGPT-5) and a …

Nasal Polyp With Ossification In The Right Maxillary Sinus: Differential Diagnosis Of Radiopaque Lesions In Maxillary Sinus Region, Ssu-Li Li, Shan-Ju Chou, Yang-Che Wu, Chun-Yu Ho

Journal of Dental Sciences

Nasal polyps are soft, droplet-like lumps that develop on the inner lining of the nose or sinuses due to long-term inflammation in those areas. Nasal polyps are common lesions, however, the occurrence of osseous metaplasia within them is relatively rare. Besides, without a CT scan, relying solely on plain X-ray films to assist clinical diagnosis can easily be misleading due to the uncertainty of the lesion’s location. In this report, our treatment steps were described as medical image analysis, removing the lesion, confirming the pathological result, and regularly follow-up. The Caldwell-Luc approach rather than endoscopic surgery was performed due to …

Comparison Of Artificial Intelligence Vs Human Observer For Periapical Radiolucency Detection, Adam J. Pink

Theses and Dissertations

Objective: The aim of this study was to assess the performance of an Artificial Intelligence (AI) program (OverJet AI) with that of experienced endodontic residents, endodontists, a radiologist, and dental students in detecting periapical radiolucencies using radiographic images.

Methods: One hundred and fifty periapical radiographic images were analyzed using the OverJet AI software to determine the presence/absence of a periapical radiolucency as well as the size (small 1-3mm, medium 4-6mm, and large 6+mm). The unaltered images were also evaluated by two endodontic residents, two practicing endodontists, an oral radiologist and two 4th year dental students.

Results: Agreement between the AI …

Radiographic Assessment Of Anterior Maxillary Sites Prior To Immediate Implant Placement: A Retrospective Study On Cbct, Elissa El Alam, Abdallah Menhall, Nabil Ghosn, Pierre Lahoud

International Arab Journal of Dentistry

Objectives: The purpose of this retrospective radiographic study was to measure alveolar bone width at the alveolar crest, intraosseous root length, apical bucco-palatal bone thickness and apical bone height at the anterior maxillary teeth prior to immediate implant placement. Dehiscence and fenestration at these sites were also reported.

Methods: 50 CBCTs were included in this study. Measurements were taken on the right and left sides of the central incisor, lateral incisor, and canine using a 3d slicer program. Frequency of fenestration and dehiscence at these sites were also reported.

Results: Mean bone width at the alveolar crest of the central …

Evaluation Of Maxillary Posterior Teeth Proximity To The Adjacent Sinuses In A Turkish Subpopulation: Implications For Dental Education And Clinical Practice, Damla Yiğit, Gizem Dolaşir, Sabri Çelik, Rüya Sessiz, Raif Alan

Journal of Dentistry Indonesia

Objectives: This study aimed to evaluate the proximity of upper posterior tooth roots to adjacent sinus borders using cone-beam computed tomography (CBCT) in a Turkish subpopulation and to assess dental students’ competence in identifying this anatomical relationship. Methods: CBCT scans of 171 patients were analyzed. The vertical relationship between premolars and molar roots, and the maxillary sinus (MS) border was categorized into four types (Type 0–3). Interrater agreement between three final-year dental students and an experienced radiologist was measured. Results: Type 0 was the most frequent classification, except for first molars, where Type 2 and Type 3 predominated. MS-root distances …

An Art Of Port Wine Birthmark - A Case Report On Type Ii Sturge Weber Syndrome, Dr Sushmitha S, Dr Aravind Warrier S, Dr Dhivya Bharathi

Chulalongkorn Medical Journal

Sturge Weber Syndrome is a Phakomatoses group of neurocutaneous disorders. They manifest in the dermal, neural, ocular, and oral regions due to a mutation in the GNAQ gene. These lesions often are unilateral following the course of the trigeminal nerve.Here we present a case of 54-year-old woman with a history of glaucoma with a unilateral reddish-purple discoloration of the palate and a port-wine stain limited to the left side of her face. The clinical course of Sturge-Weber syndrome is quite complex and necessitates a multidisciplinary approach. In type 2 cases of Sturge-Weber syndrome, patients present with facial angiomas and glaucoma, …

Low Dose Cone Beam Computed Tomography Versus High Dose Cone Beam Computed Tomography In Measuring Furcation Involvements: (Diagnostic Accuracy Study), Marwa Ezz, Cairo University, Misr University For Science & Technology

Dentistry

Accurate diagnosis of furcation defect is essential in periodontal therapy planning. Cone beam computed tomography (CBCT) provides three-dimensional visualization, but higher radiation doses remain a concern. This study aims to assess and compare the diagnostic accuracy of low-dose CBCT (LD-CBCT) and high-dose CBCT (HD-CBCT) in detecting and measuring furcation defect using a pig mandible. Detection and accurate assessment of periodontal disease is important to determine the tooth prognosis and treatment. Radiographic assessment provides information about the pattern and extent of the furcation defect. CBCT provides unique 3D images used for diagnosis and treatment plans, but its use in periodontology not …

Comparison Of Pharyngeal Airway And Dentoskeletal Effects Of 2 And 4 Premolar Extraction Treatment In Adult Orthodontic Patients, Esra Genc, Ahmet Karaman

Journal of Dentistry Indonesia

Objective: This study aimed to compare pharyngeal airway and dentoskeletal effects of 2 and 4 premolar extraction treatments in adult patients separately for each gender. Methods: The study was conducted with 60 adults (26 males; 34 females) aged 18-35 years. Individuals were divided into 3 groups as non-extraction, 2-premolar extraction, and 4-premolar extraction. Pre-treatment (T0) and post-treatment (T1) dentoskeletal and pharyngeal airway measurements were performed on cephalometric radiographs. Results: A significant increase in nasopharyngeal airway (PNS-ad2) and anterior hyoid bone movement (CV3ai-H) was observed in the 4-extraction group; whereas in the 2-extraction group, inferior oropharyngeal airway (IAS) narrowing and hyoid …

J Mich Dent Assoc August 2025

The Journal of the Michigan Dental Association

Each month, The Journal of the Michigan Dental Association provides news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It stands as the primary publication reaching Michigan dentists. The August issue marks the end of digital only publishing, as the MDA announced it will provide members a bimonthly print issue along with monthly digital distribution. This issue includes:

• A cover feature on the impact on the dental community of the recently adopted Big Beautiful Bill federal budget
• Mandibular Lingual Concavity Evaluation Using CBCT
• A reprinted clinical feature from New York on …

Mandibular Lingual Concavity Evaluation Using Cone Beam Computed Tomography, Anthony L. Neely Dds, Mdentsc, Phd, Bassam M. Kinaia Dds, Ms, Dicoi, Lidya Jirjis Dds, Ms, Dalia Hasso Dds, Ms, Jonathan Zora Dds, Ms, David Van Winkle Dds, Naiomy Perez-Villanueva, Sharhdad Kazerani Dds, Ms, Samual Korkis Dds, Ms, Omar Masabni Dds, Ms, James R. Geist Dds, Ms

The Journal of the Michigan Dental Association

Dental implant placement in the posterior mandible can be impacted by the presence of the lingual concavity. Perforating the lingual cortical bone could lead to life-threatening hemorrhage/airway obstruction. The aim of this retrospective study is to examine dentate and partially edentulous mandibles to describe anatomical variations related to the lingual concavity by evaluating cone beam computed tomography (CBCT).

Does Ultrasound Guidance During Arthrocentesis In Women With Disc Displacement Without Reduction Reduce Procedure Time And Improve Outcomes? A Randomized Clinical Trial, Moataz Dr. Bahaa, Abdelrahman Fahmy Dr., Hisham Elsheikh Dr., Bassam Abulnoor, Amr Amin Prof., Sherif El Bahnasy, Karim Abdelmohsen Prof

Dentistry

Introduction: The goal of using ultrasound-guided (USG) arthrocentesis is to reduce number of needle insertion attempts, which is hypothesized to reduce procedure time, postoperative pain, and consequently, limitation in range of motion. Purpose: The objective of this study was to compare the therapeutic and operative efficiency of USG Single-Puncture Arthrocentesis (SPA) Type 2 and SPA Type 2 arthrocentesis without ultrasound guidance in the treatment of temporomandibular joint (TMJ) internal derangement (ID) “disc displacement without reduction (DDWOR).” Materials and methods: A double-blinded prospective randomized clinical trial (RCT) was conducted from December 2022 to December 2023 at Ain Shams University Hospital. It …

Centering And Shaping Abilities Of Three Different Cross-Section Rotary Systems In Curved Canals Using Cbct, Sherif Shafik

Dentistry

ABSTRACT The aim of the study was to examine the centering and shaping abilities of the E3 Azure, T Blue and XPRS rotary devices in severely curved root canals utilizing CBCT. 51 mesial roots were used in this study, then distributed into three groups of 17 mesial canals each according to the instrumentation technique: T-Blue, E3 Azure and XPS. The final apical size of instrumentation was 30/0.04 for all groups. At 2 mm, all pairwise comparisons were statistically significant, with Azure showing the highest transportation, followed by T-Blue, and XPS showing the least (p< 0.001). At 4 mm and 6 mm, Azure and T-Blue showed significantly higher transportation than XPS (p< 0.001). For XP-Shaper files, centering ratios followed a descending order from 6 mm to 4 mm and were lowest at 2 mm, with all pairwise comparisons being statistically significant (p< 0.001). it was concluded that XPS show lesser transportation and better centering ability.

Digitally Fabricated Interocclusal Wafer Versus Wafer-Less Distal Segment Repositioning For Bilateral Sagittal Split Osteotomy (Bsso) In Skeletal Mandibular Deformities (Randomized Controlled Trial), Hesham Osama Morsi Ass.Lect., Mohammed Abdelsalam Omara Ass.Prof., Mostafa Ibrahim Shindy Prof, Galal Gamal El Behairy Prof.

Dentistry

Objective: This study aimed to compare the accuracy of condylar positioning between 2 computer-guided orthognathic surgical protocols: a waferless screw hole plate locating (WSL CPD) technique versus an occlusal splint with distal extending arms (OWDA-CPD) approach. Materials and Methods: Twenty-four patients requiring mandibular orthognathic surgery (class II or III deformities) were randomly allocated into 2 groups (n=12 each). Group I underwent a waferless protocol utilizing 3D-printed osteotomy and screw hole locating guides, while group II received an occlusal splint with distal extensions for condylar positioning. Preoperative and postoperative cone-beam computed tomography (CBCT) scans were used to assess condylar displacement in …