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DIPLOMA Approach for Standardized Pathology Assessment of Distal Pancreatectomy Specimens

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Unexpected artefacts and occult pathologies under CBCT.

L Lombardo¹, A Arreghini¹, M P Guarneri¹

¹Department of Orthodontics, University of Ferrara, Ferrara, Italy.

ORAL & Implantology

|June 8, 2018

Summary

Dentists using cone-beam computed tomography (CBCT) must recognize unexpected pathologies like foreign bodies or airway anomalies. Diagnostic responsibility lies with the dentist, who may consult a radiologist if uncertain.

Keywords:

cone-beam computed tomography occult pathologies orthodontic

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Area of Science:

Dentistry
Radiology
Oral and Maxillofacial Surgery

Background:

Cone-beam computed tomography (CBCT) is increasingly used in dentistry.
Incidental findings of occult pathologies are common in CBCT scans.
Understanding diagnostic responsibilities is crucial for patient care.

Purpose of the Study:

To identify frequent occult pathologies discovered incidentally via CBCT.
To clarify the diagnostic roles and responsibilities of dentists and radiographers.
To provide an iconographical guide for recognizing these pathologies.

Main Methods:

A narrative literature review was performed.
Focused on occult pathologies commonly identified with CBCT.
Included iconographical examples for each pathology category.

Main Results:

Frequent incidental findings include foreign bodies, airway anomalies, and maxillofacial radio-opacities/translucencies.
These pathologies can be unexpected and potentially serious.
The diagnostic role of the dentist and radiographer was examined.

Conclusions:

Dentists must be prepared to recognize frequent, serious head and neck pathologies found on CBCT.
Diagnostic responsibility for these findings rests with the treating dentist.
Consultation with a specialist radiologist is recommended if the dentist lacks confidence in diagnosis.