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Agreement Between Clinical-Radiographic and Histopathological Diagnoses in Maxillofacial Fibro-Osseous Lesions
Oral and Maxillofacial Surgery DepartmentPorto, Damião Edgleys; Oral and Maxillofacial Surgery DepartmentDiniz, Jiordanne Araújo; Oral and Maxillofacial Surgery DepartmentBarbirato, Davi da Silva; Silva, Tiago dos Santos; Oral and Maxillofacial Pathology DepartmentAndrade, Richard Ribeiro Alonso de; Oral and Maxillofacial Surgery DepartmentAndrade, Emanuel Sávio de Souza.
  • Oral and Maxillofacial Surgery DepartmentPorto, Damião Edgleys; University of Pernambuco. School of Dentistry. Oral and Maxillofacial Surgery DepartmentPorto, Damião Edgleys. Recife. BR
  • Oral and Maxillofacial Surgery DepartmentDiniz, Jiordanne Araújo; University of Pernambuco. School of Dentistry. Oral and Maxillofacial Surgery DepartmentDiniz, Jiordanne Araújo. Recife. BR
  • Oral and Maxillofacial Surgery DepartmentBarbirato, Davi da Silva; University of Pernambuco. School of Dentistry. Oral and Maxillofacial Surgery DepartmentBarbirato, Davi da Silva. Recife. BR
  • Silva, Tiago dos Santos; University of Pernambuco. School of Dentistry. Recife. BR
  • Oral and Maxillofacial Pathology DepartmentAndrade, Richard Ribeiro Alonso de; University of Pernambuco. School of Dentistry. Oral and Maxillofacial Pathology DepartmentAndrade, Richard Ribeiro Alonso de. Recife. BR
  • Oral and Maxillofacial Surgery DepartmentAndrade, Emanuel Sávio de Souza; University of Pernambuco. School of Dentistry. Oral and Maxillofacial Surgery DepartmentAndrade, Emanuel Sávio de Souza. Recife. BR
Article in English | LILACS, BBO | ID: biblio-1250444
ABSTRACT
ABSTRACT

Objective:

To compare the agreement of clinical and radiographic diagnosis with the histopathological diagnosis in fibro-osseous lesions of the jaws. Material and

Methods:

An analytical and exploratory study was made based on systematic collected data, carried out in the laboratory of surgical pathology of a public Dental School. There were evaluated cases of fibrous dysplasia (FD), cemento-osseous dysplasia (COD) and ossifyng fibroma (OF), diagnosed by clinical, radiographic (panoramic and periapical radiography), and histopathological analysis, in a period of 12 years (from March 2001 to June 2013). Descriptive and inferential statistics (Fisher's exact test) were obtained.

Results:

Ninety-six cases of FOLs were evaluated. The radiographic aspects of the FOLs studied did not differ significantly (p=0.09). Radiolucent lesions were the least frequent, corresponding to approximately 13.5% of radiographic findings. Mixed lesions and radiopaques were more present, how they were COD and FD, respectively. The more aggressive variation of OF (Juvenile Ossifying Fibroma - JOF) was less frequent among the pathologies evaluated. In approximately 61.46% of the cases clinical and radiographic diagnosis were confirmed by histopathological diagnosis of FOLs. The highest agreement and the highest disagreement were observed in COD cases (40.7% and 62.2%, respectively).

Conclusion:

FOLs of the maxillaries represent a group of lesions in which the establishment of the clinical and radiographic diagnosis supported by the histopathological confirmation is critical and challenging.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Pathology, Oral / Pathology, Surgical / Neoplasms, Fibrous Tissue / Fibrous Dysplasia of Bone Type of study: Diagnostic study Country/Region as subject: South America / Brazil Language: English Journal: Pesqui. bras. odontopediatria clín. integr Journal subject: Dentistry Year: 2021 Type: Article Affiliation country: Brazil Institution/Affiliation country: University of Pernambuco/BR

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Full text: Available Index: LILACS (Americas) Main subject: Pathology, Oral / Pathology, Surgical / Neoplasms, Fibrous Tissue / Fibrous Dysplasia of Bone Type of study: Diagnostic study Country/Region as subject: South America / Brazil Language: English Journal: Pesqui. bras. odontopediatria clín. integr Journal subject: Dentistry Year: 2021 Type: Article Affiliation country: Brazil Institution/Affiliation country: University of Pernambuco/BR