Imaging Sci Dent.  2016 Sep;46(3):147-157. 10.5624/isd.2016.46.3.147.

Jaw lesions associated with impacted tooth: A radiographic diagnostic guide

• Mortazavi
• Baharvand

• KMID: 2408246
• DOI: http://doi.org/10.5624/isd.2016.46.3.147

Abstract

This review article aimed to introduce a category of jaw lesions associated with impacted tooth. General search engines and specialized databases such as Google Scholar, PubMed, PubMed Central, MedLine Plus, Science Direct, Scopus, and well-recognized textbooks were used to find relevant studies using keywords such as "jaw lesion", "jaw disease", "impacted tooth", and "unerupted tooth". More than 250 articles were found, of which approximately 80 were broadly relevant to the topic. We ultimately included 47 articles that were closely related to the topic of interest. When the relevant data were compiled, the following 10 lesions were identified as having a relationship with impacted tooth: dentigerous cysts, calcifying odontogenic cysts, unicystic (mural) ameloblastomas, ameloblastomas, ameloblastic fibromas, adenomatoid odontogenic tumors, keratocystic odontogenic tumors, calcifying epithelial odontogenic tumors, ameloblastic fibro-odontomas, and odontomas. When clinicians encounter a lesion associated with an impacted tooth, they should first consider these entities in the differential diagnosis. This will help dental practitioners make more accurate diagnoses and develop better treatment plans based on patients' radiographs.

Keyword

Jaw; Tooth Diseases; Radiography; Diagnosis

MeSH Terms

Ameloblastoma
Ameloblasts
Dentigerous Cyst
Diagnosis
Diagnosis, Differential
Fibroma
Jaw*
Odontogenic Cyst, Calcifying
Odontogenic Cysts
Odontogenic Tumors
Odontoma
Radiography
Search Engine
Tooth Diseases
Tooth, Impacted*

Figure

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  Fig. 1 A panoramic view demonstrates a dentigerous cyst in an adolescent enclosing the permanent right mandibular impacted canine.

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  Fig. 2 A calcifying odontogenic cyst associated with the right maxillary impacted third molar with dense opaque foci throughout the cystic cavity.

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  Fig. 3 A panoramic view shows a unicystic ameloblastoma presenting as a unilocular radiolucent lesion associated with the right mandibular impacted third molar.

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  Fig. 4 A multilocular extensive ameloblastoma is found on the right aspect and ramus of the mandible in relation to an impacted molar tooth.

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  Fig. 5 A panoramic view shows an adenomatoid odontogenic tumor occurring as a unilocular radiolucent lesion surrounding the crown of the right maxillary impacted permanent canine.

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  Fig. 6 An extensive keratocystic odontogenic tumor as a multilocular radiolucent lesion in the left mandibular ramus in close approximation to the impacted third molar.

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  Fig. 7 A calcifying epithelial odontogenic tumor is seen in the left posterior mandible as a mixed lesion with dense opaque foci associated with an impacted tooth.

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  Fig. 8 A panoramic view shows a large complex odontoma associated with the impacted left mandibular third molar.

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