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Year : 2016  |  Volume : 28  |  Issue : 3  |  Page : 236-241

A retrospective radiographic analysis of osseous changes in oral malignancy

Department of Oral Medicine and Radiology, Kanjibhai Manjibhai Shah Dental College and Hospital, Vadodara, Gujarat, India

Correspondence Address:
Dr. Palak H Shah
A-21, Vrundavan Township, Opp. Nageshwar Temple, Harni Road, Vadodara - 390 006, Gujarat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-1363.195648

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Introduction: Although oral squamous cell carcinoma mainly occurs in oral soft tissues, involvement of jaw bones occurs in 12–56% of the cases. In these cases, radiographic examination becomes important to observe the pattern of bone involvement. Objectives: To analyze the radiographic features of oral malignancy involving jaw bone and to compare it with the available literature. Materials and Methods: The clinical and radiographic records of 20 cases of oral malignancy showing bone involvement in panoramic radiographs were analyzed from the archives of the department in the present hospital-based retrospective study. Descriptive statistics were used to compare the findings. Results: We observed that the age of the patients presenting with oral malignancy with jaw bone involvement ranged from 35 to 82 years, with a male:female ratio of 1:1. Mandible was involved in 19 cases with preference to the right side (63.2%). In the mandible, the body of the mandible was most commonly involved (89.5%), with ragged margins (80%) and irregular pattern of involvement (75%) being the most common. Pathologic fracture was evident in 6 (30%) cases and floating tooth appearance was present in 10 (50%) cases. Only 3 (15%) cases demonstrated root resorption. Conclusion: Panoramic radiographs are valuable aids in diagnosing the involvement of jaw bones in oral malignancy, and thereby help in devising the treatment plan.

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