[Oradlist] Oradlist Digest, Vol 82, Issue 24

[Revan Joshi]

Dear Ebtihal,

Sub: 16 yr old girl with asymptomatic periapical radiolucency irt 48

As Lennart says you have to definitely rule out the tumor aspect of this
lesion.

But his opinion puts forth an ever confusing dilemma of what to do next? The
obvious answers would be to go in for 3D imaging as he suggested.

I would like to know the opinion of those people in this community who have
witnessed the growth and ease of availability of 3D imaging from the 2D
imaging modality. I ask this  to those people specifically because they have
experienced both the worlds (3D & 2D).

1. What should be the protocol for a dentist or a radiologist if he is in a
place where the availability of 3D imaging is either scarce and/or is
prohibitively expensive?

2. Is there a need to do an aspiration to rule out the tumor or the cyst
part, though it is invasive or minimally invasive?

3. Is it good enough to keep the patient on a periodic recall as you see
that the size of the lesion has remained dormant for 2 yrs?

The answers to this will go a long way in helping the young
clinicians practicing in the old world 2D system.

Thanks in advance to everybody who responds to these queries..

-- 
Dr. Revan Joshi,
Foreign Research Scholar
Dept Of Oral & Maxillofacial Radiology
Showa University Dental school,
Tokyo
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