Introduction Work Group Bibliographical Research Current regulations Considerations on radiological risks and containment strategies in x-ray examinations Diagnostic imaging for caries and periodontal disease Diagnostic imaging in orthodontics and gnathology Diagnostic imaging in cranio-maxillofacial malformations Ministry of Health Secretariat General Office 2 National Guidelines for Dental Diagnostic Imaging in the Developmental Age Diagnostic imaging in dental anomalies Diagnostic imaging in dental traumatology Table of Recommendations Glossary This document aims to support the dental professional in choosing the adequate diagnostic technique, minimising the radiation dose in observance of the As Low As Reasonably Achievable (ALARA) principle (7). This principle states that the biological cost can only be justified when the benefit, that is, the diagnosis, outweighs the risk related to radiation exposure. In this guideline paper, we report recommendations for radiologists, medical physicists, paediatrician, dentists and maxillofacial surgeons, with reference to the specific fields. The diagnostic techniques considered in this paper are intraoral X-ray, orthopantomography (OPT), cephalometric (Ceph) x-ray and cone beam computed tomography (CBCT). This work considers the Methodological Manual for National Guidelines System (2011), titled "How to produce, spread, and update Public Health Guidelines". Bibliographical research A systematic analysis of existing literature was carried out using PubMed, Embase and The Cochrane Library databases, with the following restrictions:
Osteochondroma is frequently found in the general skeleton but is rare in the condylar region of the mandible. We report a case of an osteochondroma of large size and rapid growth in the mandibular condyle, which was treated with total condylectomy and condylar replacement with a costochondral graft and preservation of the articular disc. In cases with a healthy and well-positioned articular disc, it may be preserved with no need of disc repositioning.
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