Delayed diagnosis in the maxillofacial region: Two case reports

Abstract

While conventional CT scan has historically been used for maxillofacial bone imaging. The introduction of cone beam CT (CBCT) in the new millennium has revolutionized the use of CT for dental and maxillofacial diagnoses. This paper presents two clinical examples of delayed diagnoses associated with maxillofacial imaging, describes the reasons for the delays and offers potential preventive measures. The first case involves a delay in the diagnosis of non-Hodgkin's lymphoma in a 49-year-old female who was being treated for an odontogenic problem. In the second case, a 9-year-old female who presented with a limited ability to open her mouth was mistakenly diagnosed with muscles spasm. Subsequently, she was found to have an elongation of the right lateral pterygoid plate that interfered with her right mandibular body, which restricted the degree to which she could open her mouth. A thorough clinical examination and accurate radiographic interpretation combined with a complete medical history can minimize these types of diagnostic delays. If the dentist is unable to conclusively reach a diagnosis, the patient should be referred immediately to a specialist who can better manage the specific medical problem.

The dilemma of juvenile fibrous dysplasia versus chronic osteomyelitis of the posterior mandible: A case report

“…Jaw lesion specially in children should be established as early as possible to prevent adverse treatment outcomes and to improve prognosis, 26 there should be multidisciplinary approach in achieving diagnosis of oral lesions specially jaw lesions and practitioners should seek expert advice from other specialist in histopathology and radiology to implement the necessary diagnostic methods to achieve diagnosis.…”

“…Heggie et al 23 and Baltensperger et al 24 observed a high incidence and uniformity of features of the disease among children and adolescents, respectively, proposing that the pediatric "variation" should be regarded as a separate clinical entity and suggesting the term "juvenile chronic osteomyelitis" for its description. 25 Jaw lesion specially in children should be established as early as possible to prevent adverse treatment outcomes and to improve prognosis, 26 there should be multidisciplinary approach in achieving diagnosis of oral lesions specially jaw lesions and practitioners should seek expert advice from other specialist in histopathology and radiology to implement the necessary diagnostic methods to achieve diagnosis.…”

Evaluation and Perception of an Edpuzzle Class Compared with a Traditional Class among Oral Radiology Undergraduate Students

“…2 3 4 For this reason, computers play a larger role in oral radiology than they do in other fields of dentistry. 5…”

“…[2][3][4] For this reason, computers play a larger role in oral radiology than they do in other fields of dentistry. 5 With the ongoing advances in computer-assisted learning (CAL), the question arises as to how best to use this technology to teach oral radiology students. Educational researchers must assess both the efficiency and effectiveness of CAL, establish whether it performs as effectively as traditional teaching does, and identify when and how to use it.…”