Avaliação das características radiográficas do ceratocisto odontogênico para confecção de um banco de dados no diagnóstico das lesões radiolúcidas nos maxilares

Abstract

Odontogenic keratocysts are radiolucent injuries which presents an aggressive behavior and are hard to diagnose. In addition, the analysis of radiographic images may change from one examiner to another, compromising the diagnosis. In addiction, this research aimed to analyze radiographic characteristics of keratocysts for the assembly of a database from a more rational interpretation, with the use of parameters, allowing a better accuracy at the time of diagnosis. The search strategy for scientific articles was carried out using the LILACS, IEEE Xplore, PubMed, Scielo and Scopus databases, based on the combination of the descriptors “keratocysts”, “keratocyst”, “case reports”, “clinical case report”, using the boolean logical operators “AND” and “OR” to enhance the search strategy through combinations. According to the data obtained, the posterior region of the mandibular bone is the most affected with 55%, as for the edge, it was noted that the well-defined and corticalized pattern was more predominant with 84%, as well as the circular shape with a percentage of 92%. Regarding the predominance of males and females, the percentages were 56% and 44%, respectively; with regard to the effects of the injury on adjacent structures, 56% of the cases involved the tooth, mandibular canal and mental foramen. They affect more between the second and the third decades of life, with a percentage of 42% compared to other age groups and represented 98% in a localized way, without involvement with endocrine alterations. In a nutshell, the records stored in a database on radiographic characteristics of odontogenic keratocysts contribute to the formation of an objective dental diagnosis and greater accessibility to information by health professionals, in addition to contribute to the future studies related to the evolution of digital radiology