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The relationship between radiological features and clinical manifestation and dental expenses of keratocystic odontogenic tumor

Imaging Science in Dentistry 2013³â 43±Ç 2È£ p.91 ~ 98
¹ÎÁ¤Çö, Çã°æȸ, Çã¹Î¼®, ÃÖ¼øö, ÀÌ¿øÁø, À̻Q, ¹è±¤ÇÐ, ÃÖÁø¿ì,
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¹ÎÁ¤Çö ( Min Jung-Hyun ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Radiology
Çã°æȸ ( Huh Kyung-Hoe ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Radiology
Çã¹Î¼® ( Heo Min-Suk ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Radiology
ÃÖ¼øö ( Choi Soon-Chul ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Radiology
ÀÌ¿øÁø ( Yi Won-Jin ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Radiology
À̻Q ( Lee Sam-Sun ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Radiology
¹è±¤ÇР( Bae Kwang-Hak ) - Seoul National University School of Dentistry Department of Preventive and Public Health Dentistry
ÃÖÁø¿ì ( Choi Jin-Woo ) - Dankook University College of Dentistry Department of Oral and Maxillofacial Radiology

Abstract


Purpose: This study was performed to identify correlations between keratocystic odontogenic tumor (KCOT) data from CT sections, and data on the KCOT clinical manifestation and resulting dental expenses. Materials and Methods: Following local Institutional Review Board (IRB) approval, a seven-years of retrospective study was performed regarding patients with KCOTs treated at the Seoul National University Dental Hospital. A total of 180 KCOT were included in this study. The following information was collected: age, gender, location and size of the lesion, radiological features, surgical treatment provided and dental expenses. Results: There was no significant association between the size of the KCOT and age, gender, and presenting preoperative symptoms. In both jaws, it was unusual to find KCOTs under 10 mm. The correlation between the number of teeth removed and the size of the KCOT in the tooth bearing area was statistically significant in the mandible, whereas in the maxilla, no significant relationship was found. Dental expenses compared with the size of the KCOT were found to be significant in both jaws. Conclusion: The size of KCOT was associated with a significant increase in dental expenses for both jaws and the number of teeth removed from the mandible. These findings emphasize the importance of routine examinations and early detection of lesions, which in turn helps preserving anatomical structures and reducing dental expenses.

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Odontogenic Tumors; Computed Tomography; Cost of Illness

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