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Radiographic study of dermal fillers in the facial area: A series of 3 cases

Imaging Science in Dentistry 2018³â 48±Ç 3È£ p.227 ~ 231
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±Ç¿µÀº ( Kwon Young-Eun ) - Kyungpook National University School of Dentistry Department of Oral and Maxillofacial Radiology
¾ÈâÇö ( An Chang-Hyeon ) - Kyungpook National University School of Dentistry Department of Oral and Maxillofacial Radiology
ÃÖ°©½Ä ( Choi Karp-Shik ) - Kyungpook National University School of Dentistry Department of Oral and Maxillofacial Radiology
À̵ÎÇü ( Lee Du-Hyeong ) - Kyungpook National University School of Dentistry Department of Prosthodontics
¾È¼­¿µ ( An Seo-Young ) - Kyungpook National University School of Dentistry Department of Oral and Maxillofacial Radiology

Abstract


In recent years, as interest in maintaining beauty and a youthful appearance has grown, filler procedures such as soft tissue augmentation have become more popular. These fillers are sometimes seen as radiopaque shadows on radiographic images, either due to the fillers themselves or because of secondary reactions; such findings may present a diagnostic challenge to dentists. The present report describes 3 cases of dermal fillers observed in panoramic and cone-beam computed tomographic (CBCT) images. All 3 elderly female patients had filler injected into their cheeks and chin area for cosmetic purposes decades ago. On panoramic images, multiple symmetric radiopacities were observed in the facial area; on CBCT, these calcifications were seen in the subcutaneous tissue in various shapes and with varying density. In conclusion, dentists should be aware of the imaging characteristics of dermal filler, and should be able to differentiate dermal filler from other pathological findings.

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Dermal Fillers; Radiography, Panoramic; Cone-Beam Computed Tomography

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