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Width-to-length ratio comparison between ameloblastomas and odontogenic keratocysts in the body of the mandible: A preliminary study

Imaging Science in Dentistry 2020³â 50±Ç 4È£ p.319 ~ 322
Omami Galal, Adel Mohamed,
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 ( Omami Galal ) - University of Kentucky College of Dentistry Department of Oral Health Practice
 ( Adel Mohamed ) - University of Kentucky College of Dentistry Department of Oral Health Science

Abstract


Purpose: The purpose of this study was to investigate the utility of the width-to-length ratio for the differentiation of ameloblastomas and odontogenic keratocysts in the body of the mandible.

Materials and Methods: This study retrospectively reviewed 9 patients with ameloblastomas and 9 patients with odontogenic keratocysts using cone-beam computed tomography. The width-to-length ratio was determined by measuring the ratio between the greatest buccolingual dimension and the greatest perpendicular anteroposterior dimension of the lesion on the axial view. One-way analysis of variance was used to examine the difference in the width-to-length ratio between the 2 types of lesions. Statistical significance was tested at P<0.05.

Results: Ameloblastomas showed a mean width-to-length ratio of 0.64, whereas odontogenic keratocysts showed a mean width-to-length ratio of 0.41. The cut-off value with which the 2 types of lesions were differentiated was 0.5. The width-to-length ratios of ameloblastomas were significantly higher than those of odontogenic keratocysts (P<0.05).

Conclusion: The width-to-length ratio might be used to differentiate between ameloblastomas and odontogenic keratocysts.

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Odontogenic Tumors; Mandibular Neoplasms; Mandible; Cone-Beam Computed Tomography

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