Differential diagnosis of fibro-osseous lesions, tumors and odontogenic cysts of the imaging type: an archeological case in central Argentina.

Paleopathology studies the disease in the past from multiple sources of information, attaining results that allow us to deduce the temporality of the disease's existence, that is, when it arises, and how closely it is linked to human history for example. The pathologies that are best represente...

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Autores principales: González, CV, Rocamundi, MR, Baró, MA, Ferreyra de Prato, RS
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019
Materias:
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/26008
Aporte de:
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institution Universidad Nacional de Córdoba
institution_str I-10
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container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic differential diagnosis
paleopathology
jaws tumor
cone bean computed tomography
diagnóstico diferencial
paleopatología
tumor mandibular
Tomografía computada cone beam
spellingShingle differential diagnosis
paleopathology
jaws tumor
cone bean computed tomography
diagnóstico diferencial
paleopatología
tumor mandibular
Tomografía computada cone beam
González, CV
Rocamundi, MR
Baró, MA
Ferreyra de Prato, RS
Differential diagnosis of fibro-osseous lesions, tumors and odontogenic cysts of the imaging type: an archeological case in central Argentina.
topic_facet differential diagnosis
paleopathology
jaws tumor
cone bean computed tomography
diagnóstico diferencial
paleopatología
tumor mandibular
Tomografía computada cone beam
author González, CV
Rocamundi, MR
Baró, MA
Ferreyra de Prato, RS
author_facet González, CV
Rocamundi, MR
Baró, MA
Ferreyra de Prato, RS
author_sort González, CV
title Differential diagnosis of fibro-osseous lesions, tumors and odontogenic cysts of the imaging type: an archeological case in central Argentina.
title_short Differential diagnosis of fibro-osseous lesions, tumors and odontogenic cysts of the imaging type: an archeological case in central Argentina.
title_full Differential diagnosis of fibro-osseous lesions, tumors and odontogenic cysts of the imaging type: an archeological case in central Argentina.
title_fullStr Differential diagnosis of fibro-osseous lesions, tumors and odontogenic cysts of the imaging type: an archeological case in central Argentina.
title_full_unstemmed Differential diagnosis of fibro-osseous lesions, tumors and odontogenic cysts of the imaging type: an archeological case in central Argentina.
title_sort differential diagnosis of fibro-osseous lesions, tumors and odontogenic cysts of the imaging type: an archeological case in central argentina.
description Paleopathology studies the disease in the past from multiple sources of information, attaining results that allow us to deduce the temporality of the disease's existence, that is, when it arises, and how closely it is linked to human history for example. The pathologies that are best represented in the study of this discipline are those that settle on the bones, for their conservation over time; Within them we find those that appear in the jaws. The objective was to implement a differential diagnosis of bone lesions present in archeological human remains, particularly in jaws, and assess the contribution of diagnostic imaging for description. The pathological conditions recorded in a jaw of a female adult individual from the mountainous region of the province of Córdoba, Argentina were analyzed. Macroscopically, we could observed the presence of an irregular mineralized structure similar to the cement that affects the roots of the teeth 36 and 37. The Cone Bean Computed Tomography (CBCT) examination revealed the presence of two radiopaque lesions with radiological and sclerotic borders, circumscribed to the roots of teeth 47 and 48, similar to the macroscopic inspection on the left side compatible with a multifocal fibro-osseous lesion. In association with this lesion, we could observed radiographically, a radiolucent unilocular lesion with well-defined, non-expansile margins, thinning and erosion of the bony table without displacement of teeth, or reabsorption of dental roots. The use of CBCT allowed us to observe lesions that were not recorded by direct visual inspection. This tool was useful and contributed to a better differential diagnosis in this case. New technologies can optimize the study of archaeological remains, making a significant contribution to Paleopathology.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2019
url https://revistas.unc.edu.ar/index.php/med/article/view/26008
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spelling I10-R327-article-260082024-08-27T18:26:40Z Differential diagnosis of fibro-osseous lesions, tumors and odontogenic cysts of the imaging type: an archeological case in central Argentina. Diagnóstico diferencial de lesiones fibro-óseas, tumores y quistes odontogénicos: un caso arqueológico del centro de Argentina González, CV Rocamundi, MR Baró, MA Ferreyra de Prato, RS differential diagnosis paleopathology jaws tumor cone bean computed tomography diagnóstico diferencial paleopatología tumor mandibular Tomografía computada cone beam Paleopathology studies the disease in the past from multiple sources of information, attaining results that allow us to deduce the temporality of the disease's existence, that is, when it arises, and how closely it is linked to human history for example. The pathologies that are best represented in the study of this discipline are those that settle on the bones, for their conservation over time; Within them we find those that appear in the jaws. The objective was to implement a differential diagnosis of bone lesions present in archeological human remains, particularly in jaws, and assess the contribution of diagnostic imaging for description. The pathological conditions recorded in a jaw of a female adult individual from the mountainous region of the province of Córdoba, Argentina were analyzed. Macroscopically, we could observed the presence of an irregular mineralized structure similar to the cement that affects the roots of the teeth 36 and 37. The Cone Bean Computed Tomography (CBCT) examination revealed the presence of two radiopaque lesions with radiological and sclerotic borders, circumscribed to the roots of teeth 47 and 48, similar to the macroscopic inspection on the left side compatible with a multifocal fibro-osseous lesion. In association with this lesion, we could observed radiographically, a radiolucent unilocular lesion with well-defined, non-expansile margins, thinning and erosion of the bony table without displacement of teeth, or reabsorption of dental roots. The use of CBCT allowed us to observe lesions that were not recorded by direct visual inspection. This tool was useful and contributed to a better differential diagnosis in this case. New technologies can optimize the study of archaeological remains, making a significant contribution to Paleopathology. La Paleopatología estudia de los rastros de enfermedad dejados en piezas arqueológicas, logrando hallazgos que nos permiten deducir la temporalidad de la existencia de la enfermedad, es decir desde cuando viene, qué tan ligada está a la historia del hombre. Las patologías que mejor se representan en el estudio de esta ciencia son las que asientan sobre los huesos, por su conservación a través del tiempo; dentro de ellas encontramos las que aparecen en los maxilares. El objetivo del trabajo fue realizar un diagnóstico diferencial de lesiones óseas presentes en restos arqueólogicos maxilares, y valorar el aporte del diagnóstico por imágenes para su descripción. Se analizaron las condiciones patológicas registradas en una mandíbula de un individuo adulto femenino de la región serrana de la provincia de Córdoba, Argentina. Macroscópicamente, se observó la presencia de una estructura mineralizada irregular similar al cemento que afecta las raíces de los molares 36 y 37. El examen mediante Cone Bean Computed Tomography (CBCT), reveló además la presencia de dos lesiones radiopacas con bordes radiolúcidas y escleróticos, circunscriptas a las raíces de los molares 47 y 48, similares a las registradas mediante inspección macroscópica en el lado izquierdo compatibles con una lesión fibroósea multifocal. En asociación con los cambios macroscópicos hallados en la mandíbula izquierda, se observó radiográficamente una lesión unilocular (cavidad única), radiolúcida, con márgenes bien definidos y no expansivos, adelgazamiento y erosión de la tabla ósea sin desplazamiento de piezas dentarias, ni reabsorción de raíces dentales. La utilización de CBCT nos permitió observar lesiones que no se registraban mediante inspección visual directa y nos brindó las herramientas necesarias para un mejor diagnóstico diferencial en este caso. Las nuevas tecnologías pueden optimizar el estudio de piezas arqueológicas, realizando un aporte significativo a la Paleopatología. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-10-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/26008 Revista de la Facultad de Ciencias Médicas de Córdoba.; 2019: Suplemento JIC XX Revista de la Facultad de Ciencias Médicas de Córdoba; 2019: Suplemento JIC XX Revista da Faculdade de Ciências Médicas de Córdoba; 2019: Suplemento JIC XX 1853-0605 0014-6722 10.31053/1853.0605.v76.nSuplemento spa https://revistas.unc.edu.ar/index.php/med/article/view/26008/27876 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0