Panoramic Radiography : A Part from The Book Chapter : Multiple Myeloma: A Recent Update

Radiograph

Mandibular cross‑sectional occlusal radiograph revealed radiating bony spicules perpendicular to the lower dental arch, missing left canine, and displaced first premolars, and right canine. The buccal and lingual cortical plates were not visible due to the bony expansion. Panoramic radiography revealed a multilocular radiolucency extending from 4 cm short of the right and left angle of the mandible, across the midline and a missing lower left canine. Displacement of teeth and resorption of the roots was present. The inferior border of the mandible was thinner, but intact. Computed tomography, axial section revealed a heterogenous lesion in the anterior mandibular body, discontinuity of the buccal cortical plate with radiating bony spicules, suggesting periosteal bone reaction. There was no expansion or breach in the lingual cortical plate. Conventional radiograph of the lower legs revealed lytic lesions in the left fibula and the right tibia.

Author(s) Details:

Divya Vinayachandran,
Department of Oral Medicine and Radiology, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Kattankulathur-603203, Chennai, Tamil Nadu, India.

Sibyl Siluvai,
Department of Public Health Dentistry, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Kattankulathur-603203, Chennai, Tamil Nadu, India.

V. Kalaivani,
Department of Periodontology, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Kattankulathur-603203, Chennai, Tamil Nadu, India.

Prashanthi Gurram,
Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Kattankulathur-603203, Chennai, Tamil Nadu, India.

Lakshmi Rathan A. C.,
Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Kattankulathur-603203, Chennai, Tamil Nadu, India.

Suresh Mitthra,
SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Kattankulathur-603203, Chennai, Tamil Nadu, India.

To Read the Complete Chapter See Here

Leave a Reply