A Retrospective 2-D and 3-D Radiographic analysis of Osseous Changes in Oral Squamous Carcinoma

Abstract

Aim: To evaluate the 2D and 3D radiographic features of oral squamous cell carcinoma involving jaws for understanding the pattern of bone involvement, for an improved treatment plan. Materials and Methods: Thirty histologically diagnosed patients of oral squamous cell carcinoma were included in the study and the detailed analysis of Orthopantogram (OPG), Computed Tomography (CT)/Cone Beam Computed Tomography (CBCT) / Magnetic Resonance Imaging (MRI) was undertaken. Lesions borders, surrounding and internal structures were evaluated. Results: 2D images aid in identifying the location of the lesion while 3D images help in defining the extension of the lesion. 2D images result in overdiagnosis of extent while 3D images provide an accurate diagnosis of the structures involved. Conclusions: Early screening of the lesion can be done by OPG while CBCT/CT/MRI should be considered as a confirmatory tool to see the extent of disease and for guidance in surgical planning.