The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
Mandibular Radiolucencies; A Systematic Approach to DiagnosisAhmed Adawy
Dr. Ahmed M. Adawy, Professor Emeritus, Dep. Oral & Maxillofacial Surgery. Former Dean, Faculty
of Dental Medicine, Al-Azhar University. Conventional radiography may revel a variety of
radiolucent legions in the mandible. Interpretation of such radiolucencies can be challenging either
because the clinical presentation may be non specific or because the ;legion is detected
incidentally. Further, interpretation may vary from one examiner to another. thus, systemic
approach is necessary to diagnose the legion or at least provide a meaningful deferential
diagnosis. This approach should focus on specific radiographic parameters. Initially, the legion
should be placed in the category of either normal or abnormal. The presented parameters includes
describing the legion in terms of: 1- Location, 2- Margins, 3- Size and shape, 4- Effect on
surrounding structures. Obviously, however diagnosis of a legion should never be made
exclusively on the bases of radiographic interpretation. Radiographic interpretation should be used
along with clinical information and other tests to formulate a deferential diagnosis.
Dr. Ahmed M. Adawy, Professor Emeritus, Dep. Oral & Maxillofacial Surgery. Former Dean, Faculty of Dental Medicine, Al-Azhar University. Ameloblastoma is benign slow-growing but locally invasive neoplasm of odontogenic origin. In 2005, the WHO has classified ameloblastomas into multi cystic, unicystic and peripheral subtypes. The clinical picture, radiographic findings and differential diagnosis are presented. Treatment of ameloblastomas is primarily surgical. There has been some debate regarding the most appropriate method for removing. These range from conservative to radical modes. Some authors advocate conservative approach and thought that ameloblastoma are essentially benign in nature and should be treated as such. However, this conservative approach result in recurrence rates of 55% to 90%of the cases. Currently, the standard of care for ameloblastoma includes en bloc resection with 1-2 combine margin and immediate bone reconstruction. Despite the medical nature of a surgical resection, it may actually involve less morbidity than extensive hard and soft tissue resection with associated extensive morbidity that may be warranted in case of recurrence following inadequate primary treatment.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
Mandibular Radiolucencies; A Systematic Approach to DiagnosisAhmed Adawy
Dr. Ahmed M. Adawy, Professor Emeritus, Dep. Oral & Maxillofacial Surgery. Former Dean, Faculty
of Dental Medicine, Al-Azhar University. Conventional radiography may revel a variety of
radiolucent legions in the mandible. Interpretation of such radiolucencies can be challenging either
because the clinical presentation may be non specific or because the ;legion is detected
incidentally. Further, interpretation may vary from one examiner to another. thus, systemic
approach is necessary to diagnose the legion or at least provide a meaningful deferential
diagnosis. This approach should focus on specific radiographic parameters. Initially, the legion
should be placed in the category of either normal or abnormal. The presented parameters includes
describing the legion in terms of: 1- Location, 2- Margins, 3- Size and shape, 4- Effect on
surrounding structures. Obviously, however diagnosis of a legion should never be made
exclusively on the bases of radiographic interpretation. Radiographic interpretation should be used
along with clinical information and other tests to formulate a deferential diagnosis.
Dr. Ahmed M. Adawy, Professor Emeritus, Dep. Oral & Maxillofacial Surgery. Former Dean, Faculty of Dental Medicine, Al-Azhar University. Ameloblastoma is benign slow-growing but locally invasive neoplasm of odontogenic origin. In 2005, the WHO has classified ameloblastomas into multi cystic, unicystic and peripheral subtypes. The clinical picture, radiographic findings and differential diagnosis are presented. Treatment of ameloblastomas is primarily surgical. There has been some debate regarding the most appropriate method for removing. These range from conservative to radical modes. Some authors advocate conservative approach and thought that ameloblastoma are essentially benign in nature and should be treated as such. However, this conservative approach result in recurrence rates of 55% to 90%of the cases. Currently, the standard of care for ameloblastoma includes en bloc resection with 1-2 combine margin and immediate bone reconstruction. Despite the medical nature of a surgical resection, it may actually involve less morbidity than extensive hard and soft tissue resection with associated extensive morbidity that may be warranted in case of recurrence following inadequate primary treatment.
Surgical Management of Jaw Tumors and Other Oral Cavity TumorsHermie Culeen Flores
Powerpoint presentation by Ma. Hermie Culeen F. Barapon
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Odontogenic tumours/oral surgery courses by indian dental academyIndian dental academy
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Lesions/ Tumors/ Cysts doesn't follow the text books. Hence, every enthusiastic Pathologist should be updated with the current trends in the subject. Here is an attempt made from the most common text books of Oral pathology.
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Surgical Management of Jaw Tumors and Other Oral Cavity TumorsHermie Culeen Flores
Powerpoint presentation by Ma. Hermie Culeen F. Barapon
Download the following fonts to view original format:
- Daddy Longlegs
- Angelina
You can download fonts for free from: www.1001fonts.com
After download, right click zip file then choose 'Extract Here'. Then right click the font file and choose 'Install'
Odontogenic tumours/oral surgery courses by indian dental academyIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Lesions/ Tumors/ Cysts doesn't follow the text books. Hence, every enthusiastic Pathologist should be updated with the current trends in the subject. Here is an attempt made from the most common text books of Oral pathology.
Management of odontogenic tumors /certified fixed orthodontic courses by Indi...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable
An Unusual Presentation of Squamous Cell Carcinoma of Bilateral Temporal Bones by Titas Kar in Experiments in Rhinology & Otolaryngology
Squamous cell carcinoma of temporal bone is a rare entity, comprising of a very small percentage of all head neck tumours, mostly occurring in aged population. Bilateral presentation of tumours in both temporal bones is extremely rare and only a few cases have been reported. We report a case of bilateral squamous cell carcinoma of both temporal bones in a young adult male patient who presented very late.
https://crimsonpublishers.com/ero/fulltext/ERO.000510.php
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
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ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
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- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
2. ¸
Gümgüm, Hosgören
Case 1 Case 2
Figure 1a: Large, expansile lesion in the left Figure 1b: Coronal computed tomography Figure 2: Plain radiograph showing an
mandible. (CT) scan showing a large expansile lesion, expansile lesion with impacted teeth.
cortical thinning and minimal destruction.
although lesions showing mural invasion are an exception caries nor root resorption was observed in the second molar.
and should be treated more agressively.9 Histologically, the There was a slight change in the direction of the mandibular
peripheral ameloblastoma appears similar to the solid canal. Condylar and coronoid processes were intact, and no
ameloblastoma. It is uncommon, usually presenting as a pain- fracture was observed (Fig. 1a). Coronal computed tomogra-
less, non-ulcerated sessile or pedunculated gingival lesion on phy (CT) showed a large expansile lesion with cortical
the alveolar ridge.4 Several histopathologic types of ameloblas- thinning and minimal destruction of cortical bone (Fig. 1b).
toma are described in the literature, including those with
In case 2, panoramic radiography showed a large (about 60
plexiform, follicular, unicystic, basal cell, granular cell, clear
by 90 mm), expansile mass occupying the left mandible from
cell, acanthamatous and desmoplastic patterns.2
the condyle to the left lateral incisor tooth. The second molar
Treatment of mandibular ameloblastoma continues to be
controversial. It can change with clinicoradiologic variant, and a developing third molar were impacted. The margins of
anatomic location and clinical behaviour of the tumour.5 Also, tumour were not clear. Expansion of the lesion had caused
the age and the general state of health of the patient are displacement of the adjacent premolars and first molar. Root
important factors. Treatment consists of wide resection, resorption was observed in the first molar. The direction of the
curettage and enucleation.6,10 Rates of recurrence may be as mandibular canal could not be observed. Lingual and buccal
high as 15% to 25% after radical treatment and 75% to 90% bone cortex was resorbed and a periosteal reaction was
after conservative treatment.10 The aim of this article is to observed (Fig. 2). The radiolucent area was multilocular and
describe conservative treatment of ameloblastoma by enucle- the base of the mandible was damaged and thinned.
ation and bone curettage in cases where the lower border of the In case 3, plain radiography revealed a mixed radiopaque
mandible is not affected by the tumour. and radiolucent area, about 20 by 50 mm, extending from the
Case Reports right second molar to the right coronoid process including the
right ascending ramus area. Under the right third molar, the
Clinical Findings
lesion divided into 2 fragments. No root resorption or caries
All 4 patients were referred to the department of oral and
maxillofacial surgery at Gazi University with a painless was observed on the third molar, but some root resorption had
swelling in the mandible. Their ages ranged from 12 to occurred in the second molar. The periodontal ligament space
28 years and all were female. The lesions were located in the of the second and third molar was connected to the cystic
mandible: 2 on the right side and 2 on the left. In all patients, radiolucent area (Fig. 3a). Axial CT showed an expansile
clinical examination revealed a large, expansile mass in the lesion, erosion, cortical destruction and thinning (Figs. 3b and
molar region of the mandible. The swellings were hard, 3c). Three years after surgery, no tumour recurrence was
painless to palpation and covered by normal mucosa. No observed on plain radiography or CT scan (Fig. 3d).
anesthesia was reported. In 3 patients extraoral swelling was In case 4, panoramic radiography showed a loculated lesion
observed. extending from the mesial root of the right first molar to the
Radiologic Findings right third molar. The lesion was about 25 by 45 mm and had
In case 1, plain radiography showed a large multilocular caused root resorption in the first and second molars. The
expansile lytic lesion occupying the left mandible from the first direction of the mandibular canal was slightly changed. The
molar to the coronoid process including the impacted second base of the mandible was not destroyed and the borders of the
molar. The lesion was 50 by 65 mm. The cortical bone was lesion were well defined. The lesion had caused displacement
very thin and no periosteal reaction was observed. Neither of the third molar (Fig. 4).
482 Juillet/Août 2005, Vol. 71, N° 7 Journal de l’Association dentaire canadienne
3. Clinical and Radiologic Behaviour of Ameloblastoma in 4 Cases
Case 3 Case 4
Figure 3a: Plain radiograph showing a Figure 3b: Preoperative CT scan showing Figure 4: Plain radiograph showing a
loculated lesion in the right mandible. the soft tissue component of the lesion. radiolucent lesion that caused resorption in
the root of the adjacent tooth.
CT is usually helpful in determining the
contours of the lesion, its contents and its
extension into soft tissues.11
In a patient with a swelling in the jaw,
the first step in diagnosis is panoramic
radiography. However, if the swelling is
hard and fixed to adjacent tissues, CT is
preferred. Although the radiation dose
Figure 3c: An expansile lesion with erosive Figure 3d: Three years after treatment. is much higher in CT, the necessity of
changes, cortical destruction and thinning. identifying the contours of the lesion,
its contents and its extension into the
soft tissues, makes it preferable for
Treatment diagnosis. Plain radiographs do not show interfaces between
After clinical and radiologic examination, an incisional tumour and normal soft tissue; only interfaces between
biopsy was performed in all cases and the lesions were tumour and normal bone can be seen. The axial view in
diagnosed as ameloblastoma. Cases 1, 3 and 4 were treated contrast-enhanced CT images and the coronal and axial views
with enucleation and bone curettage under local anesthesia. in magnetic resonance imaging (MRI) clearly show both types
Case 2 was treated by hemimandibulectomy as the inferior of interface.12 Although there are no appreciable differences
border of the mandible was resorbed and the margins of between MRI and CT for detecting the cystic component of
tumour were not clearly visible. After wide resection, the the tumour, for visualizing papillary projections into the cystic
mandible was reconstructed using the fibular free flap under cavity, MRI is slightly superior. MRI is essential for establish-
general anesthesia. We preferred enucleation and bone ing the exact extent of an advanced maxillary ameloblastoma
curettage in 3 patients because their lesions were well defined and thus determining the prognosis for surgery.13,14
and the patients were young. We are monitoring these patients Ameloblastomas are treated by curettage, enucleation plus
for recurrence of ameloblastoma, which will be treated by curettage, or by radical surgery.8,10 Comparing long-term
resection. In the 3 years since their surgery, no recurrence has
results for 78 ameloblastomas, Nakamura and others10
been observed by radiography or CT.
reported that the rate of recurrence is 7.1% after radical
Discussion surgery and 33.3% after conservative treatment. They recom-
Ameloblastoma is a tumour with a well-known propensity mended wide resection of the jaw as the best treatment
for recurrence. 8 Several factors may influence the rate of for ameloblastoma. In their series of 26 ameloblastomas,
recurrence: the clinicoradiologic appearance of the tumour, Sampson and Pogrel5 showed that nearly 31% of tumours
the anatomic site and the adequacy of the initial surgery.1,2,6 recurred after conservative surgery. In our study, we treated
Radiologically, the lesions are expansile, with thinning 3 patients with enucleation and bone curettage and 1 patient
of the cortex in the buccal–lingual plane. The lesions are classi- with hemimandibular resection. In 3 years follow-up, there
cally multilocular cystic with a “soap bubble” or “honeycomb” has been no recurrence of the tumours.
appearance. On occasion, conventional radiographs reveal Conclusion
unilocular ameloblastomas, resembling dentigerous cysts or In this article, we show that when the lower border of the
odontogenic keratocysts.11 The radiographic appearance of mandible is not affected, ameloblastoma can be treated by a
ameloblastoma can vary according to the type of tumour. combination of enucleation and bone curettage. However,
Journal de l’Association dentaire canadienne Juillet/Août 2005, Vol. 71, N° 7 483
4. ¸
Gümgüm, Hosgören
when the tumour has resorbed the inferior border of the
mandible, radical treatment including wide resection is
required. We preferred conservative surgery in the treatment of Venez vivre
3 cases because of the well-defined margins. However, in the
fourth case, we used wide resection with 1 cm clear margins. l’expérience!
In all cases, long-term follow-up with radiography, and Congrès annuel 2006 de
especially CT, is important. We are still monitoring our
patients annually using radiography and CT. C
l’Association dentaire canadienne,
organisé conjointement avec
l’Association dentaire de
Dr. Gümgüm is a research assistant, department of oral Terre-Neuve-et-Labrador
and maxillofacial surgery, School of Dentistry, Gazi
University, Ankara, Turkey. St. John’s (Terre-Neuve)
24-26 août 2006
Consultez le site Web de l’ADC et les numéros
¸
Dr. Hosgören is a radiologist, department of radiology,
Dr. Muhittin Ulker Emergency Care and Traumatology du JADC cet automne pour obtenir
Hospital, Ankara, Turkey. plus de détails sur les séances scientifiques
Correspondence to: Dr. Sinem Gümgüm, 46. sokak 23/1 06510 et les événements sociaux.
Bahçelievler/Ankara –Turkey. E-mail: sgumgum@gazi.edu.tr.
The authors have no declared financial interests.
Au plaisir de vous voir
References
1. Becelli R, Carboni A, Cerulli G, Perugini M, Iannetti G. Mandibular
à St. John’s!
ameloblastoma: analysis of surgical treatment carried out in 60 patients
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2. Iordanidis S, Makos C, Dimitrakopoulos J, Kariki H. Ameloblastoma
of the maxilla — case report. Aust Dent J 1999; 44(1):51–5.
3. Nakamura N, Mitsuyasu T, Higuchi Y, Sandra F, Ohishi M. Growth
characteristics of ameloblastoma involving the inferior alveolar nerve: a
✓
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Radiol Endod 2001; 91(5):557–62.
4. Hollows P, Fasanmade A, Hayter JP. Ameloblastoma – a diagnostic
problem. Br Dent J 2000; 188(5):243–4. Fonction d’accès Souvenez-vous de moi
5. Sampson DE, Pogrel MA. Management of mandibular ameloblastoma:
the clinical basis for a treatment algorithm. J Oral Maxillofac Surg 1999;
57(9):1074–7. Une nouvelle fonction du site Web de l’ADC permet
6. Ferretti C, Polakow R, Coleman H. Recurrent ameloblastoma: report aux membres d’accéder plus facilement au volet qui leur est
of 2 cases. J Oral Maxillofac Surg 2000; 58(7):800–4. réservé. Dans les pages d’accueil public française et
7. Asseal LA. Surgical management of odontogenic cysts and tumors. In:
Peterson LJ, editor. Principals of oral and maxillofacial surgery. Vol 2.
anglaise, les membres peuvent sauvegarder leur nom d’uti-
Philadelphia: Lippincott-Raven; 1997. p. 694–8. lisateur et leur mot de passe en cliquant la case Souvenez-
8. Kim SG, Jang HS. Ameloblastoma: a clinical, radiographic and vous de moi.
histopathologic analysis of 71 cases. Oral Surg Oral Med Oral Pathol Oral Cette fonction est idéale quand vous êtes le seul à
Radiol Endod 2001; 91(6):649–53.
9. Rosenstein T, Pogrel MA, Smith RA, Regezi JA. Cystic ameloblastoma utiliser votre ordinateur, mais non si vous utilisez un
— behaviour and treatment of 21 cases. J Oral Maxillofac Surg 2001; ordinateur public ou partagé, étant donné que vos données
59(11):1311–6. d’accès deviendront alors accessibles à tous. Cette nouvelle
10. Nakamura N, Higuchi Y, Mitsuyasu T, Sandra F, Ohishi M. Compar-
ison of long-term results between different approaches to ameloblastoma. fonction fait partie de la stratégie de l’ADC visant à
Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 93(1):13–20. faciliter la tâche des membres quand ils visitent le volet qui
11. Rampton P. Teeth and jaws. In: Sutton D, editor. Textbook of radiol- leur est réservé sur son site Web.
ogy and imaging. Philadelphia: Churchill-Livingstone; 1998. p. 1388–9.
En mars 2005, les membres ont reçu par courrier leur
12. Cihangiroglu M, Akfirat M, Yildirim H. CT and MRI findings of
ameloblastoma in two cases. Neuroradiology 2002; 44(5):434–7. nom d’utilisateur et leur mot de passe actuels. Si vous
13. Kawai T, Murakami S, Kishino M, Matsuya T, Sakuda M, Fuchihata éprouvez des difficultés en essayant d’accéder au volet
H. Diagnostic imaging in two cases of recurrent maxillary ameloblastoma: réservé aux membres du site Web de l’ADC, la fonction
comparative evaluation of plain radiographs, CT and MR images.
Br J Oral Maxillofac Surg 1998; 36(4):304–10. Aide peut vous guider tout au long du processus d’accès. Si
14. Ziegler CM, Woertche R, Brief J, Hassfeld S. Clinical indications for vous avez besoin d’aide, communiquez avec un représen-
digital volume tomography in oral and maxillofacial surgery. Dentomax- tant des services aux membres de l’ADC du lundi au
illofac Radiol 2002; 31(2):126–30.
vendredi, de 8 h à 16 h 30 HNE, au 1-800-267-6354.
484 Juillet/Août 2005, Vol. 71, N° 7 Journal de l’Association dentaire canadienne