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The role of Cone beam CT in the evaluation and management of a family with Gardner's syndrome.

Authors
  • Kamel, Sherif Galal1
  • Kau, Chung How
  • Wong, Mark E
  • Kennedy, James W
  • English, Jeryl D
  • 1 3D Imaging Facility, University of Texas Health Science Center at Houston, TX, USA.
Type
Published Article
Journal
Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery
Publication Date
Dec 01, 2009
Volume
37
Issue
8
Pages
461–468
Identifiers
DOI: 10.1016/j.jcms.2009.06.007
PMID: 19674914
Source
Medline
Language
English
License
Unknown

Abstract

Gardner's syndrome (GS) is a hereditary autosomal dominant disease of the colon that presents with extra-colonic manifestations such as osteomas, skin lesions and dental abnormalities. Osteomas are commonly found in the skull, jaws and the paranasal sinuses. We present a family of four sisters affected with GS with a wide range of anomalies. The role of Cone beam computed tomography (CBCT) in the early detection and evaluation of osteomas and dental anomalies with precise assessment of their relationship to adjacent anatomic structures is described here in detail. The careful interpretation of CBCT may be of a great value in surgical and orthodontic treatment planning in the presence of jaw lesions. Management of dental problems in GS may be challenging due to the presence of odontomas and increased bone density. A multidisciplinary approach in the management of GS can achieve the best treatment results.

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