Oral Surgery, Oral Medicine, Oral Radiology
ISSN (Print): 2379-5298 ISSN (Online): 2379-5301 Website: http://www.sciepub.com/journal/oral Editor-in-chief: Bouguezzi Adel
Open Access
Journal Browser
Oral Surgery, Oral Medicine, Oral Radiology. 2014, 2(1), 1-5
DOI: 10.12691/oral-2-1-1
Open AccessCase Report

Use of Contrast Radiography to Differentiate Unilocular Cystic Lesion from Multilocular One - A Case Report

Azam M. Makandar1, , Avinash Kshar1 and Raghvendra Byakodi1

1Department of Oral medicine Diagnosis & Radiology, Sangli, India

Pub. Date: February 06, 2014

Cite this paper:
Azam M. Makandar, Avinash Kshar and Raghvendra Byakodi. Use of Contrast Radiography to Differentiate Unilocular Cystic Lesion from Multilocular One - A Case Report. Oral Surgery, Oral Medicine, Oral Radiology. 2014; 2(1):1-5. doi: 10.12691/oral-2-1-1


Contrast Radiography is a X-ray procedure that uses a special substance; a contrast medium to highlight tissues and organs that would not be visible otherwise. In the past attempts have been made to detect and to see the extent of tumours in nasopharynx using contrast radiography. X ray contrast radiography of a cystic lesion is not reported yet to the best of our knowledge. The radiographic appearance of cystic lesions in jaws may be illusive especially in maxilla owing to the superimpositions by normal anatomic structures. Unilocular or multilocular appearance of lesion has a lot of significance in radiology as radiographic diagnosis may change accordingly. In the present case we performed contrast radiography of an apparently multilocular cystic lesion. For this procedure we used Urografin 76% (aqueous solution of 0.1 g sodium amidotrizoate and 0.66 g meglumine amidotrizoate (sodium diatrizoate and meglumine diatrizoate) as a contrast agent. The technique we demonstrated is a chair-side technique which can be used to differentiate between unilocular and multilocular lesions of the jaws. It also contributes in locating the lesion and determining its extent. It is a cost effective technique which can narrow down the range of differential diagnosis.

contrast radiography unilocular multilocular cystic lesion

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/


Figure of 9


[1]  Gordon Evison, Contrast radiography of the nasopharynx, Postgrad. med. J. (November 1968) 44, 825-829.
[2]  P.N.R. NAIR, New perspectives on radicular cysts: do they heal?- International Endodontic Journal (1998) 31, 155-160.
[3]  Ramachandran Nair PN, Pajarola G, Schroeder HE. Types and incidence of human periapical lesions obtained with extracted teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996 Jan; 81(1):93-102.
[4]  Vier FV, Figueiredo JA. Internal apical resorption and its correlation with the type of apical lesion. Int Endod J. 2004 Nov; 37(11):730-7.
[5]  Grossman LI. Origin of microorganisms in traumatized, pulpless, sound teeth. J Dent Res 1967 46:551-53.
[6]  Nair PNR. Non-microbial etiology: periapical cysts sustain post-treatment apical Periodontitis. Endodontic Topics 2003;6: 96-113.
[7]  Joshi NS, Sujan SG, Rachappa MM. An unusual case report of bilateral mandibular radicular cysts. Contemp Clin Dent 2011: 2: 59-62.
[8]  Shear M. Cysts of the Oral Regions, 3 edtion, Boston, Wright, 1992 .pp. 136-70.
[9]  Cawson RA, Odell EW, Porter S .Cawson`s essentials of oral pathology and oral medicine.7th ed, Churchill Livingstone, Edinburgh, 2002. pp. 102-21.
[10]  Christiansen C. X-ray contrast media: an overview. Toxicology. 2005;209(2):185-187
[11]  Dean JA, ed. Lange‚Äôs Handbook of Chemistry. 14th ed. New York, NY: McGraw Hill; 1992:4.18.
[12]  Data sheet provided by manufacturers of Urografin
[13]  Kizil z, Energin: An evaluation of radiographic and histopathological findings in periapical lesions, J Marmara Univ. Dent Fac 1:16-23,1990.
[14]  Lalonde E R: A new rationale for the management of periapical granulomas and cyst; an evaluation of histopathologic and radiographic findings-J Am Dent Assoc-80; 1056-1059,1970.
[15]  Norman k.Wood, Paul W.Goaz, Differential Diagnosis of oral and maxillofacial lesions, 5th edn, chapter 19, Page no.326.
[16]  Norman k.Wood, Paul W.Goaz, Differential Diagnosis of oral and maxillofacial lesions, 5th edn, chapter 19, Page no.303-305.