Imaging Sci Dent.  2018 Sep;48(3):227-231. 10.5624/isd.2018.48.3.227.

Radiographic study of dermal fillers in the facial area: A series of 3 cases

Affiliations
  • 1Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University, Daegu, Korea. syan@knu.ac.kr
  • 2Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Korea.

Abstract

In recent years, as interest in maintaining beauty and a youthful appearance has grown, filler procedures such as soft tissue augmentation have become more popular. These fillers are sometimes seen as radiopaque shadows on radiographic images, either due to the fillers themselves or because of secondary reactions; such findings may present a diagnostic challenge to dentists. The present report describes 3 cases of dermal fillers observed in panoramic and cone-beam computed tomographic (CBCT) images. All 3 elderly female patients had filler injected into their cheeks and chin area for cosmetic purposes decades ago. On panoramic images, multiple symmetric radiopacities were observed in the facial area; on CBCT, these calcifications were seen in the subcutaneous tissue in various shapes and with varying density. In conclusion, dentists should be aware of the imaging characteristics of dermal filler, and should be able to differentiate dermal filler from other pathological findings.

Keyword

Dermal Fillers; Radiography, Panoramic; Cone-Beam Computed Tomography

MeSH Terms

Adolescent
Aged
Beauty
Cheek
Chin
Cone-Beam Computed Tomography
Dentists
Dermal Fillers*
Female
Humans
Radiography, Panoramic
Subcutaneous Tissue
Dermal Fillers

Figure

  • Fig. 1 Panoramic radiograph (A) and axial (B), coronal (C), and 3-dimensional reconstruction (D) of cone-beam computed tomographic images of case 1, demonstrating multiple, amorphous radiopaque masses varying in size in the bilateral cheek areas. Some of the calcifications have a radiolucent center surrounded by a radiopaque rim (arrow). Red dots indicate the mandibular canals.

  • Fig. 2 Panoramic radiograph (A) and axial view (B), coronal view (C), and 3-dimensional reconstruction (D) of cone-beam computed tomographic images of case 2, showing a cluster of small and discrete calcifications on both cheeks and in the right chin area.

  • Fig. 3 Panoramic radiograph (A) and coronal (B) cone-beam computed tomographic images of case 3, showing small ring- and nodule-shaped calcifications in both chin areas.


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