Abstract：
BACKGROUND: Diffuse idiopathic skeletal hyperostosis (DISH) is a potentially serious osteopathic disorder associated with coalescing ossifications of the anterior vertebrae and may be concomitant with a constellation of symptomatology and systemic comorbidities. There is limited dental literature describing this finding on panoramic radiographs and cone beam computed tomography (CBCT) scans.
METHODS: Two case reports of DISH are provided. One patient manifested extensive ossifications along the cervical vertebrae and consequent episodes of dysphagia and hoarseness. The other affected patient\'s cervical ossification was found at an earlier stage of formation and without symptomatology. Panoramic radiography, cervical spine radiography, and CBCT examinations have been provided.
CONCLUSIONS: Attending dental healthcare practitioners should carefully evaluate all areas of interest and surrounding fields of view when taking panoramic radiographs and CBCT scans for manifestations of DISH and other potential disorders of the cervical vertebrae. A suspected radiologic finding of DISH should prompt timely referral for comprehensive medical assessment to mitigate neurologic deficits and other comorbidities.
METHODS: Two case reports of DISH are provided. One patient manifested extensive ossifications along the cervical vertebrae and consequent episodes of dysphagia and hoarseness. The other affected patient\'s cervical ossification was found at an earlier stage of formation and without symptomatology. Panoramic radiography, cervical spine radiography, and CBCT examinations have been provided.
CONCLUSIONS: Attending dental healthcare practitioners should carefully evaluate all areas of interest and surrounding fields of view when taking panoramic radiographs and CBCT scans for manifestations of DISH and other potential disorders of the cervical vertebrae. A suspected radiologic finding of DISH should prompt timely referral for comprehensive medical assessment to mitigate neurologic deficits and other comorbidities.
摘要：
背景：弥漫性特发性骨骼骨肥厚症（DISH）是一种潜在的严重骨病，与前椎骨合并骨化相关，并可能伴有一系列症状学和全身性合并症。在全景射线照片和锥形束计算机断层扫描（CBCT）扫描中描述这一发现的牙科文献有限。
方法：提供两例DISH病例报告。一名患者沿颈椎表现出广泛的骨化，并随后出现吞咽困难和声音嘶哑。另一名受影响的患者的宫颈骨化是在形成的早期阶段发现的，没有症状。全景摄影,颈椎X线照相术，已提供CBCT检查。
结论：牙科保健医生在拍摄全景X线片和CBCT扫描时，应仔细评估所有感兴趣的区域和周围的视野，以了解DISH的表现和其他潜在的颈椎疾病。可疑的DISH放射学发现应及时转诊以进行全面的医学评估，以减轻神经功能缺损和其他合并症。
方法：提供两例DISH病例报告。一名患者沿颈椎表现出广泛的骨化，并随后出现吞咽困难和声音嘶哑。另一名受影响的患者的宫颈骨化是在形成的早期阶段发现的，没有症状。全景摄影,颈椎X线照相术，已提供CBCT检查。
结论：牙科保健医生在拍摄全景X线片和CBCT扫描时，应仔细评估所有感兴趣的区域和周围的视野，以了解DISH的表现和其他潜在的颈椎疾病。可疑的DISH放射学发现应及时转诊以进行全面的医学评估，以减轻神经功能缺损和其他合并症。
