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The aim of the study was to assess the prevalence of radiopacities in the jaws of a Greek population sample.
Panoramic radiographs of 3,513 patients retrieved from 10 practices in Northern Greece were examined for the presence of radiopacities without the knowledge of the medical histories. Of the initial sample size, 47 radiographs were excluded o...
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... single radiopacity was observed in the maxilla, in the area of lateral incisor (Fig. 1), and the remaining 71 out of 72 were found in the mandible. The most fre- quently involved area was the region of the posterior teeth (Fig. 2), but the difference between the premolar and molar region was of no statistical significance (46.4% and 30.4% of the cases, respectively; P .131); 14.5% of the lesions were located in edentulous areas (Fig. 3) and 7.2% in other locations (Table II). Of the lesions identified, 30.4% were surrounding the apex of the involved tooth, 2.9% ...
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The aim of this study was to investigate the prevalence of permanent teeth extracted due to periodontal disease and its relation to age, military rank, and type of extracted teeth due to periodontal and non-periodontal reasons among a group of Greek Army personnel attending a military dental practice.
Study population consisted of 509 officers, non...
Citations
... They are usually asymptomatic, they do not cause cortical expansion, and they are detected incidentally on routine radiographs (13,14). The frequency of idiopathic osteosclerosis (3%) in this investigation falls within the range found by other studies, which vary from 1.96 to 7.6% (12,13,15,16). Although Miloglu et al. (16) and Avramidou et al. (15) found that the incidence of idiopathic osteosclerosis was higher in women, Williams and Brooks (13), Halse and Molven (12) and Dedeoğlu and Arıkan (17) did not find any differences between the genders in their study. ...
... The frequency of idiopathic osteosclerosis (3%) in this investigation falls within the range found by other studies, which vary from 1.96 to 7.6% (12,13,15,16). Although Miloglu et al. (16) and Avramidou et al. (15) found that the incidence of idiopathic osteosclerosis was higher in women, Williams and Brooks (13), Halse and Molven (12) and Dedeoğlu and Arıkan (17) did not find any differences between the genders in their study. In our study, no statistical difference was found between the genders. ...
Background: Radiopaque lesions are frequently found in the periapical region. The diagnosis and treatment of these lesions can be challenging to the dentist. The present study presents the similar radiographic features of the lesions to help the clinician narrow the differential diagnosis and to aid in treatment planning. This study aims to evaluate the frequency and distribution of radiopaque lesions in a Turkish population. Materials and Methods: This retrospective study was conducted at the Department of Endodontics, Hamidiye Faculty of Dentistry, University of Health Sciences Turkey, İstanbul, Turkey. Data was obtained from digital panoramic images taken between 2018-2021. A total of 2.002 patients were included. The incidence of specific radiopaque lesions, like idiopathic osteosclerosis, condensing osteitis, odontoma, cementoblastoma, cementoosseous dysplasia, and fibrous dysplasia was evaluated with relation to gender. In addition to these, the frequency of pulp stones was also evaluated. Descriptive statistics and the chi-square test were used to evaluate the data. Results: Of the 1.912 patients diagnosed with radiopaque lesions, 960 (50.2%) were female and 952 (49.8%) were male. Radiopaque lesions were determined on 106 (5.5%) panoramic radiographs. While idiopathic osteosclerosis was found in 58 (3%), condensing osteitis was found in 33 (1.7%), odontoma was found in 1 (0.1%), cementoblastoma was found in 1 (0.1%), cemento-osseous dysplasia was found in 10 (0.5%) and fibrous dysplasia was found in 3 (0.2%) patients. Moreover, a pulp stone was found in 142 (7.4%) patients. No statistically significant difference was found between genders in any of the lesions (p>0.05), except for condensing osteitis (X²=0.024). Conclusion: The most common radiopaque lesions in the study were idiopathic osteosclerosis and condensing osteitis, while the least common was cementoblastoma and odontoma.
... 3,43 In studies conducted, the incidence of idiopathic osteosclerosis was found between 1.96 and 7.6%. [13][14][15][16] In our study, the incidence of idiopathic osteosclerosis was found to be 4.15%. Although Miloğlu et al 14 and Avramidou et al 13 found that the incidence of idiopathic osteosclerosis was higher in women, Williams and Brooks 3 and Halse and Molven 16 did not find any differences between the genders in their study. ...
... [13][14][15][16] In our study, the incidence of idiopathic osteosclerosis was found to be 4.15%. Although Miloğlu et al 14 and Avramidou et al 13 found that the incidence of idiopathic osteosclerosis was higher in women, Williams and Brooks 3 and Halse and Molven 16 did not find any differences between the genders in their study. In our study, no statistical difference was found between the genders. ...
... Bu sebeplerden ötürü KO'ya genç bireylerde daha sık rastlanabilir. KO, en sık enfekte mandibular premolar ve molar dişlerle ilişkili olarak görülür (6,17). Çalışmamızda Altun ve ark.'nın (6) 2014 yılında yaptıkları çalışmaları ile uyumlu olarak, tüm KO lezyonları sunulan mandibulada tespit edilmiştir. ...
... Literatürde KO'nun daha çok enfekte pulpa kaynaklı olarak çürük veya dolgulu dişlerde ortaya çıktığı gösterilmiştir (6,17). Çalışmamızda; KO, kanal tedavili dişlerde istatistiksel olarak daha sık izlenmiştir (p=0,048). ...
Objective: Condensing osteitis (CO) is sclerotic changes caused by bone against low-grade inflammation and
diagnosis of the disease is made radiographically. The purpose of this retrospective study is to investigate the
causes and incidence of CO in a group of patients who applied to Akdeniz University Faculty of Dentistry.
Material- Method: One thousand seven hundred twenty five panoramic radiograps taken from patients who
applied to Akdeniz University Faculty of Dentistry Department of Oral and Maxillofacial Radiology with
various complaints were evaluated retrospectively. The frequency of CO, location the presence of treatment
in the tooth with CO, the treatment type, and the relationship of CO with gender and age were evaluated.
p<0.05 was considered statistically significant.
Results: CO was detected in 46 of 1725 patients between the ages of 13-72. CO was more common in
mandibular first molars and root canal treated teeth, and this was statistically significant. No significant
difference was found between the genders in terms of incidence.
Conclusions: This study showed that CO was more common in patients treated with root-canal treatment,
unlike previous studies conducted in other countries and in different regions of the same population.
... Previous short reviews, exclusively of IO, showed its specific radiological features [7,9]. Some scarce systematic reviews [4,11] included diverse populations with IO; however, only two articles described a Brazilian patient sample [30][31][32][33][34]. ...
Objective
The study aimed to describe the diagnostic imaging features of idiopathic osteosclerosis (IO) to aid in differential diagnosis of similar dentomaxillomandibular conditions.Materials and methodsAn archive of 550 dentomaxillofacial radiographic (panoramic radiography (PR) and cone beam computed tomography (CBCT)) images and 33,000 histopathological records were reviewed to identify IO cases. Chi-square, Student’s t test, and ANOVA tests, with a significance of p < 0.05, were applied for comparative analysis. In addition, we analyzed various studies to present a short review.ResultsAfter meticulous observation, 36 images of 34 patients revealed 60 IO lesions in 31 PR and 5 CBCT. Sex, age group, anatomical site, shape, regularity, and root relationship showed statistical significance: sex and age group (p = 0.046), sex and IO regularity (p = 0.007), age group and IO regularity (p = 0.014), anatomical site and IO shape (p = 0.010), anatomical site and IO regularity (p = 0.003), and IO shape and IO regularity (p = 0.002). We presented a short review from 26 articles, including retrospective, cross-sectional, and longitudinal studies, documenting 2307 patients with 2435 IO lesions from 51,160 imagiological examinations.ConclusionsA radiographic diagnostic profile of IO may guide the clinical practitioners in differentiating an incidental radiopacity. PR is a preliminary examination, with CBCT facilitating the IO diagnosis.Clinical relevanceKnowledge of imaging characteristics variability of idiopathic osteosclerosis is crucial for accurate diagnosis process when incidental radiopacities are found in the panoramic radiographs, thus avoiding unnecessary biopsies. CBCT scans facilitate the interpretation of idiopathic osteosclerosis overlapping the mandibular canal.
... Frecuentemente, se han confundido los términos de las diversas entidades radiopacas o, incluso, suelen utilizarse de forma errónea como sinónimos, pero cada una presenta características diferentes. Entre ellas se mencionan la osteoesclerosis idiopática (OI) y la osteítis condensante (OC) (9)(10)(11)(12)(13)(14)(15) ). ...
... La entidad se observa como una imagen radiopaca que puede estar relacionada o no con los dientes, presenta un tamaño entre 2 mm y 2 cm, tiene formas y bordes variados, y es asintomática. Se manifiesta más frecuentemente en mujeres con edades entre los 20 y 40 años, en la zona de premolares y molares mandibulares ( 2,5,(9)(10)(11)(12), y se evidencia como un foco denso de aspecto uniforme, punteado o trabeculado grueso; de forma ovalada, redondeada o cilíndrica; con bordes irregulares no corticalizados ( 15,16 ). En ocasiones, el crecimiento de dicho hueso esclerótico denso podría impedir o interrumpir la erupción de un diente, y provocar un proceso de rizálisis ( 17,19 ). ...
... Cualquier imagen esclerótica que no pueda ser atribuida a una fuente específica, asintomática, que presente un aspecto radiopaco homogéneo, es denominada OI ( 1, 10, 11, 21 ). El término OC se emplea para describir un aumento de la radiopacidad del hueso alveolar, como respuesta a una reacción local de bajo grado, la cual puede ser una pulpa inflamada, un conducto radicular tratado inadecuadamente o el resultado de una infección periodontal ( 1,11,(20)(21)(22)(23) ). ...
Objetivo: Determinar la frecuencia de la osteoesclerosis idiopática (OI) y la osteítis condensante (OC) en radiografías panorámicas. Metodología: Se estudiaron 1500 radiografías panorámicas de pacientes de ambos sexos, con edades cronológicas entre 20 y 88 años. Se identificó la presencia de condensaciones óseas (CO); la distribución de acuerdo con la edad, el sexo, la localización y la relación con los dientes; y si eran solitarias o múltiples. Resultados: Se observaron 183 CO, con una prevalencia del 12,4%. Del total de casos, 113 correspondieron al sexo femenino (61,7%) y 70 al masculino (38,2%). La OI fue verificada en 127 sujetos (8,5% del total de la muestra), mientras que 56 presentaron OC (3,7%). La OI fue más frecuente entre la tercera y cuarta décadas de vida, mientras que se verificó un mayor número de OC por encima de los 40 años (p = 0,002). Respecto del sexo, ambos tipos de CO fueron más frecuentes en las mujeres, lo que fue estadísticamente significativo (p = 0,005). Las CO se localizaron con mayor frecuencia en la zona molar derecha, molar izquierda y premolar derecha; en cuanto a la relación con los dientes, fueron observadas en un número más alto en apical, separadas y en la zona apical e interradicular. La presentación única de las CO fue más prevalente según el sexo o el grupo etario. Conclusiones: Las características radiográficas de las CO estudiadas permiten distinguirlas de otras patologías. Su alta prevalencia indica que deben ser consideradas en el manejo clínico del paciente para orientar un plan de tratamiento adecuado.
... It is the most common finding of radiopacities in the alveolar bone with unknown origin/aetiology. 1 The prevalence of IO varies from 4% to 31% predominantly in female of early 20s. 1,2 It is characterized by an area of increased bone production which generally appears to be round, elliptical or irregular in shape. 3 This developmental anatomic variation of normal bony architecture might be detected in various sizes, ranging from 2 or 3 mm to 1 to 2 cm in diameter. ...
This report presents two cases of idiopathic osteosclerosis involving the maxilla and mandible which were identified as buccally impacted canine and retained root respectively on clinical and plain radiographical examinations. Both patients were females who presented with hypodontia. Radiographic evaluation revealed solitary well‐defined radiopaque masses with thickened cortical border. Both patients were undergoing orthodontic treatment and one was planned for a surgical traction of unerupted tooth prior to cone‐beam CT assessment. In this report, we reviewed the clinical findings and explained the radiographic appearance of idiopathic osteosclerosis through plain radiographs and cone‐beam CT to facilitate its identification among general dentists and oral and maxillofacial radiologists.
... COs are intrabony, radiopaque lesions associated to inflammatory processes, more commonly to low-grade inflammation and, to date, etiological factors associated to development of COs are numerous. 1,3,5,7,8,20,26 COs are infrequent lesions in the general population, they are more common in females and most of them appear as radiographic images smaller than 2 cm. 5,20,26 They are usually found in mandible and posterior regions are more commonly involved. ...
... 1,3,5,7,8,20,26 COs are infrequent lesions in the general population, they are more common in females and most of them appear as radiographic images smaller than 2 cm. 5,20,26 They are usually found in mandible and posterior regions are more commonly involved. 5,7,20,26,27 Idiopathic osteosclerosis (IO) lesions are reported in pelvis, long bones, maxilla and mandible mainly as asymptomatic, non-expansible, radiopaque or mixed images diagnosed at any age. ...
... 5,20,26 They are usually found in mandible and posterior regions are more commonly involved. 5,7,20,26,27 Idiopathic osteosclerosis (IO) lesions are reported in pelvis, long bones, maxilla and mandible mainly as asymptomatic, non-expansible, radiopaque or mixed images diagnosed at any age. IO was found in both genders and lacks any relationship to inflammatory, infectious or traumatic stimulus. ...
Objective
This retrospective study aimed to record and analyze the clinical and radiographic Giant Osteosclerotic Lesions (GOLs) detected in the maxillomandibular area of patients attending to our institution. Materials and Methods: Informed consent from the patients was obtained and those cases of 2.5 cm or larger lesions with radiopaque or mixed (radiolucid-radiopaque) appearance located in the maxillofacial bones were selected. Assessed parameters were: age, gender, radiographic aspect, shape, borders, size, location and relations to roots. Lesions were classified as radicular, apical, interradicular, interradicular-apical, radicular-apical or located in a previous teeth extraction area. Additionally, several osseous and dental developmental alterations (DDAs) were assessed.
Results
Seventeen radiopacities in 14 patients were found and were located almost exclusively in mandible and were two types: idiopathic osteosclerosis and condensing osteitis. GOLs were more frequent in females, and in the anterior and premolar zones. 94.2% of GOLs were qualified as idiopathic osteosclerosis and one case was condensing osteitis. All studied cases showed different osseous and dental developmental alterations (DDAs). The most common were: Microdontia, hypodontia, pulp stones, macrodontia and variations in the mental foramina.
Conclusions
GOLs must be differentiated from other radiopaque benign and malignant tumors. Condensing osteitis, was considered an anomalous osseous response induced by a chronic low-grade inflammatory stimulus. For development of idiopathic osteosclerosis, two possible mechanisms could be related. The first is modification of the normal turnover with excessive osseous deposition. The second mechanism will prevent the normal bone resorption, arresting the osseous breakdown process.
... They are often found incidentally in the premolar and molar regions of the mandible. [1][2][3][4][5] Their estimated prevalence is between 2% and 6%. 3,[6][7][8] According to etiology, they can be classified into Q U I N T E S S E N C E I N T E R N AT I O N A L ...
... [1][2][3][4][5] Their estimated prevalence is between 2% and 6%. 3,[6][7][8] According to etiology, they can be classified into Q U I N T E S S E N C E I N T E R N AT I O N A L ...
Osteosclerotic lesions are a common finding on dental radiographs. They are considered developmental variants of a normal bone architecture and they usually do not need any treatment. The purpose of this article is to present a rare case of osteosclerotic lesion of the mandible causing trigeminal neuropathy by compression of the alveolar nerve. The pain started with dental hypersensitivity of the mandibular right first molar. Later on, signs of irreversible molar tooth pulpitis developed. Endodontic therapy and apicoectomy did not resolve the pain, which later intensified, and painful neuropathy localized to inferior alveolar nerve developed; therefore, surgical decompression was indicated. Treating a dental patient with neuralgic pain is always a challenge, especially if there is no obvious source or reason for this type of pain. A clear evaluation and treatment protocol are important to minimize the patient's morbidity and avoid unnecessary overtreatment.
... [6] Similarly, Avramidou et al. identified that female patients have more radiopaque lesion than male in a sample of Greek patients. [25] However, other study showed no difference between the incidence in female and male. [5,19] In the present study, the frequency of CO increased with age until the fourth decade of life that related to tooth decay. ...
Background: The purpose of this study was to investigate of radiographic pattern and relative frequency of idiopathic osteosclerosis (IO) and condensing osteitis (CO) in panoramic radiographs.
Materials
and Methods: Totally 411 panoramic radiographies were randomly selected from patients referred to Radiology Department of Faculty of Dentistry, Tabriz University of Medical Sciences. Descriptive characteristics of radiopacities, including shape, border, localization, and dental relationship, were recorded. The Chi-squared test was used.
Results: IO was detected in 31 (7.5%) patients and 22 (68.8%) lesions had exact border while their shape was mostly irregular. About 17 (53.1%) lesions were apical, and 13 (40.6%) lesions had no relation to the teeth. The most involved teeth were the second premolar (28.1%) and first molar (25%). Moreover, CO was detected in 32 (7.8%) patients. 17 (53.1%) lesions had an ill-defined border, and their shape was mostly irregular (65.6%) with ill-defined border. Around 18 (56.3%) lesions were apical, and 11 (34.4) lesions were apical and interradicular. The most involved teeth were the second premolar (59.4%) and the first molar (21.9%).
Conclusion: The results demonstrated that relative frequency of IO in the selected population was 7.5% and for CO, it was 7.8%.
... Garau V et al., [12] and Sisman Y et al., [14] also observed similar results in their studies. Since IO lesions are most frequently found located in the premolar and molar areas, they might represent residual roots from deciduous molars, resorbed and replaced by sclerotic bone [15]. These findings could be explained by the fact that the common superposition of anatomic structures makes maxillary lesions harder to detect from panoramic radiographs when compared to mandibular lesions [15]. ...
... Since IO lesions are most frequently found located in the premolar and molar areas, they might represent residual roots from deciduous molars, resorbed and replaced by sclerotic bone [15]. These findings could be explained by the fact that the common superposition of anatomic structures makes maxillary lesions harder to detect from panoramic radiographs when compared to mandibular lesions [15]. The premolar region in the mandible may experience concentrated inner distortion, and areas of the mandible near the mental foramen receive sufficient blood supply to easily form bone masses [5]. ...
BACKGROUND: Idiopathic osteosclerosis (IO) is a benign lesion of unknown aetiology and is not attributed to any dysplastic, inflammatory, neoplasia, or systemic disorder.
AIMS AND OBJECTIVES: To assess the prevalence and distribution of IO according to its location and to patients' age and gender, among rural population of western India.
MATERIALS AND METHODS: Seven hundred and fifty patients were examined for the presence of IO in the jaw bone. After a thorough clinical examination, radiographic examination was done using OPG. Age specified by WHO were used 5, 12, 15, 35-44 and 65-74. The data collected was than tabulated and subjected to descriptive statistics and chi square test.
RESULTS: Among the total study population 89 (11.8%) were found to be suffering from IO out of which 27 (7.2%) were males and 62 (16.53%) were females. The maximum number of IO cases cases was seen among the age group of 35-44 y, 33 (22.0%) and minimum in 5 y 9 (6%).
CONCLUSION: IO is higher among the females as compared to males and mostly seen among the 3(rd) and 4(th) decade individuals.
