Top

La radiologia medica

Published in:

01-01-2019 | HEAD, NECK AND DENTAL RADIOLOGY

Idiopathic osteosclerosis in the maxillomandibular area

Authors: Constantino Ledesma-Montes, María Dolores Jiménez-Farfán, Juan Carlos Hernández-Guerrero

Published in: La radiologia medica | Issue 1/2019

Abstract

Objectives

To test a more complete set of morphometric radiographic parameters to evaluate the idiopathic osteosclerosis (IO) lesions located in the maxillomandibular area and to know their features during routine radiographic evaluation.

Materials and methods

Radiographs from patients attending the oral diagnosis clinic of our institution were reviewed. Evaluated parameters were gender and age of the patients, size, side, homogeneity, morphology, radiodensity, mineralization, borders, relation to roots, affected tooth or teeth and location of the analyzed lesions.

Results

Of the 6340 assessed patients, 354 (5.6%) harbored 362 lesions. IOs were more common during 2nd to 4th decades (mean age = 39 years). IO frequency rose from 1st to 3rd decades and then decreased. Size varied from 0.1 to 5.8 cm, and its frequency increased from 7 to 30 years age and then decreased too. The mandible and molar region were more commonly affected. Radiopaque image, radicular location, round shape, homogeneous core and well-defined boundaries were the more frequent IO features.

Conclusions

Our method allows to analyze IO lesions with precise parameters. Analysis of the results does not support the previously suggested theories to explain their origin, and these figures suggest that the so-called IOs are developmental alterations of the bone.

Ahn SH, Choi M, Choi KS (1994) A radiological study on the idiopathic osteosclerosis in the jaws. Korean J Oral Maxillofac Radiol 24:107–113

Austin BW, Moule AJ (1984) A comparative study of the prevalence of mandibular osteosclerosis in patients of Asiatic and Caucasian origin. Aust Dent J 29:36–43CrossRefPubMed

Chen CH, Wang CK, Lin LM, Huang YD, Geist JR, Chen YK (2014) A retrospective comparison of the frequency, distribution and radiographic features of osteosclerosis of the jaws between Taiwanese and American cohorts using cone-beam computed tomography. Oral Radiol 30:53–63CrossRef

Ching-Yan Ch, Chen P-H, Wen Yeh H-Y et al (2012) Frequency and distribution of idiopathic osteosclerosis in diabetic patients—a pilot study in Taiwan. J Med Sci 32:165–169

Choi KS (1995) A study of idiopathic osteosclerosis in the panoramic radiographs. Korean J Oral Maxillofac Radiol 25:287–295

Eversole LR, Stone CE, Strub D (1984) Focal sclerosing osteomyelitis/focal periapical osteopetrosis: radiographic patterns. Oral Surg Oral Med Oral Pathol 58:456–560CrossRefPubMed

Farman AG, de V Joubert JJ, Nortjé CJ (1978) Focal osteosclerosis and apical periodontal pathoses in “European” and Cape coloured dental outpatients. Int J Oral Surg 7:549–557CrossRefPubMed

Garau V, Deschino A, Piras D, Cotti E (2002) Idiopathic osteosclerosis in jaw bones. Clinical statistic study on a population of Sardinian origin. Min Stomatol 51:377–383

Geist JR, Katz JO (1990) The frequency and distribution of idiopathic osteosclerosis. Oral Surg Oral Med Oral Pathol 69:388–393CrossRefPubMed

10.

Henrikson CO, Nordenram A, Nyborg H (1963) Radiopaque areas in human jaws. A report of 18 cases. Scand J Dent Res 71:373–379

11.

Li N, You M, Wang H, Ren J, Zhao S, Jiang M et al (2013) Bone islands of the craniomaxillofacial region. J Cranio Maxillary Dis 2:5–9CrossRef

12.

MacDonald-Jankowski DS (1999) Idiopathic osteosclerosis in the jaws of Britons and of the Hong Kong Chinese: radiology and systematic review. Dentomaxillofac Radiol 28:357–363CrossRef

13.

Marami A, Tofangchiha M, Kabudvand AH, Moradi M (2011) Radiological frequency of idiopathic osteosclerosis in patients referred to Qazvin Dental School (2009). J Qazvin Univ Med Sci 15:81–86

14.

McDonnell D (1993) Dense bone island: a review of 107 patients. Oral Surg Oral Med Oral Pathol 76:124–128CrossRefPubMed

15.

Miloglu O, Yalcin E, Buyukkurt MC, Acemoglu H (2009) The frequency and characteristics of idiopathic osteosclerosis and condensing osteitis lesions in a Turkish patient population. Med Oral Patol Oral Cir Bucal 14:640–645CrossRef

16.

Misirlioglu M, Nalcaci R, Adisen MZ, Yilmaz S (2013) The evaluation of idiopathic osteosclerosis on panoramic radiographs with an investigation of lesion’s relationship with mandibular canal by using cross-sectional cone-beam computed tomography images. J Oral Maxillofac Radiol 1:48–54CrossRef

17.

Misirlioglu M, Nalcaci R, Baran I, Adisen MZ, Yilmaz (2014) A possible association of idiopathic osteosclerosis with excessive occlusal forces. Quintessence Int 45:251–258PubMed

18.

Moshfeghi M, Azimi F, Anvari M (2014) Radiologic assessment and frequency of idiopathic osteosclerosis of jawbones: an interpopulation comparison. Acta Radiol 55:1239–1244CrossRefPubMed

19.

Petrikowski CG, Peters E (1997) Longitudinal radiographic assessment of dense bone islands of the jaws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 83:627–634CrossRefPubMed

20.

Saba V (2012) Clinical care classification (CCC). System version 2.5. Part IV. Appendices, 2nd edn. Springer, New York, p 232

21.

Seung-Youp L, In-Woo P, Insan J, Dong-Soon Ch, Bong-Kuen Ch (2010) A study on the prevalence of the idiopathic osteosclerosis in Korean malocclusion patients. Korean J Oral Maxillofac Radiol 40:159–163

22.

Sisman Y, Ertasb ET, Ertasc H, Sekercid AE (2011) The frequency and distribution of idiopathic osteosclerosis of the jaw. Eur J Dent 5:409–414PubMedPubMedCentral

23.

Williams TP, Brooks SL (1998) A longitudinal study of idiopathic osteosclerosis and condensing osteitis. Dentomaxillofac Radiol 27:275–278CrossRefPubMed

24.

Yonetsu K, Yuasa K, Kanda S (1997) Idiopathic osteosclerosis of the jaws. Panoramic radiographic and computed tomographic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 83:517–521CrossRefPubMed

25.

Mariani GC, Favaretti F, Lamazza L, De Biase A (2008) Dense bone island of the jaw: a case report. Oral Implantol 1:87–90

Title: Idiopathic osteosclerosis in the maxillomandibular area
Authors: Constantino Ledesma-Montes
María Dolores Jiménez-Farfán
Juan Carlos Hernández-Guerrero
Publication date: 01-01-2019
Publisher: Springer Milan
Published in: La radiologia medica / Issue 1/2019
Print ISSN: 0033-8362
Electronic ISSN: 1826-6983
DOI: https://doi.org/10.1007/s11547-018-0944-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Idiopathic osteosclerosis in the maxillomandibular area

Abstract

Objectives

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2019

Contrast analysis of the relationship between the HRCT sign and new pathologic classification in small ground glass nodule-like lung adenocarcinoma

Percutaneous management of bone metastases: state of the art, interventional strategies and joint position statement of the Italian College of MSK Radiology (ICoMSKR) and the Italian College of Interventional Radiology (ICIR)

Transcatheter arterial chemoembolization combined with simultaneous DynaCT-guided radiofrequency ablation in the treatment of solitary large hepatocellular carcinoma

Incidence rate of physical and verbal violence inflicted by patient and their companions on the radiology department staff of educational hospitals of medical university, Kermanshah, 2017

Identification of the most significant magnetic resonance imaging (MRI) radiomic features in oncological patients with vertebral bone marrow metastatic disease: a feasibility study

Endovascular repair of popliteal artery aneurysms: an Italian multicenter study