Bilateral osteoporotic bone marrow defects of the mandible: a case report

Bravo-Calderón, Diego Mauricio; Oliveira, Denise Tostes; Santos, Wagner Humberto Martins dos

doi:10.1186/1746-160x-8-22

Cited by 13 publications

(19 citation statements)

References 5 publications

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“…This lesion also varies in size from a few millimeters to several centimeters in diameters and the presence and type of trabiculations 5 . Some FOBMDs are multifocal, bilateral 9 .…”

Section: Discussionmentioning

confidence: 99%

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A Bizarre Presentation of Bilateral Mandibular Osteoporotic Bone Marrow Defect (A Case Report)

Al-Ramzi

Kasem

Ahmed

2020

EJDENT

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BACKGROUND: Osteoporotic bone marrow defect of the jaw is an uncommon localized radiolucency that consists of hematopoietic red marrow with varying amounts of fatty yellow marrow. The lesion is usually asymptomatic and accidentally discovered during a routine radiographic examination; however, some studies showed different results. CASE REPORT: This is an uncommon case of bilateral mandibular osteoporotic bone marrow defect in a 40-year- old healthy female. One of the defects reoccurred, and it involves dental implants. PLAN OF TREATMENT: Lesion was managed by curettage and the patient was followed up after 1,6,12 months. CONCLUSIONS: in order to diagnose FOBMD and differentiate it from other lesions, further researches are needed to help fully understand it, since the exact incident and etiology are not established yet.

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“…This lesion also varies in size from a few millimeters to several centimeters in diameters and the presence and type of trabiculations 5 . Some FOBMDs are multifocal, bilateral 9 .…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, according to a literature review by bouquet and his colleagues6 based on 596 cases of FOBMD, 3% of patients had bilateral occurrence of this lesion within their jaws. In Brazil, two case reports were found regarding bilateral FOBMD in the mandible 9,10 .…”

Section: Discussionmentioning

confidence: 99%

A Bizarre Presentation of Bilateral Mandibular Osteoporotic Bone Marrow Defect (A Case Report)

Al-Ramzi

Kasem

Ahmed

2020

EJDENT

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“…Since from a radiographic point of view, it is considered a well-defined radiolucency and also considering that those defects are seldom included in the differential diagnosis of radiolucent areas of the jaws; full knowledge of the pathological (clinical, radiographic and histological) is important in order to establish differential diagnosis from lesions including: ameloblastoma, keratocystic odontogenic tumor, developmental or inflammatory odontogenic cyst, and simple bone cyst (SBC); therefore an adequate treatment planning could be performed (Bravo-Calderon et al;Chrysomali et al, 2013;Almeida et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Focal Osteoporotic Bone Marrow Defects on Dental Implant Treated Patients: A 5-Year Period Prevalence Study

Simancas‐Pallares

Arévalo-Tovar

Marincola

2016

Int. J. Odontostomat.

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SIMANCAS-PALLARES, M.; ARÉVALO-TOVAR, L. & MARINCOLA, M.Focal osteoporotic bone marrow defects on dental implant treated patients: a 5-year period prevalence study. Int. J. Odontostomat., 10(1):23-28, 2016. ABSTRACT:Dental implants are considered the most effective treatment for teeth absence. Nevertheless, there are some bone conditions that could affect the osseointegration process, thus affecting the clinical and radiographic success rates. One of these conditions could be the Focal Osteoporotic Bone Marrow Defects. The objective of this study was to describe the 5-year period prevalence of Focal Osteoporotic Bone Marrow Defects (FOBMD) on dental implant treated patients. descriptive retrospective study was conducted. We systematically reviewed the clinical and radiographic data of treated patients in a Dental Implant Unit since January 2010 through December 2014. Once a FOBMD case was found, a detailed questionnaire was applied to the chart looking for demographic, medical and dental characteristics (clinical and radiographic). Also in a sub-sample histological analysis was carried out. Period prevalence (PP) was estimated calculating proportions and 95 % confidence intervals. Statistical analysis was performed using Stata v. 13.2 for Windows (Stata Corp., TX., USA). FOBMD 5-yPP was 9.52 % (CI 95 %: 6.87-13.5 %). We found 42 defects in 34 patients. Within the FOBMD patients, average age was 55.4±11.9 years, 67.64 % being females. Ninety-seven percent of the defects were located in the lower jaw, 79.41 % unilateral, 69.04 % single missed teeth lesions, 71.42 % affecting molar area and 59.52 % located on the right side of the maxillae. Histological analysis revealed inflammatory cells, dystrophic calcifications, hemorrhagic material and fatty cells for all the cases. FOBMD prevalence is low, so it should be considered as a rare condition but showing an exponential growing trend over the time. With no previous epidemiological data, these findings should be considered as a caution during x-ray examinations and treatment planning, in order to avoid surgical or prosthetic complications. Local factors as previous root canal treatments should be considered when elucidating reasons for its appearance.

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“…This condition is rarely mentioned in differential diagnosis of radiolucent lesions of the jaws, and the radiographic appearance may be confused with other intraosseous pathologic conditions such as osteomyelitis, traumatic bone cyst, and fibrous dysplasia [4, 6]. …”

Section: Discussionmentioning

confidence: 99%

“…This condition is generally asymptomatic and discovered during radiographic exam of the jaws [2, 4]. Most of the focal osteoporotic bone marrow defects occur in edentulous areas region where tooth extraction was previously performed [5].…”

Section: Introductionmentioning

confidence: 99%

Focal osteoporotic bone marrow defect involving dental implant: a case report

Garcia

Barros

Carvalho³

et al. 2015

Int J Implant Dent

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In oral implantology, the most serious complications occur intraoperatively or within a short period. We describe an unusual case of focal osteoporotic bone marrow defect involving dental implant in the posterior mandibular region of the adult woman. Despite the fact that this condition requires no treatment, it could lead to the displacement of the dental implant. Additionally, this case report reinforces that histopathological analysis is mandatory for precise diagnosis of the radiolucency into posterior mandibular region of the adult woman associated or not with dental implant placement.

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Bilateral osteoporotic bone marrow defects of the mandible: a case report

Cited by 13 publications

References 5 publications

A Bizarre Presentation of Bilateral Mandibular Osteoporotic Bone Marrow Defect (A Case Report)

A Bizarre Presentation of Bilateral Mandibular Osteoporotic Bone Marrow Defect (A Case Report)

Focal Osteoporotic Bone Marrow Defects on Dental Implant Treated Patients: A 5-Year Period Prevalence Study

Focal osteoporotic bone marrow defect involving dental implant: a case report

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