Evaluation of Radiopaque Lesions of the Jaw Bones on Digital Panoramic Radiography in a Turkish Subpopulation: A Retrospective Study

Abstract

Aim: Panoramic radiography is one of the most basic diagnostic tools in today's dentistry in addition to being the initial examination radiography. The aim of this study is to evaluate radiopaque lesions of the jaw bones by using digital panoramic radiography images in a Turkish subpopulation. Materials and Methods: This study was conducted by evaluating digital panoramic radiography images of 1011 patients. In this study, the incidence of radiopaque lesions of idiopathic osteosclerosis, condensing osteitis, odontoma, cementoblastoma, cemento-osseous dysplasia and fibrous dysplasia were evaluated in addition to gender and localization. Descriptive statistics, chi-square and fisher exact tests were used in the evaluation of the data. Results: In this study, 1011 digital panoramic radiographs were evaluated, 549 (54.3%) of these belonged to female patients and 462 (45.7%) belonged to male patients. Radiopaque lesions were determined on 76 (7.5%) panoramic radiography. While idiopathic osteosclerosis was found in 42 (4.15%), condensing osteitis was found in 23 (2.27%), odontoma was found in 2 (0.19%), cementoblastoma was found in 1 (0.09%), cemento-osseous dysplasia was found in 7 (0.69%) and fibrous dysplasia was found in 1 (0.09%). No statistically significant difference was found between genders in any of the lesions (p>0,05). Conclusion:Radiopaque lesions of the jaws can be evaluated with digital panoramic radiography, which is widely used today. The most common radiopaque lesion in this study was idiopathic osteosclerosis, while the least common was sementoblastoma and fibrosis dysplasia.

Evaluation of Radiopaque Jaw Lesions in a Turkish Population: A Retrospective 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.…”

“…In FD, which is known to be continuous with the surrounding bone, the margins are not clear, and they expand (28). In two previous studies, the incidence of FD was found to be 1.87% and 0.09, respectively (17,29). In our study, the incidence was found as 0.2%.…”

“…It appears as a well-defined dense radiopaque halo around the apices of a nonvital tooth. The incidence of condensing osteitis was found between 4-8% in studies conducted (17,19,20). The prevalence of condensing osteitis was found 1.7% in this study, in line with the previous studies.…”