Periodontitis associated with osteomalacia

Wankhede, Anand Narayanrao; Sayed, Arshad Jamal; Gattani, Deepti; Bhutada, Girish Parashram

doi:10.4103/0972-124x.142461

“…These diseases radiographically appear as reduced bone opacity and pseudofractures. An increase in mandibular angle and maxillary micrognathia have been reported [85]. Periodontal disease and aplasia/ hypoplasia of cementum have been also reported in these patients [85].…”

Section: • Osteoporosis and Osteomalaciamentioning

confidence: 90%

“…The same bone changes can be seen in osteomalacia. Osteomalacia is a disease of bone caused by Vitamin D3 deficiency and most patients with this problem experience bone pain and muscle weakness [85]. These diseases radiographically appear as reduced bone opacity and pseudofractures.…”

Section: • Osteoporosis and Osteomalaciamentioning

confidence: 99%

Oral Hard Tissue Lesions: A Radiographic Diagnostic Decision Tree

Mortazavi

¹

,

Safi

²

,

Rahmani

³

et al. 2020

Open Access Maced J Med Sci

View full text Add to dashboard Cite

BACKGROUND: Focusing on history taking and an analytical approach to patient’s radiographs, help to narrow the differential diagnoses. AIM: This narrative review article aimed to introduce an updated radiographical diagnostic decision tree for oral hard tissue lesions according to their radiographic features. METHODS: General search engines and specialized databases including PubMed, PubMed Central, Scopus, Embase, EBSCO, ScienceDirect, and authenticated textbooks were used to find relevant topics by means of MeSH keywords such as “jaw diseases,” “maxilla,” “mandible,” “radiolucent,” “radiopaque,” “odontogenic,” “nonodontogenic,” “cysts,” and “tumors.” Related English-language articles published from 1973 to 2020, including reviews, meta-analyses, and original papers (randomized or non-randomized clinical trials; prospective; or retrospective cohort studies), case reports, and case series about oral hard tissue lesions were appraised. RESULTS: In this regard, bony lesions have been classified according to their radiographic pattern (radiolucent, mixed, radiopaque, and rarified), position (periapical, pericoronal and interradicular), margins (well and ill-defined), relation to dentition (with and without dental association), and number (solitary and multiple). In total, 50 entities were organized in the form of a decision tree. CONCLUSION: In this paper, an updated decision tree was proposed to help dental practitioners to make more accurate diagnoses and better treatment plans on the basis of radiographic characteristics.

show abstract

“…Auch eine assoziierte Parodontalerkrankung ist möglich. Diese resultiert aus einer Aplasie oder Hypoplasie des Wurzelzements, der den Zahn in sein Zahnfach einbettet [42]. Die Manifestationen einer Rachitis sind in Wachstumszonen wie der Wachstumsfuge leichter zu erkennen.…”

Section: Merkeunclassified

Kraniofaziale Manifestationen von systemischen Erkrankungen: CT- und MRT-Befunde

Arasa¹,

Chapman²,

Kuno³

et al. 2019

Neuroradiol Scan

0

View full text Add to dashboard Cite

Many systemic diseases or conditions can affect the maxillofacial bones; however, they are often overlooked or incidentally found at routine brain or head and neck imaging performed for other reasons. Early identification of some conditions may significantly affect patient care and alter outcomes. Early recognition of nonneoplastic hematologic disorders, such as thalassemia and sickle cell disease, may help initiate earlier treatment and prevent serious complications. The management of neoplastic diseases such as lymphoma, leukemia, or Langerhans cell histiocytosis may be different if diagnosed early, and metastases to the maxillofacial bones may be the first manifestation of an otherwise occult neoplasm. Endocrinologic and metabolic disorders also may manifest with maxillofacial conditions. Earlier recognition of osteoporosis may alter treatment and prevent complications such as insufficiency fractures, and identification of acromegaly may lead to surgical treatment if there is an underlying growth hormone-producing adenoma. Bone dysplasias sometimes are associated with skull base foraminal narrowing and subsequent involvement of the cranial nerves. Inflammatory processes such as rheumatoid arthritis and sarcoidosis may affect the maxillofacial bones, skull base, and temporomandibular joints. Radiologists should be familiar with the maxillofacial computed tomographic and magnetic resonance imaging findings of common systemic disorders because these may be the first manifestations of an otherwise unrevealed systemic process with potential for serious complications.

show abstract

“…Looser zones or pseudofractures from deposition of unmineralized osteoid are seen as bilateral and symmetric lucent bands that typically appear in locations similar to those of stress fractures (41). Cortical thinning, decreased trabeculation, and pseudofractures-seen as symmetric bandlike lucencies in relation to arteries-have been described at cone-beam CT. Associated periodontal disease due to aplasia or hypoplasia of the cementum, which provides anchorage of the tooth in its alveolus, may be seen (42).…”

Section: Osteomalaciamentioning

confidence: 99%

Craniofacial Manifestations of Systemic Disorders: CT and MR Imaging Findings and Imaging Approach

Arasa

¹

,

Chapman

²

,

Kuno

³

et al. 2018

View full text Add to dashboard Cite

Many systemic diseases or conditions can affect the maxillofacial bones; however, they are often overlooked or incidentally found at routine brain or head and neck imaging performed for other reasons. Early identification of some conditions may significantly affect patient care and alter outcomes. Early recognition of nonneoplastic hematologic disorders, such as thalassemia and sickle cell disease, may help initiate earlier treatment and prevent serious complications. The management of neoplastic diseases such as lymphoma, leukemia, or Langerhans cell histiocytosis may be different if diagnosed early, and metastases to the maxillofacial bones may be the first manifestation of an otherwise occult neoplasm. Endocrinologic and metabolic disorders also may manifest with maxillofacial conditions. Earlier recognition of osteoporosis may alter treatment and prevent complications such as insufficiency fractures, and identification of acromegaly may lead to surgical treatment if there is an underlying growth hormone-producing adenoma. Bone dysplasias sometimes are associated with skull base foraminal narrowing and subsequent involvement of the cranial nerves. Inflammatory processes such as rheumatoid arthritis and sarcoidosis may affect the maxillofacial bones, skull base, and temporomandibular joints. Radiologists should be familiar with the maxillofacial computed tomographic and magnetic resonance imaging findings of common systemic disorders because these may be the first manifestations of an otherwise unrevealed systemic process with potential for serious complications. Online supplemental material is available for this article. RSNA, 2018.

show abstract

Periodontitis associated with osteomalacia

Cited by 6 publications

References 8 publications

Oral Hard Tissue Lesions: A Radiographic Diagnostic Decision Tree

Oral Hard Tissue Lesions: A Radiographic Diagnostic Decision Tree

Kraniofaziale Manifestationen von systemischen Erkrankungen: CT- und MRT-Befunde

Craniofacial Manifestations of Systemic Disorders: CT and MR Imaging Findings and Imaging Approach

Contact Info

Product

Resources

About