Practical Approach to Radiopaque Jaw Lesions

Holmes, Kate; Holmes, R Davis; Martin, Montgomery; Murray, Nicolas

doi:10.1148/rg.2021200187

Cited by 8 publications

(4 citation statements)

References 111 publications

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“…This observation is a pathognomonic sign of cherubism [27]. But this was not found to be the case as Bianchi et al reported a case of cherubism with condylar involvement [28]. The roots of primary and permanent teeth were found to be intact, and no signs of resorption were observed.…”

Section: Discussionmentioning

confidence: 83%

Cherubism in Saudi population: a rare case report

BOREAK,

HAMDI,

KORERI

et al. 2023

Braz. Dent. Sci.

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Cherubism is a rare hereditary benign fibro-osseous disorder characterised by bilateral swelling of the mandible and/or maxilla with varying severity of involvement. It occurs because of dominant mutations in SH3BP2 gene on the chromosome 4p16.3. On radiography cherubic lesions appear as multilocular cystic radiolucencies in the jaw bones giving a soap bubble appearance. These lesions usually heal by themselves by the time the patient attains puberty. Treatment is necessary only in aggressive cases where there is severe facial deformity or vital functions are hampered. Surgical corrections are preferred when the lesion is in its dormant phase. The aim of the present case report is to illustrate a case of cherubism in a 9-year-old Saudi boy which is a very rare occurrence as only 1 case of cherubism has been reported so far in the Saudi Arabian population.

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Section: Discussionmentioning

confidence: 83%

Cherubism in Saudi population: a rare case report

BOREAK,

HAMDI,

KORERI

et al. 2023

Braz. Dent. Sci.

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“…The differential diagnosis of radiopaque jaw lesions is extensive and requires consideration of numerous factors, including attenuation pattern, margin characteristics, and relationship to the teeth. Based on the pattern of attenuation, radiopacities can be described as densely sclerotic, ground glass, or mixed lytic-sclerotic, with each category representing a distinct, although occasionally overlapping, differential diagnosis [ 1 ]. Dense radiopacities primarily occur due to unerupted teeth, abnormal production of hard tissues related to tooth development, or localized thickening and increased density of the outer layer of bone.…”

Section: Introductionmentioning

confidence: 99%

“…On the other hand, lesions with a ground-glass appearance are typically due to disorganized calcification caused by either a neoplastic process or abnormal bone remodeling, as seen in systemic disorders such as renal osteodystrophy. A final diagnosis in such cases requires an assessment of extra gnathic bone findings [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Idiopathic Osteosclerosis in Orthodontic Patients: A Report of Two Cases

Mishra,

Bhogte

et al. 2024

Cureus

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Idiopathic osteosclerosis (IO) is described as a localized radiopacity of unknown etiology. Also known as dense bone islands, enostoses, bone scar, or focal periapical osteopetrosis, it is generally clinically asymptomatic and appears round, elliptical, or irregular in shape on a radiograph. The internal structure is usually homogenous. It should be distinguished from condensing osteitis and other alveolar bone-related radiopacities. This condition may cause changes in tooth position or interfere with orthodontic treatment. Two cases of IO involving the maxilla and mandible are highlighted. Both patients were females and presented with complaints of malocclusion and desired orthodontic correction. One case was detected incidentally on routine radiographic examination of the patient. In contrast, the other case presented as an expansile lesion lingual to the left mandibular first molar and second premolar. Radiographically, both lesions appeared as well-defined radiopaque masses with no surrounding radiolucent rim; the maxillary lesion was irregular in shape, while the mandibular lesion was elliptical. Both patients underwent orthodontic treatment without any adverse sequelae. The clinical and radiographic findings are discussed to facilitate the diagnosis of radiopacities of jaws. Usually asymptomatic and of no clinical significance, IO may occasionally induce root resorption, traumatic occlusion, traumatic/pathologic migration of teeth, and inhibit eruption of teeth. Though orthodontic tooth movement through areas of IO can be undertaken, the rate of tooth movement may be slower due to higher trabecular bone density. Lower force levels are warranted to avoid adverse effects like root resorption and bone hyalinization.

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“…Additionally, no lesion type was mentioned (other than radiolucent lesions) in previous studies [ 18 – 20 ]. In cases presenting radiopaque and mixed lesions, an assessment should be undertaken to determine whether they are linked to the jaw and teeth where they are localised [ 10 ]. If an odontogenic sclerotic lesion has been identified, steps should be taken to establish whether a dental infection is the cause.…”

Section: Introductionmentioning

confidence: 99%

Occurrence of radiopaque and mixed lesions at periapical region in patients with rheumatoid arthritis and ankylosing spondylitis: a retrospective study

Yilmaz,

Tunc

2023

BMC Oral Health

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Background Rheumatoid arthritis (RA) and ankylosing spondylitis (AS) have different effects on bones, cartilage and joints, sometimes destroying the spine and joints, and other times causing new bone formation. This study aimed to evaluate the effects of RA and AS on the types (radiolucent, radiopaque and mixed) of periapical lesions in jaw bones. Methods This study included 708 individuals (97 with AS, 327 with RA and 284 healthy controls (C)) and a total of 17,118 teeth (AS: 2,442; RA: 7,638; C: 7,038). The number of teeth, extracted teeth and teeth with root canal treatment and the presence of radiopaque, radiolucent and mixed periapical lesions were recorded from dental panoramic radiographs. Kruskal–Wallis and chi-square tests were used for statistical analysis. Results The frequency of radiopaque lesions in the AS and RA groups was similar (p > 0.05) and significantly higher than in the C group (p < 0.05) (AS: 13.4%; RA: 6.1%; C: 2%). Mixed lesions (AS: 3.1%; RA: 4.0%; C: 0.4%) were statistically significantly higher for the RA group compared to the C group (p < 0.05), while the AS–C and AS–RA groups were similar (p > 0.05). There was no significant difference in terms of radiolucent lesions among groups (p > 0.05). Conclusion Radiopaque apical lesions were frequent in RA and AS patients, while mixed lesions were significantly higher in RA patients.

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Practical Approach to Radiopaque Jaw Lesions

Cited by 8 publications

References 111 publications

Cherubism in Saudi population: a rare case report

Cherubism in Saudi population: a rare case report

Idiopathic Osteosclerosis in Orthodontic Patients: A Report of Two Cases

Occurrence of radiopaque and mixed lesions at periapical region in patients with rheumatoid arthritis and ankylosing spondylitis: a retrospective study

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