Temuan insidental lesi radiopak asimptomatik pada pemeriksaan radiografi panoramik: laporan 3 kasus dan ulasan pustaka Dense Bone Island (DBI)

Abstract

Objectives: Dense Bone Island (DBI) is one of the lesions that are usually visualized on a panoramic radiographs in the form of total radiopaque in the periapical area of the mandibular premolar or molar but most of them are not directly related to the dentition. This case report is aimed to give summaries about the description of 3 DBI cases.
 Case Report: Three panoramic radiographs of patients with asymptomatic well-defined radiopaque lesions which was found incidentally in the periapical area of the left mandibular first premolar with two of them showing the lesions located exactly in the 1/3 apical of the root and one of them seen as root resorption like. From clinical information, all three cases reported no clinical symptoms and affected teeth are still vital.
 Conclusion: Incidental findings of well-defined radiopaque lesion in the periapical area of the premolar and molar of mandible that mostly do not damage the surrounding teeth lead to the diagnosis of dense bone island.

Gambaran idiopathic osteosclerosis gigi molar ketiga impaksi pada radiograf Cone Beam Computed Tomography

“…8,15 Lesi idiopathic osteosclerosis secara mekanisme penyakit merupakan lesi dengan pertumbuhan terlokalisir dari tulang kompakta dalam struktur tulang trabekular atau kanselus sehingga terjadi pelebaran tulang trabekular dan meluas hingga ke ruang medular dan kemunculan lesi idiopathic osteosclerosis bersifat sklerotik soliter. 16 Gambaran radiografi lesi pada kasus yang dilaporkan adalah radioopak dengan batas jelas dengan bentuk tidak beraturan (irregular), hal tersebut serupa dengan gambaran radiografi yang didapatkan pada penelitian yang dilakukan oleh Farhadi dkk (2016) yang menemukan bahwa bentuk idiopathic osteosclerosis yang paling banyak adalah irregular yaitu sebanyak 40,6% dan diikuti dengan bentuk oval sebanyak 31,3%, dan bentuk yang paling sedikit ditemukan adalah bentuk bulat yaitu sebanyak 28,1%. 6 Hal serupa juga ditemukan pada beberapa penelitian yang menunjukkan bahwa lesi idiopathic osteosclerosis paling banyak berbentuk irregular dan diikuti dengan lesi berbentuk bulat.…”

Biomarker of buccal mucosa cells damaged after exposure to panoramic radiography: a literature review

“…3,12 The formation of micronucleus in exfoliated buccal mucosa cells after exposed to panoramic radiograph was found in several research that conducted by Cerqueira et al Their publication showed that there was a significant increase in the amount of micronucleus in exposed group. [12][13][14][15][16][17] The increase in the number of micronucleus indicated a genomic instability and was thought to be associated with an increase in carcinogenic effects. The differences in the micronucleus of the samples in the same group could be caused by chromosome alteration.…”

Distribution of dense bone island in the jaw based on the classification of radiopaque areas and their location on panoramic radiographs

“…Most cases of DBI are discovered incidentally during radiographic examinations, such as periapical and panoramic radiographs that are performed to diagnose other diseases. 1,2 Panoramic radiography is one of the most frequently used radiographic techniques in dentistry which produces an overall view of the maxilla and mandible as well as surrounding tissues and are used as a first step to detect and obtain information for further treatment steps. 3 Therefore, panoramic radiographs can be used to see the presence of DBI in the jaw.…”

“…DBI can also be thought of as a type of bone development that is unrelated to local stimuli. 2,4 On the radiograph, DBI appears as a localized radiopaque mass with well-defined boundaries. 5 DBI can be round, elliptical, or irregular in shape, varying in size from 2-3 mm to 1-2 cm in diameter and unrelated to tooth vitality.…”

“…5 These lesions are more common in adults as well as in the female sex. 2,6 According to the study by Tolentino et al 7 , conducted on 20 samples, the description of DBI based on age, sex, size, shape, and location of the jaws and teeth differ from one individual to another.…”