Idiopathic osteosclerosis in the maxillomandibular area
- 97 Downloads
To test a more complete set of morphometric radiographic parameters to evaluate the idiopathic osteosclerosis (IO) lesions located in the maxillomandibular area and to know their features during routine radiographic evaluation.
Materials and methods
Radiographs from patients attending the oral diagnosis clinic of our institution were reviewed. Evaluated parameters were gender and age of the patients, size, side, homogeneity, morphology, radiodensity, mineralization, borders, relation to roots, affected tooth or teeth and location of the analyzed lesions.
Of the 6340 assessed patients, 354 (5.6%) harbored 362 lesions. IOs were more common during 2nd to 4th decades (mean age = 39 years). IO frequency rose from 1st to 3rd decades and then decreased. Size varied from 0.1 to 5.8 cm, and its frequency increased from 7 to 30 years age and then decreased too. The mandible and molar region were more commonly affected. Radiopaque image, radicular location, round shape, homogeneous core and well-defined boundaries were the more frequent IO features.
Our method allows to analyze IO lesions with precise parameters. Analysis of the results does not support the previously suggested theories to explain their origin, and these figures suggest that the so-called IOs are developmental alterations of the bone.
KeywordsIdiopathic osteosclerosis Bone lesions Radiopaque osseous lesions Developmental bone alterations
Compliance with ethical standards
Conflict of interest
The authors declare they have no conflict of interest.
This article does not contain any studies with human participants or animals performed by any of the authors.
Informed consent was obtained from all individual participants included in the study.
- 1.Ahn SH, Choi M, Choi KS (1994) A radiological study on the idiopathic osteosclerosis in the jaws. Korean J Oral Maxillofac Radiol 24:107–113Google Scholar
- 4.Ching-Yan Ch, Chen P-H, Wen Yeh H-Y et al (2012) Frequency and distribution of idiopathic osteosclerosis in diabetic patients—a pilot study in Taiwan. J Med Sci 32:165–169Google Scholar
- 5.Choi KS (1995) A study of idiopathic osteosclerosis in the panoramic radiographs. Korean J Oral Maxillofac Radiol 25:287–295Google Scholar
- 8.Garau V, Deschino A, Piras D, Cotti E (2002) Idiopathic osteosclerosis in jaw bones. Clinical statistic study on a population of Sardinian origin. Min Stomatol 51:377–383Google Scholar
- 10.Henrikson CO, Nordenram A, Nyborg H (1963) Radiopaque areas in human jaws. A report of 18 cases. Scand J Dent Res 71:373–379Google Scholar
- 13.Marami A, Tofangchiha M, Kabudvand AH, Moradi M (2011) Radiological frequency of idiopathic osteosclerosis in patients referred to Qazvin Dental School (2009). J Qazvin Univ Med Sci 15:81–86Google Scholar
- 16.Misirlioglu M, Nalcaci R, Adisen MZ, Yilmaz S (2013) The evaluation of idiopathic osteosclerosis on panoramic radiographs with an investigation of lesion’s relationship with mandibular canal by using cross-sectional cone-beam computed tomography images. J Oral Maxillofac Radiol 1:48–54CrossRefGoogle Scholar
- 17.Misirlioglu M, Nalcaci R, Baran I, Adisen MZ, Yilmaz (2014) A possible association of idiopathic osteosclerosis with excessive occlusal forces. Quintessence Int 45:251–258Google Scholar
- 20.Saba V (2012) Clinical care classification (CCC). System version 2.5. Part IV. Appendices, 2nd edn. Springer, New York, p 232Google Scholar
- 21.Seung-Youp L, In-Woo P, Insan J, Dong-Soon Ch, Bong-Kuen Ch (2010) A study on the prevalence of the idiopathic osteosclerosis in Korean malocclusion patients. Korean J Oral Maxillofac Radiol 40:159–163Google Scholar
- 22.Sisman Y, Ertasb ET, Ertasc H, Sekercid AE (2011) The frequency and distribution of idiopathic osteosclerosis of the jaw. Eur J Dent 5:409–414Google Scholar
- 25.Mariani GC, Favaretti F, Lamazza L, De Biase A (2008) Dense bone island of the jaw: a case report. Oral Implantol 1:87–90Google Scholar