EVALUATION OF RADIOPAQUE LESIONS OF THE JAW BONES ON DIGITAL PANORAMIC RADIOGRAPHY IN A TURKISH SUBPOPULATION: A RETROSPECTIVE STUDY

Year 2021, Volume: 31 Issue: 2, 154 - 159, 15.04.2021

Numan Dedeoğlu Büşra Arıkan

https://doi.org/10.17567/ataunidfd.837436

Cited By: 2

Abstract

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.
Key words: panoramic radiography, condensing osteitis, odontoma, fibrous dysplasia

BİR TÜRK SUBPOPÜLASYONUNDA DİJİTAL PANORAMİK RADYOGRAFİDE ÇENE KEMİKLERİNDE GÖRÜLEN RADYOOPAK LEZYONLARIN DEĞERLENDİRİLMESİ: BİR RETROSPEKTİF ÇALIŞMA
Amaç: Panoramik radyografi günümüz diş hekimliğinde başlangıç tetkik radyografi olmasıyla beraber en temel diagnostik araçlardan biridir. Bu çalışmanın amacı bir Türk subpopulasyonunda dijital panoramik radyografi görüntüleri kullanarak çene kemiklerinde görülen radyoopak lezyonların değerlendirilmesidir.
Gereç ve Yöntemler : Bu çalışma 1011 hastaya ait dijital panoramik radyografi görüntüleri değerlendirilerek gerçekleştirildi. Bu çalışmada radyoopak lezyonlardan idiopatik osteosklerozis, kondensing osteitis, odontoma, sementoblastoma, semento osseoz displazi ve fibröz displazinin görülme sıklığıyla beraber, cinsiyet ve lokalizasyon değerlendirilmeleri yapıldı. Verilerin değerlendirmede tanımlayıcı istatistikler, ki kare ve fisher exact testleri kullanıldı.
Bulgular : Bu çalışmada 549 (%54.3)’ u kadın, 462(%45.7)’si erkek hastaya ait olmak üzere 1011 dijital panoramik radyografi değerlendirildi. Radyoopak lezyon 76 (%7.5) panoramik radyografide belirlendi. 42 (%4.15) idiopatik osteosklerozis, 23 (%2.27) kondensing osteitis, 2 (%0.19) odontoma, 1 (%0.09) sementoblastoma, 7 (%0.69) sementoosseoz displazi ve 1( %0.09) fibroz displazi bulundu. Lezyonların hiçbirinde cinsiyetler arasında istatistiksel olarak anlamlı bir fark bulunmadı (p>0,05).
Sonuç: Günümüzde yaygın olarak kullanılan dijital panoramik radyografi ile çenelerin radyoopak lezyonları değerlendirilebilmektedir. Bu çalışmada görülme sıklığı en fazla bulunan radyoopak lezyon idiopatik osteosklerozis iken en az bulunan ise sementoblastoma ve fibroz displazidir.
Anahtar kelimeler : panoramik radyografi,kondensing osteitis, odontoma, fibröz displazi

Keywords

panoramic radiography, condensing osteitis, fibrous dysplasia

References

• 1. Neyaz Z, Gadodia A, Gamanagatti S, Mukhopadhyay S. Radiographical approach to jaw lesions. Singapore Med J 2008;49( 2):165–176.
• 2.Araujo JP, Lemos CA, Miniello TG, Alves FA. The relevance of clinical and radiographic features of jaw lesions: A prospective study. Braz Oral Res 2016;30(1):96.
• 3. Williams TP, Brooks SL. A longitudinal study of idiopathic osteosclerosis and condensing osteitis. Dentomaxillofac Radiol 1998; 27: 275-8.
• 4.Gamba TO, Maciel NAP, Rados PV, da Silveira HLD, Arús NA, Flores IL. The imaging role for diagnosis of idiopathic osteosclerosis: a retrospective approach based on records of 33,550 cases. Clin Oral Investig 2020;1-11.
• 5. Altun O, Dedeoğlu N, Umar E, Yolcu Ü, Acar AH. Condensing osteitis lesions in Eastern Anatolian Turkish population. Oral Surg Oral Med Oral Radiol 2014;2(2):17-20.
• 6.An SY, An C, Choi K. Odontoma: a retrospective study of 73cases. Imaging Sci Dent 2012;42:77–81.
• 7. Levi F, Ardila C. Association between odontoma size, age and gender: Multivariate analysis of retrospective data. J Clin Exp Dent 2019;11(8):701-06.
• 8. Kramer JR, Pindborg JJ, and Shear M. Histological Typing of Odontogenic Tumours, Jaw Cysts, and Allied Lesions, International Histological Classification of Tumours, World Health Organization, Geneva, Switzerland, 1992.
• 9. Secgin CK, Günhan O, Gulsahı A. Benign fibroosseöz lezyonlar. Acta Odontol Turc 2016; 33: 95-101. 10.Barnes L, Eveson JW, Reichart P, Sidransky D, editors. WHO classification of tumours. Pathology and genetics of head and neck tumours. Lyon: ARC Press; 2005.
• 11. Farman AG. Panoramic radiology: Role in ADA/FDA use guidelines. In: Farman AG (ed). Panoramic radiology: Seminars on maxillofacial imaging and interpretation. Heidelberg: Springer 2007;33–40.
• 12. AAPD. Guideline on prescribing dental radiographs for infants, children, adolescents, and persons with special health care needs. Pediatr Dent 2016;38: 355–7.
• 13. Avramidou FM, Markou E, Lambrianidis T. Cross-sectional study of the radiographic appearance of radiopaque lesions of the jawbones in a sample of Greek dental patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:38-43.
• 14. Miloglu O, Yalcin E, Buyukkurt MC, Acemoglu H. The frequency and characteristics of idiopathic osteosclerosis and condensing osteitis lesions in a Turkish patient population. Med Oral Patol Oral Cir Bucal 2009;14(12):640-5.
• 15. Verzak Ž, Ćelap B, Modrić VE, Sorić P, Karlović Z. The prevalence of idiopathic osteosclerosis and condensing osteitis in Zagreb population. Acta Clin Croat 2012;51(4):573-7.
• 16. Halse A, Molven O. Idiopathic osteosclerosis of the jaws followed through a period of 20-27 years. Int Endod J 2002;35:747-51.
• 17. Kaplan I, Nicolaou Z, Hatuel D, Calderon S. Solitary central osteoma of the jaws: a diagnostic dilemma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:22-9.
• 18. MacDonald-Jankowski DS. Idiopathic osteosclerosis in the jaws of Britons and of the Hong Kong Chinese: radiology and systematic review. Dentomaxillofac Radiol 1999;28:357-63.
• 19. Ledesma-Montes C, Jımenez-Farfan MD, Hernandez-Guerrero JC. Maxillomandibular giant osteosclerotic lesions. Journal of Applied Oral Science 2018;26.
• 20. Ardakani FE, Azam AR. Radiological findings in panoramic radiographs of Iranian edentulous patients. Oral Radiol 2007;23(1):1-5.
• 21. Morse DR, Esposito JV, Yesilsoy C. Recall radiopaque response determined from radiographic examination of 211 consecutive cases with initial periapical pathosis. Quintessence Int 1985; 16: 419-28.
• 22. Owens BM, Schuman NJ, Mincer HH, Turner JE, Oliver FM. Dental odontomas: a retrospective study of 104 cases. J Clin Pediatr Dent 1997; 21: 261-4.
• 23. Tomizawa M, Otsuka Y, Noda T. Clinical observations of odontomas in Japanese children: 39 cases including one recurrent case. Int J Paediatr Dent 2005; 15: 37-43.
• 24. Bordini J Jr, Contar CM, Sarot JR, Fernandes A, Machado MA. Multiple compound odontomas in the jaw: case report and analysis of the literature. J Oral Maxillofac Surg 2008; 66 : 2617-20.
• 25. Kodali RM, Venkat Suresh B, Ramanjaneya Raju P, Vora SK. An unusual complex odontoma. J Maxillofac Oral Surg 2010; 9:314-7.
• 26. Baldawa RS, Khante KC, Kalburge JV, Kasat VO. Orthodontic management of an impacted maxillary incisor due to odontoma. Contemp Clin Dent 2011; 2:37-40.
• 27. Açıkgöz A, Çelenk P, Kayıpmaz S. Odontomaların Görülme Sıklığı (Radyografik Çalışma). Ondokuz Mayıs Üniversitesi Diş Hek Fak Derg 1999; 1(1-2).
• 28. Hidalgo-Sanchez O, Leco-Berrocal MI, Martı´nez-Gonz_alez JM. Metaanalysis of the epidemiology and clinical manifestations of odontomas. Med Oral Patol Oral Cir Bucal 2008;13:730-4.
• 29 Nuvvula S, Manepalli S, Mohapatra A, Mallineni SK. Cementoblastoma relating to right mandibular second primary molar. Case Rep Dent 2016;2319890.
• 30. Ulmansky M, Hjørting-Hansen E, Praetorius F, Haque MF . Benign cementoblastoma: a review and five new cases. Oral Surg, Oral Med, Oral Pathol 1994;77(1):48–55.
• 31. Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and Maxillofacial Pathology, WB Saunders, Philadelphia, Pa, USA, 2nd edition, 2002.
• 32. Speight PM, Carlos R. Maxillofacial fibro-osseous lesions. Curr Diagn Pathol 2006;12:1-10.
• 33. El-Naggar AK, Chan JKC, Grandis JR, Takata T, Slootweg PJ. WHO classification of head and neck tumours. 4th Ed. Lyon: IARC, 2017.
• 34. Senia ES, Sarao MS. Periapical cemento-osseous dysplasia: a case report with twelve-year follow-up and review of literature. Int Endod J 2015;48:1086-1099.
• 35. Cavalcanti PH, Nascimento EH, Pontual ML, Pontual AD, Marcelos PG, Perez DE, Ramos-Perez FM. Cemento-osseous dysplasias: imaging features based on cone beam computed tomography scans. Braz Dent J 2018;29:99–104.
• 36. Eversole R, Su L, ElMofty S. Benign fibro-osseous lesions of the craniofacial complex. Head and Neck Pathol 2008;2:177-202.
• 37. White SC, Pharoah MJ. Oral radiology: principles and interpretation, 7th edn. St.Louis, MO: Mosby Elsevier; 2014.
• 38. Regezi JA. Odontogenic cysts, odontogenic tumours, fibroosseous, and giant cell lesions of the jaws. Mod Pathol 2002;15:3:331-41.
• 39. McCarthy EF. Fibro-Osseous lesions of the maxillofacial bones. Head Neck Pathol 2013;7:5-10.
• 40. Ebenezer V, Ramalingam BA. Cross-sectional survey of prevalence of odontogenic tumours. J Maxillofac Oral Surg 2010;9:369–74.
• 41.Büyükkurt MC, Yalçın E, Aras M. Hamdi. Benign cementoblastoma: a case report. Atatürk Üni Diş Hek Fak Derg 2010;3:17-20.
• 42. Muğlalı M, Gündüz K, Gönülol AGDE, Günhan Ö. Florid semento-osseöz displazi: olgu raporu. Atatürk Üni Diş Hek Fak Derg 2011;(4):73-76.
• 43. Yusof MY, Dasor MM, Ariffin F, Reduwan NH, Kamil WN, Mah MC. Idiopathic osteosclerosis mimicry of a tooth: case report. Aust Dent J 2020.
• 44. Farrokh F, Ruhani MR, Zarandi A. Frequency and pattern of idiopathic osteosclerosis and condensing osteitis lesions in panoramic radiography of Iranian patients. Dent Res J 2016:1(4 ):322.