Research Article
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Incidental Radiopaque Lesions in the Jaw Bones: Retrospective Analysis

Year 2024, Volume: 51 Issue: 2, 61 - 66, 31.08.2024
https://doi.org/10.52037/eads.2024.0011

Abstract

Purpose: Among the most used diagnostic techniques is panoramic radiography, which enables us to assess the entire jaw. Evaluating the radiopaque lesions in the jaws visible on panoramic radiographs was the goal of this retrospective investigation.
Materials and Methods: 1108 people's panoramic radiographs were used in the investigation. Idiopathic osteosclerosis, condensing osteitis, soft tissue calcification, hypercementosis, periapical osseous dysplasia, odontoma, fibrous dysplasia, fluoride osseous dysplasia and cementoblastoma, were among the radiopaque lesions whose frequency, gender, and localization were assessed in this study. Fisher exact tests, chi-square, and descriptive statistics were employed in the data analysis.
Results: Of these, 499 (45.03%) were male and 609 (55.97%) were female. The patients included in the study ranged in age from 14 to 83 years, with a mean age of 33.45 (± 13.80) years. Of the 1108 patients in this study, 85 (7.7%) had radiopaque lesions. 44 cases (4.0%) of idiopatic osteosclerosis, 13 cases of condensing osteitis, 12 cases of soft tissue calcification, 4 cases of hypercementosis, 3 cases of fluoride osseous dysplasia (0.3%), 3 cases of periapical osseous dysplasia, 2 cases of odontoma, and 1 case of fibrous dysplasia (0.01%) are reported. For any of the lesions, there was no statistically significant variation based on gender.
Conclusions: Panoramic radiography, which is now commonly utilized, can be used to examine radiopaque lesions of the jaws. In this study, the most common radiopaque lesion was idiopathic osteosclerosis, while cementoblastoma was not found at all.
Key words: panoramic radiography; radiopaque lesions; osteosclerosis; cementoblastoma

Ethical Statement

Ethical approval for the study was obtained from the Van Yüzüncü Yıl University Non-Interventional Ethics Committee (approval number: 2023/04-17).

Supporting Institution

This study didn’t supported by any source of funding and didn’t included financial interest

Thanks

thank Dr. Serbest ZİYANAK for statistical analysis.

References

  • Dedeoğlu N, Arikan B. Evaluation of Radiopaque Lesions of the Jaw Bones on Digital Panoramic Radiogra- phy in a Turkish Subpopulation: a Retrospective Study. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2021:1–1. doi:10.17567/ataunidfd.837436.
  • Neyaz Z, Gadodia A, Gamanagatti S, Mukhopadhyay S. Ra- diographical approach to jaw lesions. Singapore Med J. 2008;49(2):165–76; quiz 177.
  • Araujo JP, Lemos CA, Miniello TG, Alves FA. The relevance of clinical and radiographic features of jaw lesions: A prospec- tive study. Braz Oral Res. 2016;30(1):e96. doi:10.1590/1807- 3107BOR-2016.vol30.0096.
  • Koseoglu Secgin C, Gunhan O, Gulsahi A. Benign fibroosseoz lezyonlar. AOT. 2016;33(2):95–101. doi:10.17214/aot.25979.
  • Soluk-Tekkesin M, Sinanoglu A, Selvi F, Cakir Karabas H, Aksakalli N. The importance of clinical and radiologi- cal findings for the definitive histopathologic diagnosis of benign fibro-osseous lesions of the jaws: Study of 276 cases. J Stomatol Oral Maxillofac Surg. 2022;123(3):364–371. doi:10.1016/j.jormas.2021.04.008.
  • Holmes KR, Holmes RD, Martin M, Murray N. Practi- cal Approach to Radiopaque Jaw Lesions. Radiographics. 2021;41(4):1164–1185. doi:10.1148/rg.2021200187.
  • Chen Z, Akanbi F, Lucas DR, Walton DM, Benavides E, Soki FN, et al. A skeleton in a huff: insights in etiologies of osteosclerosis. J Bone Miner Res. 2024;39(2):79–84. doi:10.1093/jbmr/zjad021.
  • Gamba TO, Maciel NAP, Rados PV, da Silveira HLD, Arus NA, Flores IL. The imaging role for diagnosis of idiopathic osteoscle- rosis: a retrospective approach based on records of 33,550 cases. Clin Oral Investig. 2021;25(4):1755–1765. doi:10.1007/s00784- 020-03477-0.
  • Rajpal DK, Agarwal DR, Chhabra R, Bhattacharya DM. Updated Classification Schemes for Fibro-Osseous Lesions of the Oral & Maxillofacial Region: A Review. IOSR JDMS. 2014;13:99–103. doi:10.9790/0853-132499103.
  • Al-HabibMA.PrevalenceandPatternofIdiopathicOsteoscle- rosis and Condensing Osteitis in a Saudi Subpopulation. Cureus. 2022;14(2):e22234. doi:10.7759/cureus.22234.
  • Gupta S, Dutta S, Baby A, Langthasa M. ing Osteitis -A Review and Case Report. doi:10.21276/apjhs.2023.10.2.20.
  • Onda T, Hayashi K, Katakura A, Takano M. odontoma obstructing the eruption of a mandibular pre- molar. Oxf Med Case Reports. 2022;2022(9):omac102. doi:10.1093/omcr/omac102.
  • Isola G, Cicciu M, Fiorillo L, Matarese G. Association Be- tween Odontoma and Impacted Teeth. J Craniofac Surg. 2017;28(3):755–758. doi:10.1097/SCS.0000000000003433.
  • Yadav M, Godge P, Meghana SM, Kulkarni SR. Com- pound odontoma. Contemp Clin Dent. 2012;3(Suppl 1):S13–5. doi:10.4103/0976-237X.95095.
  • SuhasiniGP,WadhwanV,GargN.Cementoblastomaofapri- mary molar: A rare pediatric occurrence. J Oral Maxillofac Pathol. 2020;24(3):548–553. doi:10.4103/jomfp.JOMFP30719.
  • VanhoenackerFM,BosmansF,VanhoenackerC,BernaertsA. Imaging of Mixed and Radiopaque Jaw Lesions. Semin Mus- culoskelet Radiol. 2020;24(5):558–569. doi:10.1055/s-0039- 3402766.
  • HarmonM,ArriganM,TonerM,O’KeeffeSA.Aradiological approach to benign and malignant lesions of the mandible. Clin Radiol. 2015;70(4):335–50. doi:10.1016/j.crad.2014.10.011.
  • Fenerty S, Shaw W, Verma R, Syed AB, Kuklani R, Yang J, et al. Florid cemento-osseous dysplasia: review of an uncommon fibro-osseous lesion of the jaw with important clinical implica- tions. Skeletal Radiol. 2017;46(5):581–590. doi:10.1007/s00256- 017-2590-0.
  • Silva BSF, Bueno MR, Yamamoto-Silva FP, Gomez RS, Peters OA, Estrela C. Differential diagnosis and clinical management of periapical radiopaque/hyperdense jaw lesions. Braz Oral Res. 2017;31:e52. doi:10.1590/1807-3107BOR-2017.vol31.0052.
  • İçen M. Radyoopak ve radyolusent görüntü veren lezyonların konik ışınlı bilgisayarlı tomografi ile retrospektif olarak ince- lenmesi. Selcuk Dental Journal. 2019;6(4):311–316.
  • Eldaya R, Eissa O, Herrmann S, Pham J, Calle S, Uribe T. Mandibular Lesions: A Practical Approach for Diagnosis Based on Multimodality Imaging Find- ings. Contemporary Diagnostic Radiology. 2017;40:1–7. doi:10.1097/01.CDR.0000513197.01378.d8.
  • Geist JR, Katz JO. The frequency and distribution of idiopathic osteosclerosis. Oral Surg Oral Med Oral Pathol. 1990;69(3):388– 93. doi:10.1016/0030-4220(90)90307-e.
  • Miloglu O, Yalcin E, Buyukkurt MC, Acemoglu H. The fre- quency and characteristics of idiopathic osteosclerosis and condensing osteitis lesions in a Turkish patient popula- tion. Med Oral Patol Oral Cir Bucal. 2009;14(12):e640–5. doi:10.4317/medoral.14.e640.
  • Mısırlıoglu M, Nalcaci R, Adışen M, Yilmaz Yardimci S. The evaluation of idiopathic osteosclerosis on panoramic radio- graphs with an investigation of lesions relationship with mandibular canal by using cross sectional CBCT images. J Oral Maxillofac Radiol. 2013;1:48–54. doi:10.4103/2321-3841.120108.
  • ToramanAlkurtM,SadikE,PekerI.PrevalenceandDistribu- tion of Idiopathic Osteosclerosis on Patients Attending a Dental School. JIUFD. 2014;48(2):29–34.
  • AlHarbiHS,AldukhailS,ElkhateebSM.IncidentalFindingsin Digital Panoramic Radiographs among Dental School’s Patients. Journal of International Dental & Medical Research. 2023;16(4).
  • MacDonald D, Yu W. Incidental findings in a consecutive series of digital panoramic radiographs. Imaging Sci Dent. 2020;50(1):53–64. doi:10.5624/isd.2020.50.1.53.
  • Huber AR, Folk GS. Cementoblastoma. Head Neck Pathol. 2009;3(2):133–5. doi:10.1007/s12105-008-0099-5.
  • 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(11):1086–99. doi:10.1111/iej.12417.
  • Cavalcanti PHP, Nascimento EHL, Pontual M, Pontual ADA, Marcelos P, Perez D, et al. Cemento-Osseous Dysplasias: Imag- ing Features Based on Cone Beam Computed Tomography Scans. Braz Dent J. 2018;29(1):99–104. doi:10.1590/0103- 6440201801621.
  • Garay I, Netto HD, Olate S. Soft tissue calcified in mandibular angle area observed by means of panoramic radiography. Int J Clin Exp Med. 2014;7(1):51–6.
  • Scarfe WC, Farman AG. Soft tissue calcifications in the neck: Maxillofacial CBCT presentation and significance [Newspaper Article]; 2010.
  • de Moura MD, Madureira DF, Noman-Ferreira LC, Abdo EN, de Aguiar EG, Freire AR. Tonsillolith: a report of three clinical cases. Med Oral Patol Oral Cir Bucal. 2007;12(2):E130–3.
  • Ahmad M, Madden R, Perez L. Triticeous cartilage: prevalence on panoramic radiographs and diagnostic criteria. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;99(2):225–30. doi:10.1016/j.tripleo.2004.06.069.
  • Keberle M, Robinson S. Physiologic and pathologic calcifi- cations and ossifications in the face and neck. Eur Radiol. 2007;17(8):2103–11. doi:10.1007/s00330-006-0525-6.
  • Valiyaparambil J, Rengasamy K, Mallya SM. An unusual soft tissue radiopacity–radiographic appearance of a dermal filler. Br Dent J. 2009;207(5):211–2. doi:10.1038/sj.bdj.2009.764.
  • AltindagA,YukselI.PanoramikRadyografideYumusakDoku Kalsifikasyon ve Ossifikasyonlari. NEU Dent J. 2021;3(2):62–69. doi:10.51122/neudentj.2021.18.
Year 2024, Volume: 51 Issue: 2, 61 - 66, 31.08.2024
https://doi.org/10.52037/eads.2024.0011

Abstract

References

  • Dedeoğlu N, Arikan B. Evaluation of Radiopaque Lesions of the Jaw Bones on Digital Panoramic Radiogra- phy in a Turkish Subpopulation: a Retrospective Study. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2021:1–1. doi:10.17567/ataunidfd.837436.
  • Neyaz Z, Gadodia A, Gamanagatti S, Mukhopadhyay S. Ra- diographical approach to jaw lesions. Singapore Med J. 2008;49(2):165–76; quiz 177.
  • Araujo JP, Lemos CA, Miniello TG, Alves FA. The relevance of clinical and radiographic features of jaw lesions: A prospec- tive study. Braz Oral Res. 2016;30(1):e96. doi:10.1590/1807- 3107BOR-2016.vol30.0096.
  • Koseoglu Secgin C, Gunhan O, Gulsahi A. Benign fibroosseoz lezyonlar. AOT. 2016;33(2):95–101. doi:10.17214/aot.25979.
  • Soluk-Tekkesin M, Sinanoglu A, Selvi F, Cakir Karabas H, Aksakalli N. The importance of clinical and radiologi- cal findings for the definitive histopathologic diagnosis of benign fibro-osseous lesions of the jaws: Study of 276 cases. J Stomatol Oral Maxillofac Surg. 2022;123(3):364–371. doi:10.1016/j.jormas.2021.04.008.
  • Holmes KR, Holmes RD, Martin M, Murray N. Practi- cal Approach to Radiopaque Jaw Lesions. Radiographics. 2021;41(4):1164–1185. doi:10.1148/rg.2021200187.
  • Chen Z, Akanbi F, Lucas DR, Walton DM, Benavides E, Soki FN, et al. A skeleton in a huff: insights in etiologies of osteosclerosis. J Bone Miner Res. 2024;39(2):79–84. doi:10.1093/jbmr/zjad021.
  • Gamba TO, Maciel NAP, Rados PV, da Silveira HLD, Arus NA, Flores IL. The imaging role for diagnosis of idiopathic osteoscle- rosis: a retrospective approach based on records of 33,550 cases. Clin Oral Investig. 2021;25(4):1755–1765. doi:10.1007/s00784- 020-03477-0.
  • Rajpal DK, Agarwal DR, Chhabra R, Bhattacharya DM. Updated Classification Schemes for Fibro-Osseous Lesions of the Oral & Maxillofacial Region: A Review. IOSR JDMS. 2014;13:99–103. doi:10.9790/0853-132499103.
  • Al-HabibMA.PrevalenceandPatternofIdiopathicOsteoscle- rosis and Condensing Osteitis in a Saudi Subpopulation. Cureus. 2022;14(2):e22234. doi:10.7759/cureus.22234.
  • Gupta S, Dutta S, Baby A, Langthasa M. ing Osteitis -A Review and Case Report. doi:10.21276/apjhs.2023.10.2.20.
  • Onda T, Hayashi K, Katakura A, Takano M. odontoma obstructing the eruption of a mandibular pre- molar. Oxf Med Case Reports. 2022;2022(9):omac102. doi:10.1093/omcr/omac102.
  • Isola G, Cicciu M, Fiorillo L, Matarese G. Association Be- tween Odontoma and Impacted Teeth. J Craniofac Surg. 2017;28(3):755–758. doi:10.1097/SCS.0000000000003433.
  • Yadav M, Godge P, Meghana SM, Kulkarni SR. Com- pound odontoma. Contemp Clin Dent. 2012;3(Suppl 1):S13–5. doi:10.4103/0976-237X.95095.
  • SuhasiniGP,WadhwanV,GargN.Cementoblastomaofapri- mary molar: A rare pediatric occurrence. J Oral Maxillofac Pathol. 2020;24(3):548–553. doi:10.4103/jomfp.JOMFP30719.
  • VanhoenackerFM,BosmansF,VanhoenackerC,BernaertsA. Imaging of Mixed and Radiopaque Jaw Lesions. Semin Mus- culoskelet Radiol. 2020;24(5):558–569. doi:10.1055/s-0039- 3402766.
  • HarmonM,ArriganM,TonerM,O’KeeffeSA.Aradiological approach to benign and malignant lesions of the mandible. Clin Radiol. 2015;70(4):335–50. doi:10.1016/j.crad.2014.10.011.
  • Fenerty S, Shaw W, Verma R, Syed AB, Kuklani R, Yang J, et al. Florid cemento-osseous dysplasia: review of an uncommon fibro-osseous lesion of the jaw with important clinical implica- tions. Skeletal Radiol. 2017;46(5):581–590. doi:10.1007/s00256- 017-2590-0.
  • Silva BSF, Bueno MR, Yamamoto-Silva FP, Gomez RS, Peters OA, Estrela C. Differential diagnosis and clinical management of periapical radiopaque/hyperdense jaw lesions. Braz Oral Res. 2017;31:e52. doi:10.1590/1807-3107BOR-2017.vol31.0052.
  • İçen M. Radyoopak ve radyolusent görüntü veren lezyonların konik ışınlı bilgisayarlı tomografi ile retrospektif olarak ince- lenmesi. Selcuk Dental Journal. 2019;6(4):311–316.
  • Eldaya R, Eissa O, Herrmann S, Pham J, Calle S, Uribe T. Mandibular Lesions: A Practical Approach for Diagnosis Based on Multimodality Imaging Find- ings. Contemporary Diagnostic Radiology. 2017;40:1–7. doi:10.1097/01.CDR.0000513197.01378.d8.
  • Geist JR, Katz JO. The frequency and distribution of idiopathic osteosclerosis. Oral Surg Oral Med Oral Pathol. 1990;69(3):388– 93. doi:10.1016/0030-4220(90)90307-e.
  • Miloglu O, Yalcin E, Buyukkurt MC, Acemoglu H. The fre- quency and characteristics of idiopathic osteosclerosis and condensing osteitis lesions in a Turkish patient popula- tion. Med Oral Patol Oral Cir Bucal. 2009;14(12):e640–5. doi:10.4317/medoral.14.e640.
  • Mısırlıoglu M, Nalcaci R, Adışen M, Yilmaz Yardimci S. The evaluation of idiopathic osteosclerosis on panoramic radio- graphs with an investigation of lesions relationship with mandibular canal by using cross sectional CBCT images. J Oral Maxillofac Radiol. 2013;1:48–54. doi:10.4103/2321-3841.120108.
  • ToramanAlkurtM,SadikE,PekerI.PrevalenceandDistribu- tion of Idiopathic Osteosclerosis on Patients Attending a Dental School. JIUFD. 2014;48(2):29–34.
  • AlHarbiHS,AldukhailS,ElkhateebSM.IncidentalFindingsin Digital Panoramic Radiographs among Dental School’s Patients. Journal of International Dental & Medical Research. 2023;16(4).
  • MacDonald D, Yu W. Incidental findings in a consecutive series of digital panoramic radiographs. Imaging Sci Dent. 2020;50(1):53–64. doi:10.5624/isd.2020.50.1.53.
  • Huber AR, Folk GS. Cementoblastoma. Head Neck Pathol. 2009;3(2):133–5. doi:10.1007/s12105-008-0099-5.
  • 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(11):1086–99. doi:10.1111/iej.12417.
  • Cavalcanti PHP, Nascimento EHL, Pontual M, Pontual ADA, Marcelos P, Perez D, et al. Cemento-Osseous Dysplasias: Imag- ing Features Based on Cone Beam Computed Tomography Scans. Braz Dent J. 2018;29(1):99–104. doi:10.1590/0103- 6440201801621.
  • Garay I, Netto HD, Olate S. Soft tissue calcified in mandibular angle area observed by means of panoramic radiography. Int J Clin Exp Med. 2014;7(1):51–6.
  • Scarfe WC, Farman AG. Soft tissue calcifications in the neck: Maxillofacial CBCT presentation and significance [Newspaper Article]; 2010.
  • de Moura MD, Madureira DF, Noman-Ferreira LC, Abdo EN, de Aguiar EG, Freire AR. Tonsillolith: a report of three clinical cases. Med Oral Patol Oral Cir Bucal. 2007;12(2):E130–3.
  • Ahmad M, Madden R, Perez L. Triticeous cartilage: prevalence on panoramic radiographs and diagnostic criteria. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;99(2):225–30. doi:10.1016/j.tripleo.2004.06.069.
  • Keberle M, Robinson S. Physiologic and pathologic calcifi- cations and ossifications in the face and neck. Eur Radiol. 2007;17(8):2103–11. doi:10.1007/s00330-006-0525-6.
  • Valiyaparambil J, Rengasamy K, Mallya SM. An unusual soft tissue radiopacity–radiographic appearance of a dermal filler. Br Dent J. 2009;207(5):211–2. doi:10.1038/sj.bdj.2009.764.
  • AltindagA,YukselI.PanoramikRadyografideYumusakDoku Kalsifikasyon ve Ossifikasyonlari. NEU Dent J. 2021;3(2):62–69. doi:10.51122/neudentj.2021.18.
There are 37 citations in total.

Details

Primary Language English
Subjects Oral and Maxillofacial Radiology
Journal Section Original Research Articles
Authors

Ayşe Gül Öner Talmaç 0000-0002-0574-5779

Filiz Mediha Namdar Pekiner 0000-0001-7426-5587

Early Pub Date August 29, 2024
Publication Date August 31, 2024
Submission Date May 31, 2024
Acceptance Date August 12, 2024
Published in Issue Year 2024 Volume: 51 Issue: 2

Cite

Vancouver Öner Talmaç AG, Namdar Pekiner FM. Incidental Radiopaque Lesions in the Jaw Bones: Retrospective Analysis. EADS. 2024;51(2):61-6.