Analysis of Cases of Condensing Osteitis in a Group of Patients Applying to Akdeniz University Faculty of Dentistry

Öz

Objective: Condensing osteitis (CO) is sclerotic changes caused by bone against low-grade inflammation and diagnosis of the disease is made radiographically. The purpose of this retrospective study is to investigate the causes and incidence of CO in a group of patients who applied to Akdeniz University Faculty of Dentistry.
Material- Method: One thousand seven hundred twenty five panoramic radiograps taken from patients who applied to Akdeniz University Faculty of Dentistry Department of Oral and Maxillofacial Radiology with various complaints were evaluated retrospectively. The frequency of CO, location the presence of treatment in the tooth with CO, the treatment type, and the relationship of CO with gender and age were evaluated. p<0.05 was considered statistically significant.
Results: CO was detected in 46 of 1725 patients between the ages of 13-72. CO was more common in mandibular first molars and root canal treated teeth, and this was statistically significant. No significant difference was found between the genders in terms of incidence.
Conclusions: This study showed that CO was more common in patients treated with root-canal treatment, unlike previous studies conducted in other countries and in different regions of the same population. 

Akdeniz Üniversitesi Diş Hekimliği Fakültesi’ne Başvuran Bir Grup Hastada Kondensing Osteitis Olgularının Analizi

Öz

Amaç: Kondensing osteitis (KO), kemiğin düşük dereceli enflamasyona karşı sklerotik değişiklikler göstermesi olup, teşhisi radyografik olarak yapılır. Bu retrospektif çalışmanın amacı; Akdeniz Üniversitesi Diş Hekimliği Fakültesi’ne başvuran bir grup hastada, KO’nun sebeplerini ve görülme sıklığını araştırmaktır.
Gereç ve yöntemler: Akdeniz Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Radyolojisi Anabilim Dalı’na çeşitli şikayetlerle başvuran hastalardan alınan 1725 panoramik radyograf, retrospektif olarak değerlendirildi. KO sıklığı, KO’nun görüldüğü çene, KO bulunan dişte tedavi varlığı ve tedavi tipi, ayrıca KO sıklığının cinsiyet ve yaşla olan ilişkisi değerlendirildi. p<0,05 olması istatistiksel olarak anlamlı kabul edildi. Bulgular: 13-72 yaş aralığındaki 1725 hastanın 46’sında KO tespit edildi. KO, mandibular birinci molar dişlerde ve kanal tedavili dişlerde daha çok görüldü ve bu durum istatistiksel olarak anlamlıydı. Cinsiyetler arasında, görülme sıklığı açısından anlamlı bir farklılık tespit edilmedi. Sonuç: Bu çalışma diğer ülkelerde ve aynı popülasyonun farklı bölgelerinde yapılan önceki çalışmalardan farklı olarak, KO’nun kanal tedavisi gören dişlerde daha çok görüldüğünü ortaya koymuştur.

Anahtar Kelimeler

• Kondensing osteitis
• panoramik radyografi
• sklerozan osteitis

Kaynakça

1. 1. Brower AC, Sweet DE, Keats TE. Condensing osteitis of the clavicle: a new entity. American Journal of Roentgenology. 1974;121(1):17-21.
2. 2. Eliasson S, Halvarsson C, Ljungheimer C. Periapical condensing osteitis and endodontic treatment. Oral Surgery, Oral Medicine, Oral Pathology. 1984;57(2):195-9.
3. 3. Miloglu O, Yalcin E, Buyukkurt M-C, 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):e640-5.
4. 4. Ardakani FE, Azam ARN. Radiological findings in panoramic radiographs of Iranian edentulous patients. Oral Radiology. 2007;23(1):1-5.
5. 5. Avramidou F-M, 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 Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2008;106(3):e38-e43.
6. 6. J.A R, J S. Oral Pathology (Clinical Pathologic Correlations). 2nd ed ed. Philadelphia: WB Saunders Company; 1993.
7. 7. Murphey MD, Andrews CL, Flemming DJ, Temple HT, Smith WS, Smirniotopoulos JG. From the archives of the AFIP. Primary tumors of the spine: radiologic pathologic correlation. Radiographics. 1996;16(5):1131-58.
8. 8. Sanghai S, Chatterjee P. A concise textbook of oral and maxillofacial surgery: Jaypee Brothers Publishers; 2008.

9. 9. Boyne P. Incidence of osteosclerotic areas in the mandible and maxilla. J Oral Surg Anesth Hosp Dent. 1960;18:486-91.
10. 10. Hedin M, Polhagen L. Follow‐up study of periradicular bone condensation. European Journal of Oral Sciences. 1971;79(4):436-40.
11. 11. Williams T, Brooks S. A longitudinal study of idiopathic osteosclerosis and condensing osteitis. Dentomaxillofacial Radiology. 1998;27(5):275-8.
12. 12. Verzak Z, Celap B, Modric VE, Soric P, Karlovic Z. The prevalence of idiopathic osteosclerosis and condensing osteitis in Zagreb population. Acta clinica Croatica. 2012;51(4):573-7.
13. 13. Farhadi F, Ruhani MR, Zarandi A. Frequency and pattern of idiopathic osteosclerosis and condensing osteitis lesions in panoramic radiography of Iranian patients. Dental research journal. 2016;13(4):322-6.
14. 14. 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.
15. 15. Yeh H-W, Chen C-Y, Chen P-H, Chiang M-T, Chiu K-C, Chung M-P, et al. Frequency and distribution of mandibular condensing osteitis lesions in a Taiwanese population. Journal of Dental Sciences. 2015;10(3):291-5.
16. 16. Yonetsu K, Yuasa K, Kanda S. Idiopathic osteosclerosis of the jaws:panoramic radiographic and computed tomographic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;83:517-21.
17. 17. Marmary Y, Kutiner G. A radiographic survey of periapical jawbone lesions. Oral Surg Oral Med Oral Pathol. 1986;61:405-8.
18. 18. Holly, D., Jurkovic, R., Mracna, J. Condensing osteitis in oral region. Bratislavske lekarske listy. 2009;110: 713-715.
19. 19. Çağlayan F, Tozoğlu U. Incidental findings in the maxillofacial region detected by cone beam CT. Diagn Interv Radiol 2012; 18: 159-63.