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Dense bone island: clinical features and possible complications.
1Department of Pediatric Dentistry, Osaka University Graduate School of Dentistry, 1-8 Yamada-oka, Suita, Osaka 565-0871, Japan.
International Journal of Paediatric Dentistry
|November 28, 2002
Summary
A rare case of a dense bone island in a 10-year-old girl is presented. This asymptomatic lesion incidentally found on dental radiographs showed growth and caused adjacent tooth inclination, requiring monitoring.
Area of Science:
- Oral and Maxillofacial Radiology
- Pediatric Dentistry
- Pathology
Background:
- Dense bone islands (DBIs) are benign, asymptomatic bone lesions often discovered incidentally.
- DBIs are typically found in the jawbones, with varying radiographic appearances.
- Adolescent patients with DBIs require careful monitoring due to potential for growth and complications.
Observation:
- A 10-year-old girl presented with an asymptomatic dense bone island, an incidental radiographic finding.
- Over nine months, the lesion demonstrated a 10% increase in size and a 7% increase in density.
- Progressive inclination of adjacent teeth was observed, correlating with lesion changes.
Findings:
- The dense bone island exhibited significant growth during the observation period.
- Radiographic evidence confirmed an increase in both the size and density of the lesion.
- The growing lesion was associated with secondary displacement of adjacent teeth.
Implications:
- Continued monitoring is crucial for adolescent patients with dense bone islands due to potential for further growth.
- Lesion progression may lead to complications such as dental malocclusion and orthodontic treatment challenges.
- Early detection and observation are key to managing potential adverse effects of dense bone islands in pediatric patients.