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Research: Prevalence of Dense Bone Island
Ali Zakir Syed1, Savitha Deepthi Yannam2, Gedela Pavani3
1Director of Radiology, Assistant Professor, Department of Oral and Maxillofacial Medicine and Diagnostic Sciences, Case Western Reserve University, School of Dental Medicine, Cleveland, Ohio.
Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|October 4, 2017
Summary
Dense bone islands (DBI) are common, affecting 3.2% of patients. These benign bone lesions predominantly occur in young females in the mandibular premolar region, with no significant root resorption observed.
Area of Science:
- Oral and Maxillofacial Radiology
- Dental Pathology
Background:
- Dense bone islands (DBI) are asymptomatic, benign bone lesions.
- Radiographically, they appear as well-defined radiopacities without a radiolucent rim.
- Understanding their prevalence and characteristics is crucial for accurate diagnosis.
Purpose of the Study:
- To determine the prevalence of dense bone islands (DBI).
- To investigate the relationship between DBI and patient demographics (age, sex).
- To identify the predominant location, amount, shape, and root resorption correlation of DBIs.
Main Methods:
- Retrospective review of panoramic images from 4581 patients aged 14 years and above.
- Data collected from Case Western Reserve University School of Dental Medicine between January 2014 and May 2015.
Main Results:
- A prevalence of 3.2% (147 out of 4581 patients) was found for DBI.
- DBI showed a statistically significant predilection for females.
- The most affected age group was 15-24 years, with a predominant location in the mandibular right premolar apical region and a round shape.
Conclusions:
- Dense bone islands are radiopaque lesions without a radiolucent rim.
- DBI can occur at any age and location, with a higher prevalence in females.
- While root resorption was observed in a few cases, no deleterious effects were noted on follow-up.
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