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Idiopathic osteosclerosis in the maxillomandibular area
Constantino Ledesma-Montes1, María Dolores Jiménez-Farfán2, Juan Carlos Hernández-Guerrero2
1Clinical Oral Pathology Laboratory, División de Estudios de Posgrado e Investigación, Facultad de Odontología, Universidad Nacional Autónoma de México, 04510, Mexico, D.F., Mexico. cledezma@unam.mx.
La Radiologia Medica
|September 24, 2018
Summary
Idiopathic osteosclerosis (IO) lesions in the jaw are developmental bone alterations, not tumors. This study analyzed their radiographic features, finding they are most common in the mandible and molar regions.
Area of Science:
- Oral and Maxillofacial Radiology
- Dental Pathology
Background:
- Idiopathic osteosclerosis (IO) is a common, benign bone condition of unknown etiology.
- Previous studies have evaluated IO but lacked a comprehensive set of radiographic parameters.
Purpose of the Study:
- To comprehensively evaluate idiopathic osteosclerosis (IO) lesions in the maxillomandibular region using detailed morphometric radiographic parameters.
- To characterize the typical radiographic features of IO during routine evaluations.
Main Methods:
- Retrospective review of radiographs from 6340 patients.
- Analysis of 362 IO lesions using parameters including age, size, location, homogeneity, morphology, radiodensity, mineralization, borders, and root relation.
Main Results:
- IO lesions were found in 5.6% of patients, predominantly in the mandible and molar regions.
- Most common features included radiopaque, round, homogeneous lesions with well-defined borders, often near tooth roots.
- Lesions were most frequent in the 2nd to 4th decades, with peak size frequency between 7 and 30 years.
Conclusions:
- The study provides precise parameters for analyzing IO lesions.
- Findings suggest IO represents developmental alterations of bone rather than inflammatory or neoplastic processes.
- Current data challenges existing theories regarding the origin of idiopathic osteosclerosis.
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