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Dense bone islands in pediatric patients: a case series study
Summary
Dense Bone Islands (DBIs) are common incidental findings in children, usually requiring no treatment. However, caution is advised during orthodontic tooth movement near DBIs to prevent root resorption.
Area of Science:
- Radiology
- Pediatric Dentistry
- Oral and Maxillofacial Radiology
Background:
- Dense Bone Islands (DBIs) are benign, radiopaque lesions of cortical bone.
- Also known as idiopathic osteosclerosis, bone scar, or enostosis.
- Limited literature exists on managing DBIs in pediatric populations.
Purpose of the Study:
- To describe sixteen cases of DBIs in children and adolescents.
- To propose a management pathway for pediatric DBIs.
Main Methods:
- Retrospective review of 16 pediatric cases (10-17 years) presenting with radiopaque lesions.
- Diagnosis confirmed by a Dental and Maxillofacial Radiology Consultant.
- Management included observation, monitoring, or caution during orthodontic treatment.
Main Results:
- All radiographic reports confirmed DBIs.
- No intervention was required for most cases.
- Five patients were advised caution regarding orthodontic tooth movement.
Conclusions:
- DBIs are common and typically asymptomatic radiographic findings.
- Accurate identification and multidisciplinary management are crucial.
- Caution is necessary during orthodontic treatment near DBIs to mitigate root resorption risk.
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