Idiopathic Osteosclerosis

Source:  Idiopathic Osteosclerosis    Tag:  radiographs dental

Definition:
Focal radiodensity of the jaw which is not inflammatory, dysplastic, neoplastic or a manifestation of a systemic disease.
It's an area of dense but normal bone in the jaws, which is usually painless and discovered by Routine Dental Radiographic Examination.

Description:
Osteosclerosis may occur anywhere in the jaws.
Most commonly, it appears to be attached to a tooth, specially around roots and inter-radicular.
The shape ranges from round to linear streaks to occasional angular forms.
They are more common in the mandibular molar-premolar area.
They are usually discovered on radiographs taken during the course routine dental care.
It appears in 5% of population, most commonly in the teen of 20s.

Etiology:
A reaction to past trauma or infection but it's difficult to rule out in some cases.

Treatment:
Because osteosclerosis is not a disease, no treatment is required. If there is doubt about the diagnosis, periodic X-rays are taken. Although some lesions may slowly enlarge, most remain
unchanged with time.

Prognosis:
Good

Differential Diagnosis:
Condensing osteitis, sclerosing osteomyelitis, cementoblastoma, hypercementosis.
Condensing osteitis may resemble idiopathic osteosclerosis, however, associated teeth are always
nonvital in condensing osteitis.

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:: World Of Dentistry :: TEAM