Idiopathic osteosclerosis, also known as enostosis or dense bone island, is a condition which may be found around the roots of a tooth, usually a premolar or molar.[2] It is usually painless and found during routine radiographs as an amorphous radiopaque (light) area around a tooth. There is no sign of inflammation of the tooth, and if the island is associated with the root the periodontal ligament space is preserved.[2]
Idiopathic osteosclerosis
Top: A hyperdense round lesion located under the apex of a non-infected tooth. Bottom: The lesion is separated from the root of the adjacent tooth by a visible periodontal membrane.[1]
Focal radiodensity of the jaw which is not inflammatory, dysplastic, neoplastic or a manifestation of a systemic disease. This is common and affects 5% of the population, usually seen in teens and those in their 20s. Typically asymptomatic and is an incidental finding on a radiograph, found anywhere in the jaw, most commonly in the mandibular premolar-molar region. The shape ranges from round to linear streaks to occasional angular forms.
Causeedit
Mostly unknown (idiopathic),[2] but may be a reaction to past trauma or infection which is difficult to rule out in some cases.
Diagnosisedit
Usual diagnosis is via radiograph, patient history, biopsy is rarely needed. Periodic follow ups should included additional radiographs that show minimal growth or regression.
Radiologyedit
Well defined, rounded or triangular radiodensity, that is uniformly opaque. There is no lucent component. Found near the root apex or in the inter-radicular area. Root resorption and tooth movement are rare. If it blends into bone cortices, it does so with no expansion or thinning.[2]
These features help differentiate idiopathic osteosclerosis from similar entities such as condensing osteitis, cemento-osseous dysplasia, hypercementosis, and cementoblastoma.
idiopathic, osteosclerosis, also, known, enostosis, dense, bone, island, condition, which, found, around, roots, tooth, usually, premolar, molar, usually, painless, found, during, routine, radiographs, amorphous, radiopaque, light, area, around, tooth, there, . Idiopathic osteosclerosis also known as enostosis or dense bone island is a condition which may be found around the roots of a tooth usually a premolar or molar 2 It is usually painless and found during routine radiographs as an amorphous radiopaque light area around a tooth There is no sign of inflammation of the tooth and if the island is associated with the root the periodontal ligament space is preserved 2 Idiopathic osteosclerosisTop A hyperdense round lesion located under the apex of a non infected tooth Bottom The lesion is separated from the root of the adjacent tooth by a visible periodontal membrane 1 SpecialtyDentistry Contents 1 Signs and symptoms 2 Cause 3 Diagnosis 3 1 Radiology 3 2 Differential Diagnosis 4 Treatment 5 References 6 External linksSigns and symptoms editFocal radiodensity of the jaw which is not inflammatory dysplastic neoplastic or a manifestation of a systemic disease This is common and affects 5 of the population usually seen in teens and those in their 20s Typically asymptomatic and is an incidental finding on a radiograph found anywhere in the jaw most commonly in the mandibular premolar molar region The shape ranges from round to linear streaks to occasional angular forms Cause editMostly unknown idiopathic 2 but may be a reaction to past trauma or infection which is difficult to rule out in some cases Diagnosis editUsual diagnosis is via radiograph patient history biopsy is rarely needed Periodic follow ups should included additional radiographs that show minimal growth or regression Radiology edit Well defined rounded or triangular radiodensity that is uniformly opaque There is no lucent component Found near the root apex or in the inter radicular area Root resorption and tooth movement are rare If it blends into bone cortices it does so with no expansion or thinning 2 Differential Diagnosis edit Condensing osteitis sclerosing osteomyelitis enostosis cementoblastoma cemento osseous dysplasia hypercementosis 2 exostoses tori Condensing osteitis may resemble idiopathic osteosclerosis however associated teeth are always nonvital in condensing osteitis These features help differentiate idiopathic osteosclerosis from similar entities such as condensing osteitis cemento osseous dysplasia hypercementosis and cementoblastoma Treatment editNo treatment is necessary 2 References edit Silva Brunno Santos Freitas Bueno Mike Reis Yamamoto Silva Fernanda P Gomez Ricardo Santiago Peters Ove Andreas Estrela Carlos 2017 07 03 Differential diagnosis and clinical management of periapical radiopaque hyperdense jaw lesions Brazilian Oral Research 31 e52 doi 10 1590 1807 3107BOR 2017 vol31 0052 PMID 28678971 a b c d e f Andreasen Barett 2021 04 28 Apical Radiopacities radiodontics com Archived from the original on 2022 01 15 Retrieved 2022 01 15 External links edit nbsp This dentistry article is a stub You can help Wikipedia by expanding it vte Retrieved from https en wikipedia org w index php title Idiopathic osteosclerosis amp oldid 1155455774, wikipedia, wiki, book, books, library,
