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Radiographic Identification of Type III Mandibular Dense Bone Island in an Elderly Patient
(1) Universitas Trisakti
(2) Universitas Trisakti
(3) Universitas Trisakti
(4) Universitas Trisakti
(*) Corresponding Author
Abstract
Introduction: Dense Bone Island (DBI), or idiopathic osteosclerosis, is an asymptomatic radiopaque lesion often found incidentally during radiographic exams. Its etiology is linked to bone maturation, though not fully understood. The purpose of this report is to describe the radiographic identification of DBI in an elderly patient.
Objective: To report a case of Type III and IV DBI in the mandible and discuss its radiographic differentiation from other pathologies.
Case: A 62-year-old female patient underwent panoramic radiography, which revealed well-defined, homogeneous radiopaque lesions in the edentulous regions of teeth 37 and 47; while another radiopaque lesion was found at the apical region of tooth 44. The lesions were classified as Type III DBI as they were separate from any teeth or lamina dura and Type IV DBI since it was around root apex.
Outcome: Accurate identification through panoramic imaging allowed for a definitive diagnosis without the need for invasive procedures.
Conclusion: Panoramic radiography is an effective tool for identifying DBI, and recognizing its specific features is vital to avoid unnecessary interventions.
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Misirlioglu M, Nalcaci R, Adisen MZ, Yilmaz S. The evaluation of idiopathic osteosclerosis on panoramic radiographs with an investigation of lesion's relationship with mandibular canal by using cross-sectional cone-beam computed tomography images. J Oral Maxillofac Radiol. 2013;1(2):48-54.
Chintala L, B B, Chaitanya YC, Chaitanya PV, Mamatha D, Sathwik G. Dense bony islands of the maxillofacial region: a radiological study. Int J Appl Dent Sci. 2017;3(4):258-60.
Savitri Y, Astuti ER, Nurrachman AS, Mulyani SWM, Putri DK, Zainiyyah DL, Majidah H. The classification of radiopaque areas and their location on panoramic radiographs. Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI). 2022; 6 (2):62-8. doi: 10.32793/jrdi.v6i2.874
Sinnott PM, Hodges S. An incidental dense bone island: a review of potential medical and orthodontic implications of dense bone islands and case report. J Orthod. 2020;47(3):251-6.
Ñahuincopa P, Romero L. An updated review of idiophatic osteosclerosis in the jaws. Rev Cient Odontol (Lima). 2021;9(1):e050.
Alfahad S, Alostad M, Dunkley S, Anand P, Harvey S, Monteiro J. Dense bone islands in pediatric patients: a case series study. Eur Arch Paediatr Dent. 2021;22(4):751-7. doi: 10.1007/s40368-020-00596-w.
Mariani GC, Favaretti F, Lamazza L, Biase ADE. Dense bone island of the jaw. Oral Implantol (Rome). 2008;2:87-90.
Miloglu O, Yalcin E, Buyukkurt M, Acemoglu H. The frequency and characteristics of idiopathic osteosclerosis and condensing osteitis lesions in a Turkish patient population. Med Oral Patol Oral Cir Bucal. 2009;14(12):e640-5.
Sisman Y, Ertas ET, Ertas H, Sekerci AE. The Frequency and Distribution of Idiopathic Osteosclerosis of the Jaw. Eur J Dent. 2019; 5(4):409-14. doi:10.1055/s-0039-1698913
Greenspan A, Standalnik RC. Bone island: scintigraphic findings and their clinical application. Can Assoc Radiol J. 1995;46:368-79.
Zhou J, Zhao YF, Xia CY, Jiang L. Periodontitis with hypercementosis: report of a case and discussion of possible aetiologic factors. Aust Dent J. 2012;57(4):511-4.
Bürklein S, Jansen S, Schäfer E. Occurrence of hypercementosis in a German population. J Endod. 2012;38(12):1610-2.
Newman MG, Takei H, Klokkevold PR, Carranza FA. Carranza’s clinical periodontology. 11th ed. St. Louis: Elsevier Health Sciences; 2011.
Rahmi L, Sam B, Pramanik F. Korelasi usia kronologis dengan densitas tulang mandibula pada radiograf panoramik pada pasien perempuan usia 5-35 tahun. J Kedokt Gigi Univ Padjadjaran. 2020;32(3):199-204.
Mupparapu M, Shi JK, Ko E. Differential Diagnosis of Periapical Radiopacities and Radiolucencies. Dent. Clin. N. Am. 2020; 64(1).163-89. doi: 10.1016/j.cden.2019.08.010
AlZamel G, Odell S, Mupparapu M. Developmental Disorders Affecting Jaws. Dent. Clin. N. Am. 2016; 60(1). 39-90. doi: 10.1016/j.cden.2015.08.002
Senia ES, Sarao MS. Periapical cemento-osseous dysplasia: a case report with twelve-year follow-up and review of literature. Int Endod J. 2015;48(11):1086-99. doi: 10.1111/iej.12417.
Viana FLP, Vasconcelos BC, Nobrechaves F, Pereira KMA, Sampieri MBDS. Periapical cemento-osseous dysplasia in anterior maxilla: a case report. J Clin Diagn Res. 2019;13(1):ZD11-3. doi: 10.7860/JCDR/2019/38289.12473.
Kallarakkal TG, Ngeow WC. Accidental Finding on the Radiograph: Periapical Cemento-osseous Dysplasia. In: Clinicopathological Correlation of Oral Diseases 2023;179-190. Cham: Springer International Publishing.
Brody A, Zalatnai A, Csomo K, Belik A, Dobo-Nagy C. Difficulties in the diagnosis of periapical translucencies and in the classification of cemento-osseous dysplasia. BMC Oral Health. 2019; 19(1):139.
Holmes KR, Holmes RD, Martin M, Murray N. Practical approach to radiopaque jaw lesions. Radiographics. 2021; 41(4):1164-85.
Kamburoğlu K. Trends in dentomaxillofacial radiology. World Journal of Radiology. 2025; 17(1):97255.
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DOI: https://doi.org/10.26714/ijd.v6i2.21242
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