Histologic Examination of Condensing Osteitis in Cadaver Specimens

Green, T.L.; Walton, Richard E.; Clark, Jeffrey M.; Maixner, David

doi:10.1016/j.joen.2013.02.002

Cited by 20 publications

(9 citation statements)

References 5 publications

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“…The term CO was first applied to “those instances in which sclerotic bone is most often dense and has been formed as a direct result of infection” 3 and later to “these lesions associated to low grade chronic inflammation of the bone around the apex of a tooth.” 27 Later, the Glossary of Endodontic Terms of the American Association of Endodontists defined CO (focal sclerosing osteomyelitis) as “a diffuse radiopaque lesion believed to represent a localized bony reaction to a low-grade inflammatory stimulus, usually seen at the apex of a tooth” 2 . Recently, Green, et al 13 (2013) proposed a more complex definition: “a diffuse radiopaque lesion believed to represent a localized bony reaction to a low-grade inflammatory stimulus, usually seen at the apex of a tooth (or its extracting site) in which there has been a long-standing pulp pathosis”.…”

Section: Discussionmentioning

confidence: 99%

Maxillomandibular giant osteosclerotic lesions

2018

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Giant Osteosclerotic Lesions (GOLs) are a group of rarely reported intraosseous lesions. Their precise diagnosis is important since they can be confused with malignant neoplasms. Objective This retrospective study aimed to record and analyze the clinical and radiographic Giant Osteosclerotic Lesions (GOLs) detected in the maxillomandibular area of patients attending to our institution. Materials and Methods: Informed consent from the patients was obtained and those cases of 2.5 cm or larger lesions with radiopaque or mixed (radiolucid-radiopaque) appearance located in the maxillofacial bones were selected. Assessed parameters were: age, gender, radiographic aspect, shape, borders, size, location and relations to roots. Lesions were classified as radicular, apical, interradicular, interradicular-apical, radicular-apical or located in a previous teeth extraction area. Additionally, several osseous and dental developmental alterations (DDAs) were assessed.Results Seventeen radiopacities in 14 patients were found and were located almost exclusively in mandible and were two types: idiopathic osteosclerosis and condensing osteitis. GOLs were more frequent in females, and in the anterior and premolar zones. 94.2% of GOLs were qualified as idiopathic osteosclerosis and one case was condensing osteitis. All studied cases showed different osseous and dental developmental alterations (DDAs). The most common were: Microdontia, hypodontia, pulp stones, macrodontia and variations in the mental foramina.Conclusions GOLs must be differentiated from other radiopaque benign and malignant tumors. Condensing osteitis, was considered an anomalous osseous response induced by a chronic low-grade inflammatory stimulus. For development of idiopathic osteosclerosis, two possible mechanisms could be related. The first is modification of the normal turnover with excessive osseous deposition. The second mechanism will prevent the normal bone resorption, arresting the osseous breakdown process.

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Section: Discussionmentioning

confidence: 99%

Maxillomandibular giant osteosclerotic lesions

2018

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“…Condensing osteitis (CO), also known as focal sclerosing osteomyelitis, is an asymptomatic, pathological, persistent change in osseous structure presumed to be the response to a long-standing and low-grade inflammatory stimulus from an inflamed or necrotic pulp. 17 CO appears in periapical radiographs as a diffuse radiopaque bone lesion in the alveolar process, primarily associated with a mandibular premolar or molar apex, or at a tooth extraction site. This condition is seen as affecting a tooth with clinical indications of pulp disease, such as deep caries or large restorations.…”

Section: Condensing Osteitis (Focal Sclerosing Osteomyelitis)mentioning

confidence: 99%

Differential diagnosis and clinical management of periapical radiopaque/hyperdense jaw lesions

et al. 2017

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Great attention has been given to the study of radiolucent periapical lesions to avert possible misdiagnosis of apical periodontitis associated with certain radiolucent non-endodontic lesions. However, there are a significant number of radiopaque lesions found in the periapical region, which could be equally relevant to endodontic practice. The diagnosis and management of these radiopaque/hyperdense lesions could be challenging to the endodontist. These bone alterations could be neoplastic, dysplastic or of metabolic origin. In the context of the more widespread use of cone-beam CT, a detailed review of radiopaque inflammatory and non-inflammatory lesions is timely and may aid clinicians perform a differential diagnosis of these lesions. Distinguishing between inflammatory and non-inflammatory lesions simplifies diagnosis and consequently aids in choosing the correct therapeutic regimen. This review discusses the literature regarding the clinical, radiographic, histological and management aspects of radiopaque/hyperdense lesions, and illustrates the differential diagnoses of these lesions.

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“…In some regions, fibrosis and an inflammatory infiltrate were seen but not in all specimens. [ 76 ]. IO have a scant fibrofatty marrow with dense lamellar bone and the presence or absence of inflammatory cells [ 27 ].…”

Section: Resultsmentioning

confidence: 99%

Efficiency and Safety of Dental Implantation in the Area of Hyperdense Jaw Lesions: A Narrative Review

et al. 2022

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Background. Mineralized lesions of the jaws are often found incidentally on radiographs and computed tomography. Most of them are benign, and only a few rare cases are associated with malignant transformation. However, there is little clinical data on successful rehabilitation with implants in patients with mineralized lesions. This narrative review aimed to study the efficiency and safety of dental implantation in the area of hyperdense lesions. Materials and Methods. A PubMed, Google Scholar, and Science Direct database search was carried out with keywords and manually. Results. The literature exploration identified 323 articles; only 19 of them matched the search criteria and reported cases about dental implantation in the lesion area. It has been shown that in 84.2% of described cases, dental implantation was successful: in the osteoid osteoma, odontoma, cementoblastoma, idiopathic osteosclerosis, and condensing osteitis areas dental implantation was performed without any complications. The possibility of lesion recurrence and implant failure limited the use of dental implants in the area of osteoblastoma and cemento-osseous dysplasia. Although most cases of dental implantation in hyperdense jaw lesions were successful and were not accompanied by complications, further research is needed.

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Histologic Examination of Condensing Osteitis in Cadaver Specimens

Cited by 20 publications

References 5 publications

Maxillomandibular giant osteosclerotic lesions

Maxillomandibular giant osteosclerotic lesions

Differential diagnosis and clinical management of periapical radiopaque/hyperdense jaw lesions

Efficiency and Safety of Dental Implantation in the Area of Hyperdense Jaw Lesions: A Narrative Review

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