Vitamin-D-resistant Osteomalacia

The importance of cone beam CT in the radiological detection of osteomalacia

“…11 Jackson et al criticized this theory and concluded that the zones were not in close connection with pulsating blood vessels. 6 But in their study, they also suggested that the arterial origin of Looser's zone was only partly true in the mandible. 6 In our case, we observed that the zones in the mandible were bilaterally near-symmetrical bands and appeared to have possible arterial relationships ( Figure 4).…”

“…6 But in their study, they also suggested that the arterial origin of Looser's zone was only partly true in the mandible. 6 In our case, we observed that the zones in the mandible were bilaterally near-symmetrical bands and appeared to have possible arterial relationships ( Figure 4). In addition, this possible relationship was seen especially in the mandibular symphysis region in 3D images because of its intensive arterial content, such as the lingual artery, sublingual artery, submental artery and mylohyoid artery, when compared with the mandibular ramus region.…”

“…2 Osteomalacia in which a pseudofracture was observed in the jaw near the angle has also been described. 6 Looser's zones are bilaterally near-symmetrical bands of uncalcified tissue. 6 Lemay and Blunt suggested that Looser's zones were caused by continuous pulsation beating against a softened cortex.…”

“…6 Looser's zones are bilaterally near-symmetrical bands of uncalcified tissue. 6 Lemay and Blunt suggested that Looser's zones were caused by continuous pulsation beating against a softened cortex. 10 Steinbach et al claimed to confirm this theory by arteriography, showing some of the pseudofractures to be in proximity to an abnormal obturatory artery in one case.…”

“…2 In addition, pseudofracture in the jaws near the angle has also been reported. 6 Osteomalacia in the jaws can be detected by conventional radiographic techniques such as panoramic and intraoral periapical radiographs in dentistry. 2 In addition, it can be detected by cone beam CT (CBCT), which is used in dentistry to image high contrast objects such as teeth and bone.…”