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Idiopathic osteosclerosis

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Title: Idiopathic osteosclerosis  
Author: World Heritage Encyclopedia
Language: English
Subject: Condensing osteitis, Pathology of the maxilla and mandible, Salivary gland atresia, Congenital epulis, Sclerosing polycystic adenosis
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Idiopathic osteosclerosis

Idiopathic osteosclerosis is a condition which may be found around the roots of a tooth. It is usually painless and found during routine radiographs. It appears as a radiopaque (light area) around a tooth, usually a premolar or molar. There is no sign of inflammation of the tooth.

Contents

  • Definition 1
  • Etiology 2
  • Radiology 3
  • Diagnosis 4
  • Differential Diagnosis 5

Definition

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 20's. 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.

Etiology

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

Radiology

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.

Diagnosis

Usual diagnosis is via radiograph, patient history, biopsy is rarely needed. Periodic follow ups should included additional radiographs that show minimal growth or regression.

Differential Diagnosis

Condensing osteitis, sclerosing osteomyelitis, cementoblastoma, hypercementosis. Condensing

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