DOI:

10.37988/1811-153X_2022_2_58

Frequency of occurrence of patients with dense intraosseous inclusions of the jaws during dental examination according to cone-beam computed tomography

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Authors

  • L.K. Abrahamyan 1, postgraduate at the Surgical dentistry Department
    ORCID ID: 0000-0003-1719-4377
  • A.M. Tsitsiashvili 1, PhD in Medical Sciences, full professor of the Surgical dentistry Department
    ORCID ID: 0000-0002-4737-8508
  • A.M. Panin 1, PhD in Medical Sciences, full professor of the Maxillofacial surgery Departmen
    ORCID ID: 0000-0001-6073-1591
  • D.A. Lezhnev 1, 2, PhD in Medical Sciences, full professor of the Radiology Department; professor of the Therapeutic dentistry Department
    ORCID ID: 0000-0002-7163-2553
  • K.G. Gurevich 1, PhD in Medical Sciences, full professor of the UNESCO Department “A healthy lifestyle is a guarantee of progress”
    ORCID ID: 0000-0002-7603-6064
  • 1 Moscow State University of Medicine and Dentistry, 127473, Moscow, Russia
  • 2 Russian Medical Academy of Continuous Professional Education, 125993, Moscow, Russia

Abstract

During the clinical and radiological examination of the patient by a dentist, dense intraosseous inclusions of the jaws may be detected, which are areas of structural changes in bone tissue, the radiologically determined density of which is higher than that of the surrounding normal bone. As a rule, the identified inclusions do not have a pronounced clinical picture, which may form a simplified idea of the importance of determining the nature of such structural changes in the bone tissue of the jaw. Also, a number of such random “finds” have a typical scialogical picture, which in turn does not always allow them to be verified with sufficient accuracy, to give an objective X-ray conclusion, to clarify indications for invasive diagnostics, for example, trepan biopsy, and, in general, to determine the need for treatment and its scope. When analyzing the available literature, we found a limited amount of information regarding the frequency of occurrence of patients with dense intraosseous inclusions of the jaws, the characteristics of these inclusions and the preferred management tactics of these patients, despite the fact that they occur in our daily work. In this connection, the first stage of our goal was to assess the frequency of occurrence of patients with dense intraosseous inclusions of the jaws according to cone-beam computed tomography performed by him during dental examination, according to a retrospective analysis of data from the digital archive of diagnostic images. Objective - to evaluate the frequency of occurrence of patients with dense intraosseous inclusions of the jaws according to cone-beam computed tomography performed by him during dental examination, according to a retrospective analysis of data from the digital archive of diagnostic images.
Materials and methods.
2361 CBCT patients of both sexes, aged from 16 to 93 years, were studied during 2010-2015. The occurrence of intraosseous inclusions of increased density was assessed in relation to the total number of studies, gender and age group. The data obtained were compared Results: the incidence of patients with dense intraosseous inclusions of the jaws was 8.2%. Among them, changes were observed mainly in women - 72.16% (p<0.05), in the group of 50-59 years - 13.85%.
Conclusion.
The data obtained suggest that the dentist can detect the indicated inclusions in patients with a high probability, and therefore he should present a further algorithm for diagnosis and, possibly, treatment. To obtain detailed data, we have planned the next stage of the study to determine the features of the topography of dense intraosseous inclusions of the jaws in patients during dental examination according to cone-beam computed tomography.

Key words:

dense inclusions of the jaws, CBCT of the jaws, diseases of the jaw bones

For Citation

[1]
Abrahamyan L.K., Tsitsiashvili A.M., Panin A.M., Lezhnev D.A., Gurevich K.G. Frequency of occurrence of patients with dense intraosseous inclusions of the jaws during dental examination according to cone-beam computed tomography. Clinical Dentistry (Russia).  2022; 25 (2): 58—62. DOI: 10.37988/1811-153X_2022_2_58

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Received

February 14, 2022

Accepted

May 19, 2022

Published on

June 1, 2022