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

Downloads

Authors

  • L.K. Abrahamyan 1, postgraduate at the Surgical dentistry Department
    ORCID: 0000-0003-1719-4377
  • A.M. Tsitsiashvili 1, PhD in Medical Sciences, full professor of the Surgical dentistry Department
    ORCID: 0000-0002-4737-8508
  • A.M. Panin 1, PhD in Medical Sciences, full professor of the Maxillofacial surgery Departmen
    ORCID: 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: 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: 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

References

  1. Petrushin A.L., Tyusova N.N., Nekhoroshkova T.V. Sclerotic osteodysplasias. Traumatology and Orthopedics of Russia. 2016; 22 (1): 136—150 (In Russ.). eLIBRARY ID: 25952945
  2. Issakov J., Flusser G., Kollender Y., Merimsky O., Lifschitz-Mercer B., Meller I. Computed tomography-guided core needle biopsy for bone and soft tissue tumors. Isr Med Assoc J. 2003; 5 (1): 28—30. PMID: 12592954
  3. Slootweg P.J., Müller H. Differential diagnosis of fibro-osseous jaw lesions. A histological investigation on 30 cases. J Craniomaxillofac Surg. 1990; 18 (5): 210—4. PMID: 2387909
  4. Kochergina N.V., Zimina O.G., Molchanov G.V. Complex diagnostics of bone tumors. Journal of N.N. Blokhin Russian Cancer Research Center RAMS. 2004; 15 (1—2): 38—41 (In Russ.). eLIBRARY ID: 9024726
  5. Kaprin A.D., Starinsky V.V., Petrova G.V. Malignant neoplasms in Russia in 2015. Moscow: Hertsen Moscow Oncology Research Institute, 2017. 250 p. (In Russ.). eLIBRARY ID: 29673774
  6. Welker J.A., Henshaw R.M., Jelinek J., Shmookler B.M., Malawer M.M. The percutaneous needle biopsy is safe and recommended in the diagnosis of musculoskeletal masses. Cancer. 2000; 89 (12): 2677—86. PMID: 11135231
  7. Egorenkov V.V., Bit-Sava E.M., Molchanov M.S. Samplingrules of an intake of material for a morphological research. Practical Oncology. 2017; 4: 336—342 (In Russ.). eLIBRARY ID: 32232026
  8. Mendez M., Haas A.N., Rados P.V., Sant’ana M. Filho, Carrard V.C. Agreement between clinical and histopathologic diagnoses and completeness of oral biopsy forms. Braz Oral Res. 2016; 30 (1): e94. PMID: 27556681
  9. Patel K.J., De Silva H.L., Tong D.C., Love R.M. Concordance between clinical and histopathologic diagnoses of oral mucosal lesions. J Oral Maxillofac Surg. 2011; 69 (1): 125—33. PMID: 20971541
  10. Allen C., Nodit L. Diagnostic challenges in fine-needle aspiration of a jaw lesion. Diagn Cytopathol. 2021; 49 (10): 1141—1143. PMID: 34464515
  11. Panin A.M., Ektov P.V., Tsitsiashvili A.M., Abraamyan L.K., Shekhtman A.P. A new method of guided trephine-biopsy of jaw bone structural changes. Head and Neck. 2021; 9 (3): 72—78 (In Russ.). eLIBRARY ID: 46614591
  12. Badalyan V.A., Kasparov A.S., Stepanyan Z.M., Bagirov T.M., Chernenkiy M.M. The appliance of 3D-modeling and the use of a stereolithographic pattern for resection of the tips of the roots of molars of the lower jaw. Clinical Dentistry (Russia). 2018; 2 (86): 62—64 (In Russ.). eLIBRARY ID: 35154633
  13. Butsan S.B., Khokhlachev S.B. 3D modelling in maxillary sinus floor augmentation. The Dental Institute. 2016; 3 (72): 66—69 (In Russ.). eLIBRARY ID: 26602936
  14. Du H., Li M., Li G., Lyu T., Tian X.M. Specific oral and maxillofacial identifiers in panoramic radiographs used for human identification. J Forensic Sci. 2021; 66 (3): 910—918. PMID: 33506528
  15. Tolentino Ede S., Gusmão P.H., Cardia G.S., Tolentino Lde S., Iwaki L.C., Amoroso-Silva P.A. Idiopathic osteosclerosis of the jaw in a Brazilian population: A retrospective study. Acta Stomatol Croat. 2014; 48 (3): 183—92. PMID: 27688365
  16. Ledesma-Montes C., Jiménez-Farfán M.D., Hernández-Guerrero J.C. Idiopathic osteosclerosis in the maxillomandibular area. Radiol Med. 2019; 124 (1): 27—33. PMID: 30244367
  17. Mosier K.M. Lesions of the Jaw. Semin Ultrasound CT MR. 2015; 36 (5): 444—50. PMID: 26589698
  18. Harmon M., Arrigan M., Toner M., O.’Keeffe S.A. A radiological approach to benign and malignant lesions of the mandible. Clin Radiol. 2015; 70 (4): 335—50. PMID: 25559378
  19. Scarfe W.C., Toghyani S., Azevedo B. Imaging of benign odontogenic lesions. Radiol Clin North Am. 2018; 56 (1): 45—62. PMID: 29157548
  20. Curé J.K., Vattoth S., Shah R. Radiopaque jaw lesions: an approach to the differential diagnosis. Radiographics. 2012; 32 (7): 1909—25. PMID: 23150848
  21. Holmes K.R., Holmes R.D., Martin M., Murray N. Practical approach to radiopaque jaw lesions. Radiographics. 2021; 41 (4): 1164—1185. PMID: 34086497
  22. Van Hoe S., Bladt O., Van Der Steen K., Van den Eynde H. Sclerotic lesions of the jaw: A pictorial review. J Belg Soc Radiol. 2021; 105 (1): 21. PMID: 33870085
  23. Vanhoenacker F.M., Bosmans F., Vanhoenacker C., Bernaerts A. Imaging of mixed and radiopaque jaw lesions. Semin Musculoskelet Radiol. 2020; 24 (5): 558—569. PMID: 33036043
  24. Araki M., Matsumoto N., Matsumoto K., Ohnishi M., Honda K., Komiyama K. Asymptomatic radiopaque lesions of the jaws: a radiographic study using cone-beam computed tomography. J Oral Sci. 2011; 53 (4): 439—44. PMID: 22167028
  25. Silva B.S.F., Bueno M.R., Yamamoto-Silva F.P., Gomez R.S., Peters O.A., Estrela C. Differential diagnosis and clinical management of periapical radiopaque/hyperdense jaw lesions. Braz Oral Res. 2017; 31: e52. PMID: 28678971
  26. Natarajan S., Madhankumar S., Jeyapalan K., Athiban I., Elengkumaran S., Periyakaruppiah K.P. Disto-angular transmigrated impacted mandibular molar with enostosis: A rare intraoral lesion. J Pharm Bioallied Sci. 2015; 7 (Suppl 2): S791—3. PMID: 26538971
  27. Milicevic M. [Mixed radiopaque and radiolucent jaw lesions]. Rev Med Liege. 2017; 72 (3): 151—155 (In French). PMID: 28387493
  28. Bernaerts A., Vanhoenacker F.M., Hintjens J., Chapelle K., Salgado R., De Foer B., De Schepper A.M. Tumors and tumor-like lesions of the jaw mixed and radiopaque lesions. JBR-BTR. 2006; 89 (2): 91—9. PMID: 16729446
  29. Koivisto T., Bowles W.R., Rohrer M. Frequency and distribution of radiolucent jaw lesions: a retrospective analysis of 9,723 cases. J Endod. 2012; 38 (6): 729—32. PMID: 22595103
  30. Jerjes W., Banu B., Swinson B., Hopper C. Florid cemento-osseous dysplasia in a young Indian woman. A case report. Br Dent J. 2005; 198 (8): 477—8. PMID: 15849576

Downloads

Received

February 14, 2022

Accepted

May 19, 2022

Published on

June 1, 2022