Presentation
Routine dental checkup. No history of relevant systemic diseases. No pain or gingival alteration in the area.
Patient Data
Solitary radiopacity in edentulous region tooth 4.8, which is well defined.
Solitary radiopacity in edentulous region tooth 4.8, which is well defined.
Case Discussion
Idiopathic osteosclerosis is a focus of increased bone density. Usually appears to be elliptical, round, or irregular in shape. No expansion.
Also known as dense bone island, bone scar, focal periapical osteopetrosis, or enostosis.
These lesions may be accepted as developmental intraosseous anatomic variations and should be classified separately from the cases resulting from an inflammatory origin or systemic disease. These asymptomatic lesions are discovered as incidental findings on radiographs taken for other reasons. 90% are found in the mandibular first molar area.
Differential diagnosis
- focal chronic sclerosing osteomyelitis (condensing osteitis) tooth-associated
- osteoma
- sialolith
- multiple lesions: suspicious for osteomas/rule out Gardner syndrome
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