Idiopathic osteosclerosis of the mandible

Case contributed by Saad Ahmed Saad Hassan
Diagnosis almost certain

Presentation

Incidental radiopaque lesion mesial to LL3

Patient Data

Age: 15 years
Gender: Male

There is a well-defined, small, sclerotic lesion, measuring about 10 mm, mesial to the root of the partially erupted left lower third tooth (=canine).

There is a 10 x 8 x 5 mm well-defined sclerotic lesion with spiculated margins involving the left hemimandible just distal to the symphysis menti between the roots of the LL2 and LL3 teeth. There is no osseous expansion or lucent halo.

Case Discussion

Findings are consistent with idiopathic osteosclerosis of the mandible, which although used as a synonym for a bone island (enostosis) in the jaws by some, may not synonymous 1.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.