Evaluation of Radiopaque Jaw Lesions in a Turkish Population: A Retrospective Study

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Hamidiye Medical Journal , vol.3, no.1, pp.34-39, 2022 (Peer-Reviewed Journal) identifier


Background: Radiopaque lesions are frequently found in the periapical region. The diagnosis and treatment of these lesions can be challenging to the dentist. The present study presents the similar radiographic features of the lesions to help the clinician narrow the differential diagnosis and to aid in treatment planning. This study aims to evaluate the frequency and distribution of radiopaque lesions in a Turkish population. Materials and Methods: This retrospective study was conducted at the Department of Endodontics, Hamidiye Faculty of Dentistry, University of Health Sciences Turkey, İstanbul, Turkey. Data was obtained from digital panoramic images taken between 2018-2021. A total of 2.002 patients were included. The incidence of specific radiopaque lesions, like idiopathic osteosclerosis, condensing osteitis, odontoma, cementoblastoma, cementoosseous dysplasia, and fibrous dysplasia was evaluated with relation to gender. In addition to these, the frequency of pulp stones was also evaluated. Descriptive statistics and the chi-square test were used to evaluate the data. Results: Of the 1.912 patients diagnosed with radiopaque lesions, 960 (50.2%) were female and 952 (49.8%) were male. Radiopaque lesions were determined on 106 (5.5%) panoramic radiographs. While idiopathic osteosclerosis was found in 58 (3%), condensing osteitis was found in 33 (1.7%), odontoma was found in 1 (0.1%), cementoblastoma was found in 1 (0.1%), cemento-osseous dysplasia was found in 10 (0.5%) and fibrous dysplasia was found in 3 (0.2%) patients. Moreover, a pulp stone was found in 142 (7.4%) patients. No statistically significant difference was found between genders in any of the lesions (p>0.05), except for condensing osteitis (X²=0.024). Conclusion: The most common radiopaque lesions in the study were idiopathic osteosclerosis and condensing osteitis, while the least common was cementoblastoma and odontoma