• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.25 no.2
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• pp.287-295
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• 1995

The purpose of this study was to evaluate the prevalence, the distribution, and the relation with adjacent roots of idiopathic osteosclerosis in the jaws by means of analysis of 7,837 persons' panoramic radiographs. The following results were obtained ; 1. The prevalence of idiopathic osteosclerosis in the jaws in panoramic radiographs was revealed to be 9.76％ in total examined persons. There was a higher prevalence in males(10.10％) than in females(9.76％). 2. There was also a higher prevalence in the mandible(97.92％) than in the maxilla(2.08％). The most frequently involved area was the mandibular molar area(34.72％), followed by mandibular premolar area(33.37％). 3. According to the types of idiopathic osteosclerosis with relation to adjacent roots, separated type(51.59％) was the most frequent, followed by apical type(32.52％), interradicular type(7.95％), apical and interradicular type(7.95％) in descending order of frequency.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.24 no.1
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• pp.107-113
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• 1994

The purpose of this study was to evaluate the prevalence, distribution, and its relation with adjacent roots of idiopathic osteosclerosis in the jaws by means of the analysis of the 6,220 persons' full mouth periapical radiographs. And the following results were obtained; 1. The prevalence of idiopathic osteosclerosis in the jaws was revealed to be 2.43% in total examined persons, and there was a higher prevalence in females(3.12%) than in males(1.68%). 2. There was a higher prevalence in the mandible(94.3%) than in the maxilla(5.7%), and the most frequently involved area was the mandibular premolar area(51.9%), followed by mandibular molar area(21.52%). 3. According to the types of relation with adjacent roots, separated type(53.8%) in idiopathic osteosclerosis was the most frequent, followed by apical type(40.51%), interradicular type(3.18%), apical and interradicular type(2.51%) in descending order of frequency.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.34 no.3
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• pp.350-354
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• 2008

Mandibular chronic osteomyelitis with diffuse osteosclerosis is recognized as an intractable infectious disease. We emplyed decortication and intraarterial infusion of antibiotics in 6 cases. Decortication on the affected mandible was performed with retrocatherization to the superficial temporal artery of affected side under general anesthesia. Antibiotics, IPM/CS or FOMX was used through the artery for 4-11 days. In addition, we administered FOMX, PIPC intravenously for 8-17 days. CT and MRI were taken postoperatively. The postoperative follow-up period ranged from 1 year and 6 months to 2 years and 5 months. Postoperative MR showed that bone marrow signal was recovered to approximately normal in 4 cases. High signal area of bone marrow and osteosclerosis image remained in 2 cases, but showed improvement. The results were satisfactory without recurrence in all of 6 cases.

• Imaging Science in Dentistry
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• v.40 no.4
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• pp.197-201
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• 2010

Osteopetrosis is a rare bone disease characterized by systemic osteosclerosis due to an osteoclast dysfunction that decreases bone resorption. This report demonstrates two cases of adult osteopetrosis with secondary osteomyelitis of the maxilla, in siblings who are 43-year old female and 55-year old, male respectively. The common radiographic features of these cases were increased radiopacity in skull, rib and vertebra. The radiographic features that differed between these two cases were the osteosclerotic pattern of the jaw bones, that is, diffuse patterns in the female case, while the male case showed nodular patterns that were confined to the root apices. The diagnosis of osteopetrosis may be complicated due to the varying degree of osteosclerosis on panoramic radiograph. Additional radiographs such as the chest and skull radiograph may be helpful for the diagnosis of osteopetrosis.

• The Journal of the Korean dental association
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• v.18 no.7 s.136
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• pp.495-495
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• 1980

• Imaging Science in Dentistry
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• v.53 no.2
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• pp.169-174
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• 2023

Gardner syndrome has head and neck manifestations that may be recognized during dental visits. Features such as multiple gnathic osteomas, impacted supernumerary teeth, and multiple foci of idiopathic osteosclerosis can be easily identified on dental radiographs, prompting the clinician to refer the patient for further investigation. A dental examination and routine radiographs play a vital role in revealing the extracolonic presentation of Gardner syndrome, which facilitates timely screening and detection of colorectal cancer and other malignancies associated with this condition. This report discusses the case of a 50-year-old Caucasian man who presented with a hard swelling of the left angle of the mandible and was diagnosed with Gardner syndrome based on abnormal findings from an oral examination, dental imaging, and medical and family history.

• Imaging Science in Dentistry
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• v.40 no.4
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• pp.159-163
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• 2010

Purpose : This retrospective study was performed to investigate the prevalence of the idiopathic osteosclerosis (IO) in Korean malocclusion patients according to age, sex, and the Angle's classification of malocclusion. Materials and Methods : This study consisted of 2,001 randomly selected patients from the Department of Orthodontics at the Gangneung-Wonju National University Dental Hospital, Korea. The prevalence of IO in Korean malocclusion patients was recorded using their panoramic radiographs, and the following parameters were surveyed; age, sex, and the Angle's classification of malocclusion. The chi-square test was analyzed to determine the statistical significance of differences in the prevalence of IO between age, sex, and the Angle's classification of malocclusion. Results : The prevalence of IO in the jaws was 6.7% in a total of 2,001 examined orthodontic patients. The majority of IO was found in the mandible (96.58%). The 30-39 age group showed the highest prevalence of IO (9.60%). There was a higher prevalence in females (6.89%) than in males (6.45%). The prevalence of IO in Angle Class I group (7.07%) was the most frequent, followed by Angle Class II group (6.72%), and Angle Class III group (6.40%). However, there was no statistical significance in sex and Angle's classification of malocclusion. Conclusion : The prevalence of IO in malocclusion patients showed the differences between various age groups and most of them were found in the mandibular posterior area. However, sex and the type of malocclusion are not to be considered as a contributing factor of IO.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.14 no.1
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• pp.153-161
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• 1984

Orthopantomograph는 치과진료에서 가장 일반적인 국외촬영방법으로 이용되고 있다. 저자는 1983년 서울대학교병원 치과진료부 치과방사선과에 래원한 환자중 Orthopantomogram을 촬영한 2,160명을 대상으로 골경화증의 성별, 연령별 발생빈도와 발생부위, 경화상의 크기, 모양등을 분류하고 특발성 골경화증과 condensing osteitis에 관하여 관찰하였든 바 다음과 같은 결과를 얻었다. 1. Idiopathic osteosclerosis의 발현율은 16.0%, condensing osteitis의 발현율은 9.8%였고 남녀간의 차이는 없었다. 2. 골경화증의 호발부위는 하악소구치, 대구치부위였고, 상악에서의 발생율은 적었다. 3. 골경화상의 크기는 idiopathic osteosclerosis는 10㎜이내였고, condensing osteitis는 10-20㎜의 폭경을 가지고 있었다. 4. 골경화상의 형태, 건강골과의 경계 및 발현되는 상태는 일정하지 않았다.

• Imaging Science in Dentistry
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• v.39 no.3
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• pp.163-168
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• 2009

Purpose : To assess the clinical findings and hard tissue changes of osteomyelitis of the jaws using computed tomographic (CT) image analysis. Materials and Methods : We reviewed and interpreted the CT images of 163 patients (64 males and 99 females, age range from 10 to 87 years) who visited the Seoul National University Dental Hospital from April 23, 2006 to December 31, 2008 and were diagnosed as osteomyelitis of the jaws through clinical, radiologic, and histopathologic examination. Each CT findings was investigated for frequency, correlation with age and gender. Results : Of the 163 patients, 31 (19.0%) were affected on the maxilla, 135 (82.8%) were affected on the mandible, and 3 (1.8%) were affected on the both jaws simultaneously. The mean age of the patients who were affected on the maxilla was 61.0 years and that of the patients who were affected on the mandible was 56.2 years. On the maxilla, the most frequent site of disease was the posterior area (83.9%) and on the mandible, mandibular body (83.0%), followed by angle (48.1%), ramus (38.5%), condyle (13.3%), incisal area (9.6%), and coronoid process (3.0%). Among the 31 maxillary osteomyelitis, defect in the trabecular bone was observed in 28 (90.3%), osteosclerosis 20 (64.5%), defect in the cortical bone 27 (87.1%), sequestrum 17 (54.8%), and periosteal reaction 2 (6.5%). Among the 135 mandibular osteomyelitis, defect in the trabecular bone was observed in 100 (74.1%), osteosclerosis 104 (77.0%), defect in the cortical bone 116 (85.9%), sequestrum 36 (26.7%), and periosteal reaction 67 (49.6%). Conclusion : Of our cases, the maxillary osteomyelitis was visibly observed more frequently in females than males. The incidence is the highest in seventies (28.8%) and the lowest in teens (3.1%). The osteomyelitis of the jaws was observed more frequently in males than females before the age of 50, and observed more frequently in females after the age of 50. The most noticeable point was that the sequestrum was observed more often on maxillary osteomyelitis and the periosteal reaction was observed more often on mandibular osteomyelitis.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.36 no.6
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• pp.285-291
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• 2014

Osteopathia striata with cranial sclerosis (OS-CS) is characterized by linear bone dysplasia at the long bone radiographically and sclerotic change at the cranium. The purpose of this case report is to study the symptoms and treatments of osteomyelitis in a patient with OS-CS. A 41-year-old patient had pus discharge from a fistula at the mental region and increase in radiolucencies with sequestra in panoramic radiograph images. Computed tomography (CT) as well as radiograph images for the whole skeleton were taken. The patient was diagnosed with OS-CS. Sequestrectomy and fistulectomy were performed. The patient recovered and no relapse occurred within six months after surgery. For diagnosis of OS-CS, CT and additional radiograph images for the whole skeleton are required. Because of the increased bone density, this patient is prone to relapse after sequestrectomy. Therefore, the surgeon must minimize trauma with the least incision and exfoliation, and preoperative antibiotics.