Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2015 Dec;45(4):253-61.
doi: 10.5624/isd.2015.45.4.253. Epub 2015 Dec 17.

Radiolucent rim as a possible diagnostic aid for differentiating jaw lesions

Hamed Mortazavi  1 , Maryam Baharvand  1 , Somayeh Rahmani  1 , Soudeh Jafari  1 , Parvin Parvaei  1
Affiliations
Case Reports

Radiolucent rim as a possible diagnostic aid for differentiating jaw lesions

Hamed Mortazavi et al. Imaging Sci Dent. 2015 Dec.

Abstract

In this study, we formulate a new proposal that complements previous classifications in order to assist dental practitioners in performing a differential diagnosis based on patients' radiographs. We used general search engines and specialized databases such as Google Scholar, PubMed, PubMed Central, MedLine Plus, Science Direct, Scopus, and well-recognized textbooks to find relevant studies by using keywords such as "jaw disease," "jaw lesions," "radiolucent rim," "radiolucent border," and "radiolucent halo." More than 200 articles were found, of which 70 were broadly relevant to the topic. We ultimately included 50 articles that were closely related to the topic of interest. When the relevant data were compiled, the following eight lesions were identified as having a radiolucent rim: periapical cemento-osseous dysplasia, focal cemento-osseous dysplasia, florid cemento-osseous dysplasia, cemento-ossifying fibroma, osteoid osteoma, osteoblastoma, odontoma, and cementoblastoma. We propose a novel subcategory, jaw lesions with a radiolucent rim, which includes eight entities. The implementation of this new category can help improve the diagnoses that dental practitioners make based on patients' radiographs.

Keywords: Diagnosis; Jaw diseases; Osseous Dysplasia.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1. A panoramic radiograph shows a radiolucent rim at the periphery of lesions (arrows) diagnosed as periapical cemento-osseous dysplasia.
Fig. 2
Fig. 2. Focal cemento-osseous dysplasia is seen at the periapex of the left mandibular first molar with a radiolucent rim (arrow) on a panoramic radiograph.
Fig. 3
Fig. 3. Florid cemento-osseous dysplasia is situated at the right, left, and anterior portions of the mandible, surrounded by a radiolucent rim (arrows).
Fig. 4
Fig. 4. A very large cemento-ossifying fibroma is located in the right aspect of the mandible with a radiolucent rim around the lesion (arrow).
Fig. 5
Fig. 5. A complex odontoma with a radiolucent rim in conjunction with a corticated border around the lesion (arrows).
Fig. 6
Fig. 6. Cementoblastoma is seen at the periapex of the left second mandibular molar. A radiolucent halo is apparent at the periphery of the lesion (arrows).
See this image and copyright information in PMC

References

    1. Neyaz Z, Gadodia A, Gamanagatti S, Mukhopadhyay S. Radiographical approach to jaw lesions. Singapore Med J. 2008;49:165–177. - PubMed
    1. George G, Padiyath S. Unicystic jaw lesions: a radiographic guideline. J Indian Acad Oral Med Radiol. 2010;22:S31–S36.
    1. Curé JK, Vattoth S, Shah R. Radiopaque jaw lesions: an approach to the differential diagnosis. Radiographics. 2012;32:1909–1925. - PubMed
    1. Wood NK, Goaz PW. Differential diagnosis of oral and maxillofacial lesions. 5th ed. St Louis: Mosby-Year Book Inc.; 1997. pp. 415–448.
    1. Sanjai K, Kumarswamy J, Kumar VK, Patil A. Florid cemento osseous dysplasia in association with dentigerous cyst. J Oral Maxillofac Pathol. 2010;14:63–68. - PMC - PubMed

Publication types