Issues‎ > ‎vol7no2‎ > ‎


Clinicoradiographical Features of Jaw Bone Lesions in a Group of Patients Attended Two Maxillofacial Centers in Sulaimani City

Renaz S. Salih*, Balkees T. Garib**

*Kurdistan Board for Medical Specialties, Sulaimani, Iraq.
**Department of Oral Diagnosis, College of Dentistry, Sulaimani University, Sulaimani, Iraq.

Submitted: 01/12/2019; Accepted: 05/07/2020; Published 01/12/2020



Objective: This study aims to determine the distribution, clinical and radiographic features of different jaw lesions.          

Methods: A descriptive study included 110 cases of jaw bone lesions collected along seven years from two major maxillofacial centers in Sulaimani governorate-Iraq.

Results: The sample predominated by males (59.1%), male to female ratio of 1.4:1., the most affected age group 21-40 years (40.9%), the most common presenting sign was swelling (74.5%) besides, the swelling was the most common chief complain (with pain 30%; or without pain 59.1%). Systemic symptoms like fever and weight loss were present in only four patients (3.6%). One-third of cases (33.6%) presented for the 2-12months duration. The mandible was affected in 56.4% of cases. Regarding the radiographic features, 80% of lesions were ≤5cm in maximum dimension, 69.1% of the lesions were radiolucent. Ill or well-defined borders were equally presented (47.3%). 39.9% of lesions related to the teeth (root apices, impactions, displacement, and resorption). Concerning the diagnosis, 48.2% of the lesions were diagnosed as a cyst, followed by tumors 29.1%. 

Conclusions: Jaw lesions of different origins can share the same clinical and radiographic features; dental professionals should have information about the most common lesions to guide them toward proper investigations and management.


Keywords: Cyst, Jaw bone, Lesions, Non-odontogenic, Odontogenic.                                                                                                                                                                                             Full Article - PDF                                                                                                                                                                                                                                   


1. Eldaya R, Eissa O, Herrmann S, Pham J, Calle S, Uribe T. Mandibular lesions: a practical approach for diagnosis based on multimodality imaging findings. Contemp.Diagn.Radiol. 2017;40(6):1-7.
2. Dantu R, Puranik SR. Prevalence of jaw lesions in Bagalkot population a clinical and radiographic study. Int J Community Med Public Health. 2017;4(11):4296-302.
3. Kumavat PV, Gadgil NM, Dhusia H, Agarval S, Margam SS, Chaudhari CS. A clinical, radiological and histological study of jaw lesions from pathologist's view. IJPO. 2016;3(3):414-20.
4. Odai E, Ogbeide E. Clinico-radiological presentations of maxillofacial hard-tissue swellings in a tertiary health facility in West African suburb. BJSTR. 2017;1(3):689-92.
5. Giju Georji SP. Unicystic jaw lesions: a radiographic guideline. JIAOMR. 2010;22(4):S31-6.
6. Stuart C.White, Michael J.Pharoah. Oral Radiology. 4th ed. John Scbrefer: Mosby; 2000. 205 p.
7. Becconsall‐Ryan K, Love RM. Range and demographics of radiolucent jaw lesions in a New Zealand population. J Med Imaging Radiat Oncol. 2011;55(1):43-51.
8. Bhaskar SN. Oral surgery—oral pathology conference no. 17, Walter Reed Army Medical Center: Periapical lesions—types, incidence, and clinical features. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.1966;21(5):657-71.
9. Spatafore CM, Griffin JA, Keyes GG, Wearden S, Skidmore A. Periapical biopsy report: an analysis over a 10-year period. J Endod. 1990;16(5):239- 41.
10. Nair PR, Pajarola G, Schroeder HE. Types and incidence of human periapical lesions obtained with extracted teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81(1):93-102.
11. Bataineh AB, Ma'amon AR, Qudah MAA. The prevalence of inflammatory and developmental odontogenic cysts in a Jordanian population: a clinicopathologic study. Quintessence Int. 2004;35(10):815-9.
12. Jones A, Craig G, Franklin C. Range and demographics of odontogenic cysts diagnosed in a UK population over a 30‐year period. J Oral Pathol Med. 2006;35(8):500-7.
13. Mosadomi A. Odontogenic tumors in an African population: analysis of twenty-nine cases seen over a 5-year period. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.1975;40(4):502-21.
14. Günhan Ö, Erseven G, Ruacan Ş, Celasun B, Aydintug Y, Ergun E, et al. Odontogenic tumours. A series of 409 cases. Aust.Dent.J. 1990;35(6):518-22.
15. Lu Y, Xuan M, Takata T, Wang C, He Z, Zhou Z, et al. Odontogenic tumors: a demographic study of 759 cases in a Chinese population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;86(6):707-14.
16. Ladeinde AL, Ajayi OF, Ogunlewe MO, Adeyemo WL, Arotiba GT, Bamgbose BO, et al. Odontogenic tumors: a review of 319 cases in a Nigerian teaching hospital. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;99(2):191-5.
17. Kreidler JF, Raubenheimer EJ, van Heerden WF. A retrospective analysis of 367 cystic lesions of the jaw—the Ulm experience. J Craniomaxillofac Surg. 1993;21(8):339-41.
18. Daley TD, Wysocki GP, Pringle GA. Relative incidence of odontogenic tumors and oral and jaw cysts in a Canadian population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1994;77(3):276-80.
19. Reichart P, Philipsen H, Sonner S. Ameloblastoma: biological profile of 3677 cases. Eur J Cancer B Oral Oncol. 1995;31(2):86-99.
20. Brannon RB. The odontogenic keratocyst: a clinicopathologic study of 312 cases. Part I. clinical features. Oral Surg Oral Med Oral Pathol. 1976;42(1):54-72.
21. Myoung H, Hong S-P, Hong S-D, Lee J-I, Lim C- Y, Choung P-H, et al. Odontogenic keratocyst: review of 256 cases for recurrence and clinicopathologic parameters. Oral Surg Oral Med Oral Pathol. 2001;91(3):328-33.
22. Zhao Y-F, Wei J-X, Wang S-P. Treatment of odontogenic keratocysts: a follow-up of 255 Chinese patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94(2):151-6.
23. Sittitavornwong S, Koehler JR, Said-Al-Naief N. Glandular odontogenic cyst of the anterior maxilla: case report and review of the literature. J Oral Maxillofac Surg. 2006;64(4):740-5.
24. Kebede B, Tare D, Bogale B, Alemseged F. Odontogenic tumors in Ethiopia: eight years retrospective study. BMC Oral Health. 2017;17(1):54.
25. Naz I, Mahmood MK, Akhtar F, Nagi AH. Clinicopathological evaluation of odontogenic tumours in pakistan-A seven years retrospective study. Asian Pac J Cancer Prev. 2014;15(7):3327- 30.
26. Awan MUA, Babar A, Ibrahim MW. Pattern and presentation of odontogenic jaw cysts: A clinical experience. Pak Armed Forces Med J. 2017;67(1):102-06.
27. Ali K, Munir F, Rehman A, Abbas I, Ahmad N, Akhtar MU. Clinico-radiographic study of odontogenic cysts at a tertiary care centre. J Ayub Med Coll Abbottabad. 2014;26(1):92-4.
28. Avelar RL, Antunes AA, de Santana Santos T, de Souza Andrade ES, Dourado E. Odontogenic tumors: clinical and pathology study of 238 cases. Braz J otorhinolaryngol. 2008;74(5):668-73.
29. Araujo JP, Lemos CA, Miniello TG, Alves FA. The relevance of clinical and radiographic features of jaw lesions: A prospective study. Braz Oral Res. 2016;30(1):e96.
30. Meningaud J-P, Oprean N, Pitak-Arnnop P, Bertrand J-C. Odontogenic cysts: a clinical study of 695 cases. J Oral Sci. 2006;48(2):59-62.
31. Al-Rawi NH, Awad M, Al-Zuebi IE, Hariri RA, Salah EW. Prevalence of odontogenic cysts and tumors among UAE population. J Orofac Sci. 2013;5(2):95.
32. Johnson NR, Savage NW, Kazoullis S, Batstone MD. A prospective epidemiological study for odontogenic and non-odontogenic lesions of the maxilla and mandible in Queensland. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2013;115(4):515-22.
33. Lawal AO, Adisa AO, Olusanya AA. Odontogenic tumours: A review of 266 cases. J Clin Exp Dent. 2013;5(1):e13-7.
34. Grossmann SM, Machado VC, Xavier GM, Moura MD, Gomez RS, Aguiar MCF, et al. Demographic Vol 7(2) Salih and Garib 69 profile of odontogenic and selected non- odontogenic cysts in a Brazilian population. Oral Surg Oral Med Oral Pathol. 2007;104(6):e35-e41.
35. Estrela C, Bueno MR, Azevedo BC, Azevedo JR, Pécora JD. A new periapical index based on cone beam computed tomography. J Endod. 2008;34(11):1325-31.
36. Avelar RL, Antunes AA, Carvalho RW, Bezerra PG, Neto PJO, Andrade ES. Odontogenic cysts: a clinicopathological study of 507 cases. J Oral Sci. 2009;51(4):581-6.

Creative Commons License © The Authors, published by University of Sulaimani, College of Dentistry