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

Authors

  • Renaz S. Salih Kurdistan Board for Medical Specialties, Sulaimani, Kurdistan Region, Iraq. Author
  • Balkees T. Garib Department of Oral Diagnosis, College of Dentistry, University of Sulaimani, Kurdistan Region, Iraq. Author

DOI:

https://doi.org/10.17656/sdj.10117

Keywords:

Cyst, Jaw bone, Lesions, Non-odontogenic, Odontogenic

Abstract

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.

References

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.

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.

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.

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.

Giju Georji SP. Unicystic jaw lesions: a radiographic guideline. JIAOMR. 2010;22(4):S31-6.

Stuart C.White, Michael J.Pharoah. Oral Radiology. 4th ed. John Scbrefer: Mosby; 2000. 205 p.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

Reichart P, Philipsen H, Sonner S. Ameloblastoma: biological profile of 3677 cases. Eur J Cancer B Oral Oncol. 1995;31(2):86-99.

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.

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.

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.

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.

Kebede B, Tare D, Bogale B, Alemseged F. Odontogenic tumors in Ethiopia: eight years retrospective study. BMC Oral Health. 2017;17(1):54.

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.

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.

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.

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.

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.

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.

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.

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.

Lawal AO, Adisa AO, Olusanya AA. Odontogenic tumours: A review of 266 cases. J Clin Exp Dent. 2013;5(1):e13-7.

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.

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.

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.

Published

2020-12-01

How to Cite

Clinicoradiographical Features of Jaw Bone Lesions in a Group of Patients Attended Two Maxillofacial Centers in Sulaimani City. (2020). Sulaimani Dental Journal, 7(2), 9. https://doi.org/10.17656/sdj.10117

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