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Idiopathic osteosclerosis, also known as enostosis or dense bone island, is a condition which may be found around the roots of a tooth, usually a premolar or molar. [2] It is usually painless and found during routine radiographs as an amorphous radiopaque (light) area around a tooth.
Enostosis is usually found in T1 to T7 for the thoracic spine and L2 to L3 in the lumbar spine. It consists of cortical bone merging with medullary bone with irregular margins. The shape of the lesion is round or oval with a thornlike margin, up to 2 cm in diameter. In both T1 and T2-weighted imaging, it shows low signal intensity.
Osteopoikilosis is a benign, autosomal dominant, sclerosing (hardening) dysplasia of bone characterized by the presence of numerous bone islands in the skeleton. [ 1 ] Presentation
Osteosclerosis is a disorder characterized by abnormal hardening of bone and an elevation in bone density. It may predominantly affect the medullary portion and/or cortex of bone. Plain radiographs are a valuable tool for detecting and classifying osteosclerotic disorders. [1] [2] It can manifest in localized or generalized osteosclerosis.
Condensing osteitis, also known as focal sclerosing osteomyelitis, is a rare periapical inflammatory condition characterized by the formation of sclerotic bone near the roots of premolars and molars. This condition arises as a response to dental infections, such as periapical pulp inflammation or low-intensity trauma.
Periapical radiographs can locate radiopaque structures in proximity to the root which can appear as dense bone islands or periapical osseous dysplasia in cases of hypercementosis. [9] The majority of affected teeth appear club-shaped due to cemental hyperplasia diffusing in a variety of severities. Most appear in the apical third of the root. [10]
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A bone scan or bone scintigraphy / s ɪ n ˈ t ɪ ɡ r ə f i / is a nuclear medicine imaging technique used to help diagnose and assess different bone diseases. These include cancer of the bone or metastasis , location of bone inflammation and fractures (that may not be visible in traditional X-ray images ), and bone infection (osteomyelitis).