Imaging Sci Dent.  2015 Dec;45(4):253-261. 10.5624/isd.2015.45.4.253.

Radiolucent rim as a possible diagnostic aid for differentiating jaw lesions

• Mortazavi
• Baharvand
• Rahmani S
• Jafari S
• Parvaei P

• KMID: 2132939
• DOI: http://doi.org/10.5624/isd.2015.45.4.253

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.

Keyword

Jaw diseases; Diagnosis; Osseous Dysplasia

MeSH Terms

Classification
Complement System Proteins
Diagnosis
Diagnosis, Differential
Fibroma
Jaw Diseases
Jaw*
Odontoma
Osteoblastoma
Osteoma, Osteoid
Search Engine
Complement System Proteins

Figure

• 

  Fig. 1 A panoramic radiograph shows a radiolucent rim at the periphery of lesions (arrows) diagnosed as periapical cemento-osseous dysplasia.

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  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.

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  Fig. 3 Florid cemento-osseous dysplasia is situated at the right, left, and anterior portions of the mandible, surrounded by a radiolucent rim (arrows).

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  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).

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  Fig. 5 A complex odontoma with a radiolucent rim in conjunction with a corticated border around the lesion (arrows).

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  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).

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