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The most frequent and/or important lesions that affect the face and the jaws

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Abstract

Introduction

The radiology of the most important and/or frequent lesions affecting the bones of the face and jaws has been set out in this review and pictorial essay.

Methods

The latter is composed of multiple images displaying one or more key radiological features derived from almost every one of the most important and/ or frequent lesion affecting the face and the jaws. These images have been grouped together in 18 figures, each served by a detailed and free-standing legend. These lesions are outlined in a flowchart, which focuses on one or at most two radiological features in turn.

Results

It begins with those lesions that could indicate systemic disease, such as multiple lesions, and then proceeds onward to single lesions. The first of these single lesions are the neoplasms which need not only an early diagnosis, but also complete ablation in the majority of cases. Cystic lesions are then next, including consideration of the frequently occurring non-cysts such as simple bone cysts and lingual bone defects which require no treatment. Finally, it ends with the periapical radiolucency of inflammatory origin.

Conclusion

The most important and/or frequent lesions affecting the bones of the face and jaws that present to the oral and maxillofacial clinician can be considered systematically en route to the ‘periapical radiolucency of inflammatory origin,’ which is one of the most usually encountered lesions in clinical dentistry.

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Fig. 1
Fig. 2

Acknowledgements: a Dagenais et al. [2]. b, c Lee et al. [5]

Fig. 3

Acknowledgement: MacDonald [6]

Fig. 4

Acknowledgement: MacDonald [11]

Fig. 5

Acknowledgement: MacDonald [12]

Fig. 6

Acknowledgements: a–d MacDonald-Jankowski and Wu [17]. e MacDonald-Jankowski [18, 19]

Fig. 7

Acknowledgement: MacDonald [11]

Fig. 8

Acknowledgement: MacDonald [12]

Fig. 9

Acknowledgement: MacDonald [12]

Fig. 10

Acknowledgement: MacDonald [12]

Fig. 11

Acknowledgement: MacDonald [12]

Fig. 12

Acknowledgement: MacDonald [22]. c, d MacDonald [11]

Fig. 13

Acknowledgement: MacDonald [11]

Fig. 14

Acknowledgements: a, b, d MacDonald [11]. c MacDonald-Jankowski et al. [25]. e MacDonald [6]

Fig. 15

Acknowledgement: MacDonald [6]

Fig. 16

Acknowledgements: a MacDonald-Jankowski et al. [26]. b–d MacDonald-Jankowski et al. [27]

Fig. 17

Acknowledgements: a, b MacDonald [6]. c, d [11]

Fig. 18

Acknowledgement: MacDonald [6]

Fig. 19

Acknowledgement: MacDonald [6]

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References

  1. MacDonald D, Chan A, Harris A, Vertinsky T, Farman AG, Scarfe WC. Diagnosis and management of calcified carotid artery atheroma: dental perspectives. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;114:533–7.

    Article  Google Scholar 

  2. Dagenais M, MacDonald D, Baron M, Hudson M, Tatibouet S, Steele R, Gravel S, Mohit S, El Sayegh T, Pope J, Fontaine A, Masseto A, Matthews D, Sutton E, Thie N, Jones N, Copete M, Kolbinson D, Markland J, Nogueira-Filho G, David Robinson D, Gornitsky M. The Canadian Systemic Sclerosis Oral Health Study IV: oral radiographic manifestations in systemic sclerosis compared with the general population. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;120:104–11.

    Article  Google Scholar 

  3. MacDonald D, Gu Y, Zhang L, Poh C. Can clinical and radiological features predict recurrence in solitary keratocystic odontogenic tumors? Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;115:263–71.

    Article  Google Scholar 

  4. Fujita M, Matsuzaki H, Yanagi Y, Hara M, Katase N, Hisatomi M, Unetsubo T, Konouchi H, Nagatsuka H, Asaumi JI. Diagnostic value of MRI for odontogenic tumours. Dentomaxillofac Radiol. 2013;4:20120265.

    Article  Google Scholar 

  5. Lee BD, Lee W, Oh SH, Min SK, Kim EC. A case report of Gardner syndrome with hereditary widespread osteomatous jaw lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:e68–72.

    Article  Google Scholar 

  6. MacDonald D. Lesions of the jaws presenting as radiolucencies on cone-beam CT. Clin Radiol. 2016;71:972–85.

    Article  Google Scholar 

  7. Horner K, Allen P, Graham J, Jacobs R, Boonen S, Pavitt S, Nackaerts O, Marjanovic E, Adams JE, Karayianni K, Lindh C, van der Stelt P, Devlin H. The relationship between the OSTEODENT index and hip fracture risk assessment using FRAX. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110:243–9.

    Article  Google Scholar 

  8. MacDonald DS, Li T, Goto TK. A consecutive case series of nevoid basal cell carcinoma syndrome affecting the Hong Kong Chinese. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;120:396–407.

    Article  Google Scholar 

  9. MacDonald DS. A systematic review of the literature of nevoid basal cell carcinoma syndrome affecting East Asians and North Europeans. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;120:408–15.

    Article  Google Scholar 

  10. Papadaki ME, Lietman SA, Levine MA, Olsen BR, Kaban KB, Reichenberger EJ. Cherubism: best clinical practice. Orphanet J Rare Dis. 2012;7(Suppl 1):6. https://doi.org/10.1186/1750-1172-7-S1-S6.

    Article  Google Scholar 

  11. MacDonald D. Oral and maxillofacial radiology: a diagnostic approach, 2nd ed. Oxford, United Kingdom: Wiley-Blackwell; 2019 (ISBN 9781119218708).

    Book  Google Scholar 

  12. MacDonald DS. Maxillofacial fibro-osseous lesions. Clin Radiol. 2015;70:25–36.

    Article  Google Scholar 

  13. MacDonald-Jankowski DS, Yeung R, Li TK, Lee KM. Computed tomography of fibrous dysplasia. Dentomaxillofac Radiol. 2004;33:114–8.

    Article  Google Scholar 

  14. Walton K, Grogan TR, Eshaghzadeh E, Hadaya D, Elashoff DA, Aghaloo TL, Tetradis S. Medication related osteonecrosis of the jaw in osteoporotic vs oncologic patients-quantifying radiographic appearance and relationship to clinical findings. Dentomaxillofac Radiol. 2018;28:20180128.

    Google Scholar 

  15. Shudo A, Kishimoto H, Takaoka K, Noguchi K. Long-term oral bisphosphonates delay healing after tooth extraction: a single institutional prospective study. Osteoporos Int. 2018;29:2315–21.

    Article  Google Scholar 

  16. Soundia A, Hadaya D, Mallya SM, Aghaloo TL, Tetradis S. Radiographic predictors of bone exposure in patients with stage 0 medication-related osteonecrosis of the jaws. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;126:537–44.

    Article  Google Scholar 

  17. MacDonald-Jankowski DS, Wu PC. Cementoblastoma in the Hong Kong Chinese: a report of 4 cases. Oral Surg Oral Med Oral Pathol. 1992;73:760–4.

    Article  Google Scholar 

  18. MacDonald-Jankowski DS. Odontomas in a Chinese population. Dentomaxillofac Radiol. 1998;25:186–192.

    Article  Google Scholar 

  19. MacDonald-Jankowski DS. Fibro-osseous lesions of the face and jaws. Clin Radiol. 2004;59:11–25.

    Article  Google Scholar 

  20. MacDonald-Jankowski DS. Idiopathic osteosclerosis in the jaws of Britons and of the Hong Kong Chinese: radiology and systematic review. Dentomaxillofac Radiol. 1999;28:357–63.

    Article  Google Scholar 

  21. Noffke CE, Raubenheimer EJ, MacDonald D. Fibro-osseous disease: harmonizing terminology with biology. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;114:388–92.

    Article  Google Scholar 

  22. MacDonald D, Li T, Leung SF, Curtin J, Yeung A, Martin MA. Extranodal lymphoma arising within the maxillary alveolus: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017;124:e233-8.

    Article  Google Scholar 

  23. MacDonald D, Lim S. Extranodal lymphoma arising within the maxillary alveolus; a systematic review. Oral Radiol. https://doi.org/10.1007/s11282-017-0309-5.

    Article  Google Scholar 

  24. Kato H, Kanematsu M, Watanabe H, Kawaguchi S, Mizuta K, Aoki M. Differentiation of extranodal non-Hodgkins lymphoma from squamous cell carcinoma of the maxillary sinus: a multimodality imaging approach. Springerplus. 2015;4:228. https://doi.org/10.1186/s40064-015-0974-y.

    Article  PubMed  PubMed Central  Google Scholar 

  25. MacDonald-Jankowski DS, Yeung R, Lee KM, Li TK. Ameloblastoma in the Hong Kong Chinese. Part 2: systematic review and radiological presentation. Dentomaxillofac Radiol. 2004;33:141–51.

    Article  Google Scholar 

  26. MacDonald-Jankowski DS, Yeung R, Lee KM, Li TK. Odontogenic myxomas in the Hong Kong Chinese: clinico-radiological presentation and systematic review. Dentomaxillofac Radiol. 2002;31:71–83.

    Article  Google Scholar 

  27. MacDonald-Jankowski DS, Yeung RW, Li T, Lee KM. Computed tomography of odontogenic myxoma. Clin Radiol. 2004;59:281–7.

    Article  Google Scholar 

  28. Kao YH, Huang IY, Chen CM, Wu CW, Hsu KJ, Chen CM. Late mandibular fracture after lower third molar extraction in a patient with Stafne bone cavity: a case report. J Oral Maxillofac Surg. 2010;68:1698–700.

    Article  Google Scholar 

  29. Molven O, Halse A, Fristad I, MacDonald-Jankowski D. Periapical changes following root-canal treatment observed 20–27 years postoperatively. Int Endod J. 2002;35:784–90.

    Article  Google Scholar 

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Authors and Affiliations

  1. Division of Oral and Maxillofacial Radiology, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada

    David MacDonald

  2. British Columbia Cancer Agency, Vancouver, Canada

    David MacDonald

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  1. David MacDonald
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Correspondence to David MacDonald.

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MacDonald, D. The most frequent and/or important lesions that affect the face and the jaws. Oral Radiol 36, 1–17 (2020). https://doi.org/10.1007/s11282-019-00367-4

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