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Condensing osteitis is the clinical designation for a tooth with chronic apical bone exposed to the oral cavity with secondary infection from normal oral flora. Condensing osteitis is defined as pathologic growth of maxillomandibular bones the impaired bone rearrangement in response to mild infection of dental pulp. bMareşal Çakmak Hospital, Oral Health Center, Erzurum, Turkey. Received: Objectives: Condensing osteitis is defined as pathologic sclerosis of maxillo- mandibular bones that region or root treatment of related the tooth.

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Condensing osteitis – Wikipedia

May represent a physiologic bone reaction to a known stimulus; thus, in a classic case, the radiopaque bone lesion itself need not be removed The inflamed tooth that stimulated the focal sclerosing osteomyelitis should first be diagnosed and treated For a necrotic tooth pulp or irreversible pulpitis, dental extraction or endodontic therapy is performed causing many cases to partially regress and not enlarge radiographically For nonclassic radiographic or clinical cases, bone lesion biopsy may be useful to rule out more significant lesions.

Infection of periapical tissues of a high immunity host by organisms of low virulence which leads to a localized bony reaction to a low grade inflammatory stimulus.

Benign cemento-osseous lesions and inflammatory lesions such as apical sclerosing or condensing osteitis. Condensing osteitis Synonyms Chronic focal sclerosing osteomyelitis [1] ,Garre’s disease described by Dr.

Dense Bone Islands are synonymous with enostoses or idiopathic osteosclerosisbone scarfocal osteo-sclerosis and peri-apical osteo-petrosis. The associated tooth may be carious or contains a large restoration, and is usually associated with a non-vital tooth. The effect on adjacent teeth may include indistinct lamina dura and periodontal ligament space and root resorption.

It is more or less rounded with size varying from a few millimetres up to a centimetre or more. Dense Bone Islands DBI’s are also known as enostoses or idiopathic osteosclerosis, bone scarfocal osteosclerosis and peri-apical osteopetrosis.


Condensing osteitis in oral region.

In some cases, it inhibits the eruption of normal teeth. This website is intended for pathologists and laboratory personnel, who understand that medical information is imperfect and must be interpreted using reasonable medical judgment.

Last Updated 7th September This section is empty. The associated teeth are usually asymptomatic.

Dense Bone Islands & Enostoses

Owteitis classic alteration consists of a localized, usually uniform zone of increased radiodensity adjacent to the apex of a tooth Tooth may exhibit a radiographically widened periodontal ligament space or an radiolucent apical inflammatory lesion such as periapical granuloma Is a non-expansile intraosseous process Radiographic differential diagnosis includes periapical cemental dysplasia, osteoma, complex odontoma, cementoblastoma, osteoblastoma and hypercementosis.

The offending tooth should be tested for vitality of the pulp, if inflamed or necrotic, then endodontic treatment is required as soon as possible, while hopeless teeth should be extracted.

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Inflammations Osteitis Pathology of the maxilla and mandible. From Wikipedia, the free encyclopedia. How are they diagnosed? Focal internal growth of bone commonly seen in the premolar-molar region of reegion mandible. Tooth is vital in affected area.


Infobox medical condition Articles to be expanded from December All articles to be osteiyis Articles with empty sections from December All articles with empty sections Articles using small message boxes.

Osteomyelitis of the Jaws,pages95, Accessed December 31st, Bone Islands of the Craniomaxillofacial Region.

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The lesion appears as a radiopacity in the periapical area hence the sclerotic reaction. Possible osteoblastic response causing secondary sclerosis in response to a low grade inflammatory stimulus from an inflamed dental pulp. They are the internal counterparts of exostoses.


Condensing osteitis is a periapical inflammatory disease that results from a reaction to a dental related infection. Page views in New author database being installed, click here for details. In rare cases, it may cause external resorption due to pressure when it is located peri-apical to the tooth.

If the offending tooth is extractedthe area of condensing osteitis may remain in the jaws indefinitely, which is termed osteosclerosis or bone scar. Once, the condition is diagnosed, treatment is neither indicated nor necessary. The location of the lesion is classified as mandibular or maxillary firstly, then further by region of the jaw: It represents a focus of mature compact cortical bone within the cancellous bone spongiosa.

Apical region of inflamed dead or dying teeth pulpitis or pulpal necrosis Usually seen in premolar and molar areas of mandible Dental pulp of the involved tooth demonstrates pulpitis or necrosis upon formal testing Rarely seen adjacent to a sound, unrestored tooth suggesting that other causative factors such as malocclusion may be operative.

Incisivecaninecanine-premolarpre-molarpre- molar-molar or molar. This causes more bone production rather than bone destruction in the area most common site is near the root apices of premolars and molars.

The shape of the DBI is classified as either round or irregular. The process is usually asymptomatic and benignin most cases the tooth will require root canal treatment. The prognosis is excellent, once root canal treatment is completed. No change in size or any malignant potential.