Clinical and panoramic radiographic features of osteomyelitis of the jaw: A comparison between antiresorptive medication-related and medication-unrelated conditions

Shin, Jeong Won; Kim, Jo-Eun; Huh, Kyung-Hoe; Yi, Won-Jin; Heo, Min-Suk; Lee, Sam-Sun; Choi, Soon-Chul

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자료유형: 학술저널

저자정보: Shin, Jeong Won (Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine) Kim, Jo-Eun (Department of Oral and Maxillofacial Radiology, Seoul National University Dental Hospital) Huh, Kyung-Hoe (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) Yi, Won-Jin (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) Heo, Min-Suk (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) Lee, Sam-Sun (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) Choi, Soon-Chul (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University)

저널정보: 대한영상치의학회 Imaging science in dentistry Imaging science in dentistry 제49권 제4호

발행연도: 2019.1

수록면: 287 - 294 (8page)

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Purpose: This study was performed to analyze the clinical and imaging features of contemporary osteomyelitis(OM) and to investigate differences in these features on panoramic radiography according to patients' history of use of medication affecting bone metabolism. Materials and Methods: The records of 364 patients(241 female and 123 male, average age 66.8±14.9 years) with OM were retrospectively reviewed. Panoramic imaging features were analyzed and compared between patients with medication-related OM(m-OM) and those with conventional, medication-unrelated OM(c-OM). Results: The age of onset of OM tended to be high, with the largest number of patients experiencing onset in their 70s. The 2 most frequent presumed causes were antiresorptive medication use (44.2%) and odontogenic origin (34.6%). On panoramic radiographs, a mix of osteolysis and sclerosis was the most common lesion pattern observed (68.6%). Sequestrum, extraction socket, and periosteal new bone formation were found in 143(42.1%), 79 (23.2%), and 24 (7.1%) cases, respectively. The m-OM group exhibited sequestrum and extraction socket more frequently and displayed significantly higher mandibular cortical index values than the c-OM group. Conclusion: We observed some differences in imaging features as shown on panoramic radiography according to the history of antiresorptive medication use. This study may help elucidate the predictive imaging features of medication-related osteonecrosis of the jaw.

#Osteomyelitis #Osteonecrosis #Radiography, Panoramic

참고문헌 (18)

참고문헌 신청

Baltensperger MM / 2009 / Osteomyelitis of the jaws / Springer

이병도 / 2015 / Bisphosphonate-related osteonecrosis of the jaw in a multiple myeloma patient: A case report with characteristic radiographic features / Imaging Science in Dentistry 45(3):199~203

오주영 / 2008 / Bisphosphonate-related osteonecrosis of the jaw의 병리조직학적 소견 및 방사선학적 특징에 대한 임상적 고찰 / 대한구강악안면외과학회지 34(5):550~554

Prasad KC / 2007 / Osteomyelitis in the head and neck / Acta Otolaryngol 127:194~205

Marx RE / 2012 / Suppurative osteomyelitis, bisphosphonate induced osteonecrosis, osteoradionecrosis: a blinded histopathologic comparison and its implications for the mechanism of each disease / Int J Oral Maxillofac Surg 41:283~289

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이 논문의 저자 정보

Shin, Jeong Won

소속기관 Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine

주요연구분야 의약학 > 임상의학 > 치의학

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Kim, Jo-Eun