Mixed radiolucent/radio-opaque jaw lesions (schematic radiographic approach)
Multiple patches
Multiple
skeletal bone
sites
Sun-ray appearance
Radio-opacity surrounded by
radiolucenct rim
multiple
Ground glass
appearance
Localized
Osteoid osteoma
Periapical
Osteosarcoma
Osteoblastoma
cemental
(intermediates
Florid
cemento
osseous
dysplasia
Single jaw
(mostly
mandible)
Diffuse
sclerosing
osteomyelitis
stage)
Odontoma
(compound)
Coronally
related
Complex
odontome
Fibrous
dysplasia
Associated
with
impacted
tooth
Non
associated
with
impacted
tooth
Gare's
osteomyelitis
Osteoradi
onecrosis
fibroma
Focal
cementoosseous
dysplasia
Cementoblastoma
(early stage)
Tooth
related
ragged and irregular
Cemento-ossifying
dysplasia
both jaws
(maxilla and
mandible)
Onion skin
appearance
Solitary
chondrosarcoma
Paget disease of
bone
Radiolucency with
radiopaque foci
Complex
odontome
Periapically related
Periapical
cemental dysplasia
cementoblastoma
Generalized
rarefaction
hyperparath
yroidism
Adenomatoid
Ameloblastic
Chronic
odontogenic
fibro
suppurative
tumor
odontoma
osteomyelitis
Gorlin cyst
chondroma
Pindborg tumor
References:
1. Oral Radiology 7th Edition Principles and Interpretation, Stuart White Michael Pharoah, 2013
2. Differential Diagnosis of Oral and Maxillofacial Lesions ,5th Edition, Norman Wood ,Paul Goaz,
1997
prepared by:
Asmaa mohamed abo gabal- teaching assistant , MTI University
Mohamed Osama Mostafa – teaching assistant , Beni – Suef University