Radiopaque lesions of the jaw
Radiopaque lesion or area found on an x-ray? What is it? I’m going to slowly update with more interesting finds. Be aware most of these are bet guesses and not biopsy confirmed, as most do not warrant that. We have a post for radiolucent lesions on panos as well with much of the same information.
An unknown radiopaque area or lesion is a regular find in dentistry.
So what is the calcification that you found on the pano? Typically you can decide by location what the calcification is, but this is not always the case. I have found the following diagram very helpful.
An antrolith is a calcified mass in the maxillary sinus.
Idiopathic osteosclerosis or dense bone island DBI
The cause and classification of these is controversial. Biopsy is not necessary unless large changes occur. 25% growth in 6 months or 50% in one year according to Mariani 2009 Oral Implant.
This guy has an amazing website with tons of information on all sorts of pathology.
Ligature clips or staples can be seen in the neck region of panos
Sialoliths are present in .1-1% of the population although I think that is a very high number. 94% are in the submandibular gland, 5% in parotid and rest in sublingual and minor glands. Pinheiro 2021 Gen Dent
Calcified lymph nodes
Radiopaque foreign body in pano
This one is a gun shot wound patient (GSW). It’s actually just a pellet from a college incident of boys screwing around.
This one is the back to an ear ring. She is 12 and there is no memory of doing this. It was not visible in pano so never found until and orthodontic scan was done.
Surgical ligation clips
These pop up on panos. Usually will see a lot of them and they are on only one side in comparison to the next category which is on both sides.
Susuk charm needles
Will be in south east Asian women most likely. Put in place for health or beauty beliefs. Will likely be symmetrical to some degree, unlike surgical ligation clips.
More landmarks on a pano.
If you are looking for radiolucent lesions check out that blog.