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Idiopathic osteosclerosis is a condition which may be found around
the roots of a tooth. It is usually painless and found during
routine radiographs. It appears as a radiopaque (light area) around
a tooth, usually a premolar or molar. There is no sign of
inflammation of the tooth. Definition: Focal radiodensity of the
jaw which is NOT inflammatory, dysplastic, neoplastic or a
manifestation of a systemic disease. This is common and affects 5%
of the population, usually seen in teens and those in their 20's.
Typically asymptomatic and is an incidental finding on a
radiograph. Radiology: Well defined, rounded or triangular
radiodensity, that is uniformly opaque. There is no lucent
component. Found near the root apex or in the inter-radicular area.
Rood resorption and tooth movement are rare. Diagnosis: Usual
diagnosis is via radiograph, patient history, biopsy is rarely
needed. Periodic follow ups should included additional radiographs
that show minimal growth or regression. Treatment: No treatment is
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