Waldron C A, Giansanti J S, Browand B C
Oral Surg Oral Med Oral Pathol. 1975 Apr;39(4):590-604. doi: 10.1016/0030-4220(75)90201-7.
A series of thirty-eight cases of densely sclerotic lesions of the jaws was studied. The lesions were all at least 1.5 cm, in diameter. Pain, drainage, or localized expansion of the jaw was present in two thirds of the patients. Thirty-four of the thirty-eight patients were women, and twenty-five were negros. In fourteen instances, a radiographic survey of the entire jaws was available. Thirteen of these fourteen patients had multiple lesions which were usually symmetrically distributed throughout the jaws. In twenty-four patients radiographs of the lesional area only were available for review. In thirty-four of the thirty-eight cases (89 per cent), the sclerotic masses were interpreted as cementum. Although this condition has previously been described as chronic sclerosing osteomyelitis, sclerosing osteitis, multiple enostosis, or gigantiform cementoma, it appears more appropriate to consider these lesions as part of the spectrum of the benign fibro-osseous lesions of periodontal ligament origin. Four of the sclerotic lesions, which were radiographically indistinguishable from the cemental lesions, consisted only of bone. Two of these appeared to be examples of true chronic sclerosing osteomyelitis, and two may be appropriately designated as enostosis or osteomas.
对38例颌骨致密性硬化性病变进行了研究。这些病变直径均至少为1.5厘米。三分之二的患者存在疼痛、引流或颌骨局部膨隆。38例患者中有34例为女性，25例为黑人。14例患者有全颌骨的影像学检查资料。这14例患者中有13例有多处病变，通常对称分布于全颌骨。24例患者仅有病变区域的X线片可供复查。38例中有34例（89%），硬化性肿块被诊断为牙骨质。尽管这种情况以前被描述为慢性硬化性骨髓炎、硬化性骨炎、多发性内生骨瘤或巨大型牙骨质瘤，但将这些病变视为牙周膜来源的良性纤维-骨病变谱的一部分似乎更为合适。4例硬化性病变在X线片上与牙骨质病变无法区分，仅由骨组成。其中2例似乎是真正的慢性硬化性骨髓炎，另外2例可恰当地诊断为内生骨瘤或骨瘤。
