Marmary Y, Kutiner G
Oral Surg Oral Med Oral Pathol. 1986 Apr;61(4):405-8. doi: 10.1016/0030-4220(86)90427-5.
A radiographic survey of the jawbone adjacent to the teeth revealed a high incidence of bone pathosis in 889 randomly chosen patients. Jaw lesions, nearly all inflammatory, were present in every second person. Bone-destructive inflammatory processes (rarefying osteitis) were the most frequently encountered lesions, occurring in both the maxilla and the mandible. Bone-appositioning inflammatory processes (condensing osteitis), on the other hand, appeared mostly in the mandible, very often involving the first molar, thus indicating the differing biologic behavior of the two jawbones. Other bony manifestations in the mandible, such as enostosis and periapical cemental dysplasia, although relatively rare, also formed part of the picture. In light of the absence of related symptoms, the clinical significance of these widely prevalent periapical lesions has to be reconsidered.
对889名随机选取的患者相邻牙齿的颌骨进行影像学检查，发现骨病变发生率很高。几乎每两个人中就有一人存在颌骨病变，且几乎均为炎症性病变。骨破坏性炎症过程（牙骨质吸收性骨炎）是最常见的病变，在上颌骨和下颌骨中均有发生。另一方面，骨增生性炎症过程（致密性骨炎）主要出现在下颌骨，常累及第一磨牙，这表明上下颌骨具有不同的生物学行为。下颌骨的其他骨质表现，如内生骨瘤和根尖牙骨质发育异常，虽然相对少见，但也构成了病变情况的一部分。鉴于缺乏相关症状，这些广泛存在的根尖周病变的临床意义必须重新审视。
