Vesterinen Senni, Sihvo Hanna-Kaisa, Airas Niina, Kuntsi Helena
Anident Veterinary Clinic, Kirkkonummi, Finland.
Solumo Pathologists Ltd, Helsinki, Finland.
Front Vet Sci. 2025 Jan 15;11:1529669. doi: 10.3389/fvets.2024.1529669. eCollection 2024.
Radiopaque lesions of the mandible are occasional findings in dental radiographs in dogs. The different diagnoses of densely sclerotic lesions in humans include odontoma, idiopathic osteosclerosis, condensing osteitis, hypercementosis, osteoma, osteoblastoma, and oral exostosis. Publications on many of these conditions in dogs are scarce. This clinical report describes three young adult dogs with radiologically and histologically similar radiopaque mandibular lesions that had either displaced or narrowed the mandibular canal. One dog showed symptoms that could have been consistent with neurological pain due to the lesion. Diagnostics included clinical examination, dental radiographs, cone beam computed tomography and histology. Radiographically and clinically, the lesions resembled human idiopathic osteosclerosis. Histology alone did not reveal a definitive diagnosis, but combining histology with clinical and radiographic data, the most likely diagnosis was idiopathic osteosclerosis. The dogs returned for follow-ups 6 months after the surgeries, and there was no evidence of additional growth in the remaining lesions.
下颌骨的不透射线病变偶尔会在犬类牙科X光片中被发现。人类致密性硬化性病变的不同诊断包括牙瘤、特发性骨硬化、骨炎、牙骨质增生、骨瘤、成骨细胞瘤和口腔外生骨疣。关于犬类这些病症的许多情况的出版物很少。本临床报告描述了三只年轻成年犬，它们具有放射学和组织学上相似的不透射线下颌骨病变，这些病变使下颌管移位或变窄。一只犬表现出的症状可能与该病变导致的神经痛相符。诊断方法包括临床检查、牙科X光片、锥形束计算机断层扫描和组织学检查。在放射学和临床上，这些病变类似于人类特发性骨硬化。仅组织学检查未得出明确诊断，但将组织学与临床和放射学数据相结合，最可能的诊断是特发性骨硬化。这些犬在手术后6个月回来进行随访，剩余病变没有进一步生长的迹象。
