{"id":566,"date":"2021-12-24T08:22:19","date_gmt":"2021-12-24T08:22:19","guid":{"rendered":"https:\/\/medinaz.com\/blog\/?p=566"},"modified":"2022-01-04T06:46:48","modified_gmt":"2022-01-04T06:46:48","slug":"fibrous-dysplasia-radiology-dental-notes","status":"publish","type":"post","link":"https:\/\/medinaz.com\/blog\/2021\/12\/24\/fibrous-dysplasia-radiology-dental-notes\/","title":{"rendered":"Fibrous Dysplasia Radiology &#8211; Dental Notes"},"content":{"rendered":"\n<p>Fibrous Dysplasia Radiology &#8211; Location, periphery, internal structure, effects on surrounding structures<\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_55 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<p class=\"ez-toc-title\">Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-69d495748139c\"><span class=\"\"><span style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-69d495748139c\"  aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/medinaz.com\/blog\/2021\/12\/24\/fibrous-dysplasia-radiology-dental-notes\/#1_Location\" title=\"1. Location\">1. Location<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/medinaz.com\/blog\/2021\/12\/24\/fibrous-dysplasia-radiology-dental-notes\/#2_Periphery\" title=\"2. Periphery\">2. Periphery<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/medinaz.com\/blog\/2021\/12\/24\/fibrous-dysplasia-radiology-dental-notes\/#3_Internal_structures\" title=\"3. Internal structures\">3. Internal structures<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/medinaz.com\/blog\/2021\/12\/24\/fibrous-dysplasia-radiology-dental-notes\/#4_Effects_on_surrounding_structures\" title=\"4. Effects on surrounding structures\">4. Effects on surrounding structures<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"1_Location\"><\/span>1. Location<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Involves the <strong><span class=\"has-inline-color has-vivid-red-color\">maxilla<\/span><\/strong> almost twice often as the mandible<\/p>\n\n\n\n<p>Most commonly <strong><span class=\"has-inline-color has-vivid-red-color\">posterior region<\/span><\/strong><\/p>\n\n\n\n<p>Commonly <strong><span class=\"has-inline-color has-vivid-red-color\">unilateral<\/span><\/strong> and very rarely bilateral<\/p>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"2_Periphery\"><\/span>2. Periphery<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Periphery of the lesion is most commonly ill-defined and <strong><span class=\"has-inline-color has-vivid-red-color\">blends imperceptibly with the normal bone<\/span><\/strong><\/p>\n\n\n\n<p>The periphery of the young lesions sometimes appears to be sharp and even corticated.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Fibrous dysplasia: Radiology\" width=\"770\" height=\"433\" src=\"https:\/\/www.youtube.com\/embed\/3MksRsj8eaI?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>\n<\/div><figcaption><strong><span class=\"has-inline-color has-black-color\"><a href=\"https:\/\/youtu.be\/3MksRsj8eaI\" target=\"_blank\" rel=\"noreferrer noopener\">Watch the video for detailed explanation<\/a><\/span><\/strong><\/figcaption><\/figure>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"3_Internal_structures\"><\/span>3. Internal structures<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Density and trabecular pattern of the lesion vary considerably<\/p>\n\n\n\n<p>Variation is <strong><span class=\"has-inline-color has-vivid-red-color\">more pronounced in Mandible<\/span><\/strong> and <strong><span class=\"has-inline-color has-vivid-red-color\">more homogenous in maxilla<\/span><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"1024\" height=\"540\" src=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/1-1024x540.jpg\" alt=\"Internal aspect of FD\" class=\"wp-image-571\" srcset=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/1-1024x540.jpg 1024w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/1-300x158.jpg 300w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/1-768x405.jpg 768w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/1.jpg 1290w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption><strong><span class=\"has-inline-color has-black-color\">Internal aspect of FD<\/span><\/strong><\/figcaption><\/figure>\n\n\n\n<p><strong>The internal aspect of bone is of 3 types<\/strong><\/p>\n\n\n\n<ul><li>More radiolucent than normal<\/li><li>Less radiolucent than normal<\/li><li>Mixture of these 2 lesions<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"1024\" height=\"570\" src=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/2-1024x570.jpg\" alt=\"Internal aspect of Fibrous dysplasia\" class=\"wp-image-570\" srcset=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/2-1024x570.jpg 1024w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/2-300x167.jpg 300w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/2-768x427.jpg 768w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/2.jpg 1278w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption><strong><span class=\"has-inline-color has-black-color\">Internal aspect of Fibrous dysplasia<\/span><\/strong><\/figcaption><\/figure>\n\n\n\n<p>The <strong>early lesions<\/strong> appear as a <strong><span class=\"has-inline-color has-vivid-red-color\">cyst like radiolucency<\/span><\/strong> in the jaws<\/p>\n\n\n\n<p>Sometimes it appears to have granular internal septa, giving internal aspect a <strong><span class=\"has-inline-color has-vivid-red-color\">multilocular appearance<\/span><\/strong><\/p>\n\n\n\n<p><strong>Trabeculae<\/strong> \u2013 Abnormal trabeculae usually are shorter, thinner, irregularly shaped and more numerous than normal trabeculae<\/p>\n\n\n\n<p><strong>The altered trabeculae may give rise to various appearance such as-<\/strong><\/p>\n\n\n\n<p>-Orange peel (Peau D\u2019orange)<\/p>\n\n\n\n<p>-Ground glass<\/p>\n\n\n\n<p>-Thumb print<\/p>\n\n\n\n<p>-Cotton wool<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" width=\"700\" height=\"700\" src=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/FD-1.jpg\" alt=\"Fibrous dysplasia radiology types\" class=\"wp-image-572\" srcset=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/FD-1.jpg 700w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/FD-1-300x300.jpg 300w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/FD-1-150x150.jpg 150w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/FD-1-370x370.jpg 370w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/FD-1-45x45.jpg 45w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><figcaption><strong><span class=\"has-inline-color has-black-color\">Fibrous dysplasia radiology types<\/span><\/strong><\/figcaption><\/figure>\n\n\n\n<p>Simple bone cyst like bone cavities are seen and occurs more commonly in mandibular lesions<\/p>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"4_Effects_on_surrounding_structures\"><\/span>4. Effects on surrounding structures<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Small lesion has no effect on surrounding structure<\/p>\n\n\n\n<p>Typically cause enlargement of the bone from within cause ribbon like thinning of cortex<\/p>\n\n\n\n<p><strong><span class=\"has-inline-color has-vivid-red-color\">Expansion<\/span><\/strong> of the bone is even <strong><span class=\"has-inline-color has-vivid-red-color\">along it\u2019s length<\/span><\/strong> rather than the more concentric expansion seen with benign tumors<\/p>\n\n\n\n<p><strong><span class=\"has-inline-color has-vivid-red-color\">Vertical depth<\/span><\/strong> of the mandible is often <strong><span class=\"has-inline-color has-vivid-red-color\">increased<\/span><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"1024\" height=\"484\" src=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/3-1024x484.jpg\" alt=\"Expansion pattern of fibrous dysplasia\" class=\"wp-image-573\" srcset=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/3-1024x484.jpg 1024w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/3-300x142.jpg 300w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/3-768x363.jpg 768w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/3.jpg 1257w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption><strong><span class=\"has-inline-color has-black-color\">Expansion pattern of fibrous dysplasia<\/span><\/strong><\/figcaption><\/figure>\n\n\n\n<p>In the <span class=\"has-inline-color has-vivid-red-color\"><strong>maxilla<\/strong> <\/span>the lesion encroaches the sinus usually from the <strong><span class=\"has-inline-color has-vivid-red-color\">lateral-wall<\/span><\/strong> and last section of the sinus to be involved is the most postero-superior portion<\/p>\n\n\n\n<p><strong><span class=\"has-inline-color has-vivid-red-color\">Normal anatomic shape<\/span><\/strong> of the <strong><span class=\"has-inline-color has-vivid-red-color\">antrum<\/span><\/strong> is most oftenly <strong><span class=\"has-inline-color has-vivid-red-color\">maintained<\/span><\/strong><\/p>\n\n\n\n<p><strong><span class=\"has-inline-color has-vivid-red-color\">Lamina dura<\/span><\/strong> of the teeth in the affected area of the bone become <strong><span class=\"has-inline-color has-vivid-red-color\">indistinct<\/span><\/strong>.<\/p>\n\n\n\n<p><strong><span class=\"has-inline-color has-vivid-red-color\">PDL space<\/span><\/strong> may appear to be <strong><span class=\"has-inline-color has-vivid-red-color\">very narrow<\/span><\/strong><\/p>\n\n\n\n<p>FD can <strong><span class=\"has-inline-color has-vivid-red-color\">displace teeth<\/span><\/strong> and interfere with normal eruption<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"1024\" height=\"641\" src=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/4-1024x641.jpg\" alt=\"Fibrous dysplasia IOPA findings\" class=\"wp-image-574\" srcset=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/4-1024x641.jpg 1024w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/4-300x188.jpg 300w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/4-768x481.jpg 768w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/4.jpg 1050w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption><strong><span class=\"has-inline-color has-black-color\">Fibrous dysplasia IOPA findings<\/span><\/strong><\/figcaption><\/figure>\n\n\n\n<p><strong><span class=\"has-inline-color has-vivid-red-color\">Superior displacement of the IAN<\/span><\/strong> can is another typical finding of FD Rarely there is root resorption<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" width=\"700\" height=\"349\" src=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/FD-IOPA.jpg\" alt=\"Fibrous dysplasia IOPA findings 2\" class=\"wp-image-575\" srcset=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/FD-IOPA.jpg 700w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/FD-IOPA-300x150.jpg 300w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><figcaption><strong><span class=\"has-inline-color has-black-color\">Fibrous dysplasia IOPA findings 2<\/span><\/strong><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" width=\"700\" height=\"594\" src=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/FD-ans-1.jpg\" alt=\"Fibrous dysplasia unique radiological findings\" class=\"wp-image-576\" srcset=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/FD-ans-1.jpg 700w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/FD-ans-1-300x255.jpg 300w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><figcaption><strong><span class=\"has-inline-color has-black-color\">Fibrous dysplasia unique radiological findings<\/span><\/strong><\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Fibrous Dysplasia Radiology &#8211; Location, periphery, internal structure, effects on surrounding structures 1. Location Involves the maxilla almost twice often as the mandible Most commonly posterior region Commonly unilateral and very rarely bilateral 2. Periphery Periphery of the lesion is most commonly ill-defined and blends imperceptibly with the normal bone The periphery of the young<\/p>\n","protected":false},"author":1,"featured_media":567,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ub_ctt_via":""},"categories":[110],"tags":[112,111],"featured_image_src":"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/12\/Fibrous-dysplasia-radiology-notes.jpg","author_info":{"display_name":"Medinaz Academy","author_link":"https:\/\/medinaz.com\/blog\/author\/medinaz-blog-admin\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Fibrous Dysplasia Radiology - Dental Notes - Medinaz Blog<\/title>\n<meta name=\"description\" content=\"Fibrous Dysplasia Radiology illustrated High-yield notes for Dental students. 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