CLINICOPATHOLOGICAL STUDY OF RADIOLUCENT LESIONS OF THE JAWS

Abstract

Objective:The objective of this study was to investigate the clinical and histopathological features of the radiolucent jaw lesions in patients reported to Khyber College of Dentistry Peshawar.
Materials and Methods:This descriptive study was conducted in Khyber College of Dentistry, Peshawar on 52 patients. Patients of all ages, both male and female presenting for Primary diagnosis of radiolucent jaw lesions were included. Clinical features like Site of the lesions and radiographic features like locularity and cortical integrity were also recorded. Detailed microscopical features of the lesions including, areas of haemorrhage, areas of vascular invasions and final diagnosis were recorded in proforma. In case of a tumour, complete tumour characteristics like benign or malignant lesions were also recorded. The data were analysed using SPSS 20.0. Mean, and the standard deviation was calculated for quantitative variables like age. Frequencies and percentages were calculated for qualitative variables like sex and features of radiolucent lesions.
Results:Males were 27 (51.9%), and females were 25 (48.1%). The mean age was 29.71±15.35 years. 71.2% of the lesions were unilocular and 88.5% of the lesions were benign. Most of the dentigerous cysts and Odontogenic keratocyst were present in the posterior region of both arches. All cases of unicystic ameloblastoma were in the posterior mandible. Radicular cysts were present almost all periapical areas in the anterior region of the jaws.
Conclusion:The common radiolucent lesions of the jaws include radicular cyst, odontogenic keratocyst, and dentigerous cyst. Most of the lesions were unilocular. The common locations for these lesions were posterior region. Most of these were benign and occurred at early ages.