Hi. I am new to this board, but have some questions that are concerning me. First of all, a couple of weeks ago I went to a new dentist(mind you I had put dentistry off for several yrs). They did the regular x-ray, cleaning, etc... At the end, the dentist was concerned with my x-ray. The x-ray reveals a mass at the bottom of my jaw, in which he said looks like Osteoslerosis. This isn't the big area-- there is a white circular mass around my molar and the root is missing. Today, the dentist said that he wasn't sure what it was, but the oral surgeon would have to check this out. I keep thinking it is cancer, and have been making myself ill about it. I have lost relatives in their 80s to bone cancer... I have a lo and I am fairly young, but don't know what to do. My DH and family tells me to stop worrying, but this is so scary... Can someone give me some words of wisdom,etc... I originally thought this could be a cyst, but the doctor informed me if it were the case, it would be localized and dark, not white and sporadic in my jaw bone. Please write me. I have been crying and stressed about this. Thanks.
Original Post
Hello Maxmama77

It is most unlikely to be a cancer. I think it is an idiopathic osteosclerosis.
quote:
Idiopathic osteosclerosis (IO) is described as a localized no expansible radiopacity with unknown etiology. The IO is generally asymptomatic and could appear as round, elliptical or irregular in shape. The internal aspect is usually uniformly radiopaque. IO should be distinguished from condensing osteitis of dental origin, or other alveolar bone related radiopacities such as periapical cemental dysplasia. This condition may cause changes in tooth position or problems during orthodontic treatment. The purpose of the present study is to report a case of tooth resorption caused by caused by IO. This condition represents a rare complication of IO.
It appears that yours might be the second case in the world where a root is resorbed! Wink

Have a good day. Let me know what your specialist says.

Best wishes
Vinod Coffee

Let me know how you get on.
Dear Dr. Joshi,
Thank you so much for sending this article to me. I do hope this is the case, as compared to the other, yet I do not know. Yesterday, the dentist took an x-ray of the opposite side of mouth for some fillings. After my appointment, he began looking at my lesion again asking the date of my biopsy, etc... He made the comment that it did look like my growth was "spreading" but I do not know if he meant to the new x-ray on the right side of my face where the filling was (as though it would spread to the right that quickly), or he meant the original x-ray taken a few weeks ago, which it did look like he was reviewing. I am thinking he was reviewing the old x-ray, but I am going to contact the office today. I am kind of lost right now. I did tell the dentist I go back in May 28 for the biopsy-if it were immediately spreading, I would think he would push the biopsy to a different date, but not sure. It is so nice that you have given me a different view of this. This is troubling me a great deal. Thank you for your help.
Reposted to avoid another thread:
quote:
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Maxmama77 said:
Hi. I posted the following message under Questions, and Dr. Joshi kindly replied, and thought it could be IO, which sounds plausable. However, the more I think about it, I am terrified of my situation. Also, if Dr. Joshi is reading this, I forgot to add that the dentist was reviewing the x-ray and said it looked like "whatever it is, looks as though it is spreading to some degree." He did mention something looked like IO, but then goes on and says "I just am concerned about this missing root, etc..." He did not do a second x-ray, just one of the right side of my mouth for my filling, though. This has had me up late at night, like right now. My x-ray shows strange bone density and there is a missing root, with a strange, white swirly lesion around the area- I do hope this could be a componet of the IO or something similar rather than cancer. In the article it seems as though IO could do this, in fact, my xray looked a bit like the one on the site, but I was just wondering if it could cause a spreading or unbalanced lesion, too. The Oral surgeon said there are many things it could be and his quote, "I would put anything bad at the very bottom of the list." You never know though. The biopsy is on May 28th. I just keep making myself queasy about this. I pray a lot, but have few friends to discuss this with. I was just wondering WHY my dentist is making me so worried... He must think something bad, but then he will go back to "Don't worry, etc..." Anyway, if I could get some more feedback on this, from Dr. Joshi and the usual posters, that would be great. I just keep thinking the worst. Plus, I am unfamiliar with Jaw biopsies, what they entail, etc... I am terrified of the whole thing. Thanks.

*******
Hello maxmamma77 can you explain your name?

My advice: Even a benign lesion like IO can grow, but very slowly over years. Hence it was an incidental finding. I would stop worrying about what your dentist says. He is not the expert!
quote:
The Oral surgeon said there are many things it could be and his quote, "I would put anything bad at the very bottom of the list."


Best wishes
Vinod Coffee
Hi Dr. Joshi, I moved my date up for tomorrow for the biopsy. I did tell my OS that I didn't have pain in my mouth, but have had a pulling sensation in my neck (which I did notice is below the area in question). The OS didn't act too concerned, but I don't know if this would be considered jaw/tumor pain or what. It happens every now and then and isn't disruptive. The OS felt my lymph nodes and said they seem fine. I had my GP check this area out several months ago, but she thought it was a pulled musle. I really hope things go well tomorrow.
Hi Maxmama77,
I'm new to this site and have just read your postings. What a horrible time for you. I just want to wish you all the luck in the world for tomorrow!
Feefs x
Hello Maxmama77

It is good to have the biopsy done tomorrow. Getting it done sooner will avoid your worrying for even longer. I assume that they will numb the area and take a sample of bone and that it will be sore afterwards - a bit like after an extraction. If the lesion has been extremely slow growing and only incidentally found on a x=ray by the dentist, it looks promising as most mouth cancers are NOT found accidentally. So I hope that cheers you up. Smiler

Good luck for tomorrow.

Best wishes
Vinod Coffee
Hi Maxmama77,
Hopefully you will get positive news. Just remember God never gives us more than we can handle. My husband and I have really leaned on that phrase over the past fews months. We are here in Tennessee and although we found an excellent local ENT in Greeneville, Duke University has one of the best oral cancer centers in the U.S. We will hope that none of the will be important to you after tomorrow and you will receive positive new.
Kimberly

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