Evidence map›Paper›PMID 42825838›Full record

ArticleClinical oral investigations2026

Modality-specific quantitative radiologic characterization of diffuse sclerosing osteomyelitis of the mandible: a pilot study.

Katharina Theresa Obermeier, Wenko Smolka, Sven Otto, Anusha Abdullah, Gabriele Kaeppler, Eric Hesse, Ina Dewenter, Yoana Malenova

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In one paragraph

Article in Clinical oral investigations, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Katharina Theresa ObermeierDepartment of Oral and Maxillofacial Surgery and Facial Plastic Surgery, LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universität München, Lindwurmstr. 2a, D-80337, Munich, Germany. katharina.obermeier@med.uni-muenchen.de.
Wenko SmolkaDepartment of Oral and Maxillofacial Surgery and Facial Plastic Surgery, LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universität München, Lindwurmstr. 2a, D-80337, Munich, Germany.
Sven OttoDepartment of Oral and Maxillofacial Surgery and Facial Plastic Surgery, LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universität München, Lindwurmstr. 2a, D-80337, Munich, Germany.
Anusha AbdullahDepartment of Oral and Maxillofacial Surgery and Facial Plastic Surgery, LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universität München, Lindwurmstr. 2a, D-80337, Munich, Germany.
Gabriele KaepplerDepartment of Oral and Maxillofacial Surgery and Facial Plastic Surgery, LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universität München, Lindwurmstr. 2a, D-80337, Munich, Germany.
Eric HesseInstitute of Musculoskeletal Medicine, University Hospital, LMU Munich, Fraunhoferstraße 20, 82152, Planegg-Martinsried, Germany.
Ina DewenterDepartment of Oral and Maxillofacial Surgery and Facial Plastic Surgery, LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universität München, Lindwurmstr. 2a, D-80337, Munich, Germany.
Yoana MalenovaDepartment of Oral and Maxillofacial Surgery and Facial Plastic Surgery, LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universität München, Lindwurmstr. 2a, D-80337, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDiffuse sclerosing osteomyelitis (DSO) of the mandible is a rare chronic inflammatory disease characterized by recurrent painful swelling and trismus. While advanced stages are known to show radiographically evident bone sclerosis, objective quantitative imaging criteria remain poorly defined. This study aimed to characterize modality-specific radiological features of DSO using intra-individual side-to-side comparison of bone density and cortical thickness. MATERIALS AND

methodsThis single-center retrospective study included 22 patients treated for DSO between 2010 and 2021. Pre-treatment panoramic radiographs were available for all patients, CT datasets for 6 patients, and CBCT for 3 patients. Bone density was quantified using relative grayscale values in panoramic radiography, Hounsfield units (HU) in CT, and gray values in CBCT. Cortical thickness was measured on CT using standardized regions of interest, with contralateral-side comparison. Two blinded observers performed all measurements.

resultsQuantitative analysis demonstrated significantly higher bone density on the affected side in panoramic radiography and CT (panoramic: 46.0 ± 4.0% vs. 39.0 ± 3.6%, p < 0.001; CT: 1220.9 ± 215.8 HU vs. 1108.0 ± 163.9 HU, p = 0.01). In the three available CBCT datasets, descriptively higher gray values were observed on the affected side. CT analysis revealed significantly increased cortical thickness (5.63 ± 0.96 mm vs. 3.86 ± 0.75 mm, p = 0.04). A blurred inferior alveolar nerve canal was consistently observed on panoramic radiographs.

conclusionsQuantitative side-to-side assessment provides an objective radiological description of DSO and may support imaging assessment when interpreted together with clinical and histopathological findings. CLINICAL RELEVANCE: In this selected cohort, DSO-affected regions showed relative densification, cortical thickening in the available CT examinations, and blurring of the inferior alveolar nerve canal on panoramic radiographs.

Indexed as

Mandibular DiseasesOsteomyelitisAdultBone DensityCone-Beam Computed TomographyFemaleHumansMaleMiddle AgedPilot ProjectsRadiography, PanoramicRetrospective StudiesSclerosisTomography, X-Ray ComputedBone densityCone beam CTDiffuse sclerosing osteomyelitisImagingPanoramic radiography

Identifiers

PMID42825838
PMCPMC13633303

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.