Findings of Condesing Osteitis in Remaining Roots of Lower Molar Tooth on Periapical Radiograph
Keywords:
condensing osteitis, periapical radiograph, mandibular molar, radicesAbstract
Introduction: Condensing osteitis is one of the lesions that is often found during dental radiographic examination. This lesion is associated with reactive osteoblast hyperplasia caused by dental pulp infection. If this infection continues, it can affect the vitality status of the teeth and make the teeth brittle, leaving behind residual tooth roots. Aim: to report condensing osteitis in the remaining roots of the lower molar teeth found through periapical radiography. Case and Management: A 22-year-old female patient came to RSGM Soelastri complaining of residual lower jaw tooth roots that made her uncomfortable when eating. There was no history of systemic disease or allergy history found. Based on the radiographic examination, there was a radiopaque lesion at the apex of the root of tooth 36 accompanied by loss of lamina dura and widening of the periodontal ligament. This case was diagnosed as radices of tooth 36 accompanied by condensing osteitis. The treatments given were extraction and medication which showed good healing results without complications. Conclusion: Condensing osteitis cases really require radiographic examination for accurate diagnosis and treatment, especially in cases involving residual tooth roots. This underlines the importance of a comprehensive diagnostic approach in dental practice to prevent potential infections and ensure optimal treatment outcomes.
References
Musmar, A., & Yunus, B. Prevalence of condensing osteitis on panoramic radiographic at the Department of Radiology RSGMP Hasanuddin University in 2023. Makassar Dental Journal. 2024. 13(3), 362-364.
Hayek, E., Maalouf, E., Nassar, J., AbiLamaa, F., & Aoun, G. Idiopathic Osteosclerosis and Condensing Osteitis in a Sample of the Lebanese Population: A Digital Panoramic Based Study. Medical Archives. 2023. 77(5), 396.
Putri, N. P. S. S., & Yunus, B. Penggunaan Teknik Radiografi Konvensional dan Digital Pada Perawatan Endodontik (Tinjauan Pustaka). Cakradonya dental journal. 2021. 13(2), 97-105.
Salsabila, G. L., Prasetyarini, S., & Yuwono, B. Pengaruh Pajanan Radiasi Sinar X Dari Radiografi Periapikal Terhadap Penurunan Jumlah Fibroblas Pada Soket Pencabutan Gigi Tikus Wistar. Majalah Kedokteran Gigi Klinik. 2020. 6(1), 8-13.
Sharaf, R. A. Clinical Management of Condensing Osteitis : A Case Report. Journal of Research in Medical and Dental Science. 2025. 13(01). 001-003
Gupta, S., Dutta, S., Baby, A., & Langthasa, M. Condensing Osteitis–A Review and Case Report. Asian Pasific Journal of Health Sciences. 2023. 10(2). April-Juni
Sardellitti, L., Filigheddu, E., & Milia, E. Management of Dental Demineralization in a Patient with Complex Medical Conditions: A Case Report and Clinical Outcomes. Reports. 2025. 8(2), 39.
Kartinawanti, A. T., & Asy'ari, A. K. Penyakit pulpa dan perawatan saluran akar satu kali kunjungan. JIKG (Jurnal Ilmu Kedokteran Gigi). 2021. 4(2), 64-72.
Pramesti, I. G. A. R., & Puspitasari, K. M. D. Prevalensi Kasus Gangren Radix Berdasarkan Jenis Kelamin Pada Pasien Di Uptd Puskesmas Selemadeg Timur I Tabanan Periode Januari-Maret 2024. Proceeding Of Bali Dental Science And Exhibition. 2025. 848-856.
Al-Habib M. A. Prevalence and Pattern of Idiopathic Osteosclerosis and Condensing Osteitis in a Saudi Subpopulation. Cureus. 2022. 14(2).
Suparno, N. R., & Nugrahani, N. A. Interpretasi Radiografi Di Rongga Mulut. Muhammadiyah University Press. 2023. 93.
Arsad, A., & Muliana, M. Analisis Gangren Radix Terhadap Kenyamanan Mengunyah Pada Masyarakat. Media Kesehatan Gigi: Politeknik Kesehatan Makassar. 2021. 20(2), 46-53
Neville, B.W., Damm, D.D., Allen. C.M., & Chi. A.C. Color Atlas Of Oral and Maxillofacial Diseases. Elsevier. 2019. 90.
Aljohani, M. H., Altamimi, R. S., Altamimi, R. S., Zaki, H., Elsayed, S., Abdouh, I., & Alshammari, F. R. Mandibular Condensing Osteitis (CO): Case Series with Literature Review. Bahrain Medical Bulletin. 2024. 46(4).













