Edition V07N04 | Year 2013 | Editorial Expedientelicações e Aplicações | Pages 25 to 30
Focal osteoporotic defects in adult patients must be on the list of differential diagnosis of small and medium uni and multiocular radiolucent lesions, especially in the jaw. Clinical and imaginologic diagnoses are safe; however, a biopsy must be performed in case of doubt, in which case the report will include hematopoietically active medullary tissue. Focal osteoporotic defects in adult patients do not hinder osseointegrated implant placement because, biologically speaking, they do not hamper bone repair. In fact, they may even favor it as a result of the large number of stem and osteoprogenitor cells comprising the bone marrow. Safe diagnosis is essential to differentiate focal osteoporotic defects from more severe similar lesions also found in the mandible. This study highlights the main characteristics of focal osteoporotic defect in adult patients, considering the condition as a variation of normal bone and medullary trabecula.