Multiple Punched Out Radiolucencies Of Jaw

Write short note on multiple punched out radiolucencies of jaw.
Answer. Following are the multiple punched-out radiolucencies of jaw:

Multiple Myeloma

Occurs during 4th to 7th decades of life.
Male predilection is present with male to female ratio of4:1.
Mandible is more commonly affected.
Patient complaints of pain as well as swelling in jaw along with numbness of jaw.
There is presence of swelling intraorally which is round in shape, bluish red in color and has tendency to ulcerate. While palpating the swelling, it is tender and egg, shell crackling is also appreciated.
Lesion appears as small and rounded with discrete radiolucency which has punched out appearance. Multiple areas of bone destruction are seen in area of generalized radiolucency.

Eosinophilic Granuloma

Occur in alder children and young age group.
Male predilection is present.
Posterior region of mandible is commonly affected.
Gingivitis is present and there is also presence of bleeding gingiva. Pain is present and at times ulceration is also seen.
Mobility of teeth is present along with destruction of alveolar bone.
In jaw the lesion shows discrete borders which are seldom hyperosteotic and thus show punched out appearance. Lesions are elliptical or circular in shape.

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