Salt and pepper effect in IOPA is seen in:: (A) Sjogren syndrome, (B) Thalassemia, (C) Sickle cell anemia, (D) Condensing osteitis
Answer is B. Intraoral radiographs in some cases reveal a peculiar trabecular pattern of the maxilla and mandible, characterized by an apparent coarsening of some trabeculae and the blurring and disappearance of others, resulting in a salt and pepper effect. In general, thinning of the lamina dura and circular radiolucencies in the alveolar bone are also found.
Shafer's Oral pathology, 7th ed, pg 768