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Periostitis ossificans managed with endodontic treatment.

Ebru Kucukyilmaz1, Yagmur Sener2, Gül Tosun3

  • 1Department of Pediatric Dentistry, Faculty of Dentistry, Izmir Katip Celebi University, Izmir, Turkey. ebrukucukyilmaz@hotmail.com.

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Periostitis ossificans, a bone infection, often affects the first molar in young patients. This case demonstrates successful treatment using endodontic therapy, preserving the tooth.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Pediatric Dentistry
  • Dental Radiology

Background:

  • Periostitis ossificans (PO) is a subtype of chronic osteomyelitis.
  • Radiographic signs include lamellar periosteal bone deposition, resembling an "onion skin" appearance.
  • Commonly associated with periapical infections of the mandibular first molar in children and young adults.

Observation:

  • A case of periostitis ossificans involving a permanent mandibular first molar is presented.
  • The condition typically arises from a periapical infection.

Findings:

  • Endodontic treatment was utilized as the management strategy.
  • This approach aimed to eliminate the source of infection.

Implications:

  • Conservative endodontic management can be a viable alternative to extraction for PO.
  • Successful treatment preserves the affected tooth and avoids more invasive procedures.
  • Highlights the importance of considering endodontic therapy in managing PO of dental origin.