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Periostitis ossificans (Garrè's osteomyelitis): An unusual case
Deepesh Singh1, Priya Subramaniam, Panduranga Deepak Bhayya
1Department of Pedodontics and Preventive Dentistry, Jodhpur Dental College General Hospital, Jodhpur, Rajasthan, India.
Journal of the Indian Society of Pedodontics and Preventive Dentistry
|September 19, 2015
Summary
Garrè's sclerosing osteomyelitis, a rare bone infection, can affect young individuals. This case highlights its occurrence in a child due to poor oral hygiene and characteristic "onion skin" radiographic findings.
Area of Science:
- Oral and Maxillofacial Surgery
- Pediatric Dentistry
- Radiology
Background:
- Garrè's sclerosing osteomyelitis is a distinct form of chronic osteomyelitis, predominantly seen in children and young adults.
- It is frequently linked to odontogenic infections, originating from dental sources.
- This condition presents as a subperiosteal inflammatory reaction.
Observation:
- An unusual case of Garrè's osteomyelitis is presented in an 11-year-old boy.
- The condition developed secondary to poor oral hygiene and periodontal issues affecting the permanent mandibular left first molar.
- Clinical examination revealed a hard, non-tender bony swelling in the affected jaw area.
Findings:
- Occlusal radiography demonstrated the pathognomic "onion skin" appearance, characteristic of Garrè's osteomyelitis.
- Histopathological examination confirmed the diagnosis, showing characteristic inflammatory and sclerotic changes in the bone.
Implications:
- This case underscores the importance of maintaining good oral hygiene in children to prevent serious complications like osteomyelitis.
- Early diagnosis and appropriate management are crucial for favorable outcomes in pediatric patients with Garrè's sclerosing osteomyelitis.
- The "onion skin" radiographic finding serves as a key diagnostic indicator for this specific type of osteomyelitis.
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