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Periostitis ossificans

I VanDoorne1, R Soubry, G Wackens

  • 1Department of Oral and Maxillo-facial surgery, Free University of Brussels.

Acta Stomatologica Belgica
|September 1, 1995
PubMed
Summary

Garré osteomyelitis, a rare form of chronic osteomyelitis, was diagnosed in an 18-year-old male. Treatment involving tooth extraction and antibiotics led to a favorable outcome for this mandibular periostitis ossificans case.

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Area of Science:

  • Dentistry
  • Oral and Maxillofacial Surgery
  • Pathology

Background:

  • Garré osteomyelitis, a subtype of chronic osteomyelitis, is characterized by periosteal bone formation.
  • This case presents mandibular periostitis ossificans, a rare manifestation of chronic osteomyelitis.

Observation:

  • An 18-year-old male presented with a firm swelling of the right mandibular angle.
  • Clinical examination revealed a periostitis associated with an infected and ankylosed mandibular second molar (tooth 4.7).

Findings:

  • Computed tomography and biopsy confirmed the diagnosis of mandibular periostitis ossificans.
  • Extraction of the causative teeth and antibiotic therapy resulted in a positive clinical evolution.

Implications:

  • This case highlights the importance of considering Garré osteomyelitis in the differential diagnosis of mandibular swelling.
  • Successful management involves identifying and removing the source of infection, followed by appropriate antibiotic treatment.

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