Chronic suppurative osteomyelitis with proliferative periostitis related to a fully impacted third molar germ: a report of two cases.
10.5125/jkaoms.2016.42.4.215
- Author:
Joonhyoung PARK
1
;
Hoon MYOUNG
Author Information
1. Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea. myoungh@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Osteomyelitis;
Juvenile periodontitis;
Periostitis;
Folliculitis
- MeSH:
Aggressive Periodontitis;
Anti-Bacterial Agents;
Child;
Debridement;
Dental Caries;
Folliculitis;
Follow-Up Studies;
Humans;
Inflammation;
Molar, Third*;
Osteogenesis;
Osteomyelitis*;
Periodontitis;
Periostitis*;
Young Adult
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2016;42(4):215-220
- CountryRepublic of Korea
- Language:English
-
Abstract:
In prolonged chronic osteomyelitis, chronic inflammation and low-grade infections can result in new periosteal bone formation. Chronic osteomyelitis with proliferative periostitis (traditionally termed Garré's sclerosing osteomyelitis) mainly affects children and young adults. Here, we present two rare cases of an 11-year-old and a 12-year-old patient with suppurative chronic osteomyelitis with proliferative periostitis without any definitive infection source, such as dental caries or periodontitis. The source of infection was likely to be related to the development of a lower right third molar germ with follicular space widening. Management involved antibiotics and the removal of the third molar germ and surgical debridement. Disease remission and a normal appearance was observed at the six-month follow-up visit.