1/11. Sclerosing osteomyelitis of Garre periostitis ossificans.Sclerosing osteomyelitis of Garre is a rare syndrome; the mandible is the most commonly affected bone segment in the cervicofacial region. This chronic disease is characterized by a nonsuppurative ossifying periostitis with subperiosteal bone formation, commonly reactive to a mild infection or irritation. The differential diagnosis must be made with similar clinical conditions with hard mandibular swelling associated with bony sclerosis. Presumptive diagnosis can be achieved by radiology, but such diagnosis must be confirmed by histology. The aim of therapy is to remove the cause when recognized, aided by an adequate antibiotic therapy. Clinical, radiographic, and histologic features are presented in this case report.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
2/11. Diffuse sclerosing osteomyelitis (chronic tendoperiostitis) of the mandible. An 11-year follow-up report.Diffuse sclerosing osteomyelitis of the mandible is a disease that is characterized by a protracted course of recurrent pain, swelling of the cheek, and trismus. The cause of the lesion has been obscure for a long period of time. Recent research, however, pointed out that this disease is likely to be caused by overuse of the jaw musculature (chronic tendoperiostitis) and can be treated accordingly. The protracted course of the disease and the difficulty of treatment with an eventual positive outcome are illustrated by a case report of a 65-year-old man with an 11-year history of diffuse sclerosing osteomyelitis (chronic tendoperiostitis) of the mandible.- - - - - - - - - - ranking = 6.015434415914keywords = mandible, jaw (Clic here for more details about this article) |
3/11. An unusual medieval mandibular pathology.A medieval mandible with an unusual bilateral periosteal reaction, probably related to chronic inflammation or infection, is presented.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
4/11. periostitis ossificans (Garre's osteomyelitis) radiographic study of two cases.BACKGROUND: periostitis Ossificans (PO) is a non-suppurative type of osteomyelitis, commonly occurring in children and young adults, in mandible. The most common cause for PO is periapical infection of mandibular first molar. Radiographically PO is characterized by the presence of lamellae of newly formed periosteal bone outside the cortex, giving the characteristic appearance of "onion skin". case reports: Two male children 11 years of age reported to the Department of oral medicine with a painless and persistent bony hard swelling in the mandible, with a short duration (Figs 1, 5). Both the patients had grossly decayed mandibular permanent first molar tooth with periapical infection and buccal cortical plate expansion (Figs 2, 6). The radiographic study revealed different appearances, the Orthopantomograph of case I showed a single radiopaque lamella outside the lower cortical border, without altering original mandibular contour (Fig. 3) and in case II showed a newly formed bony enlargement on the outer aspect of the lower cortical border without altering the original mandibular contour (Fig. 7). Occlusal radiograph of both the patients showed two distinct radiopaque lamellae of periosteal bone outside the buccal cortex (Figs 4, 8). Kawai et al. classified PO of mandible into type I and type II, based on whether the original contour of mandible is preserved or not. Each type is further classified into two sub types (Table 1). In case I, the orthopantomographic appearance is characteristic of type I-1 (Fig. 3), but the appearance in occlusal radiograph is characteristic of type I-2 (Fig. 4). In case II, the appearances in both the radiographs are characteristic of type I-2 (Figs 7, 8). CONCLUSIONS: Apart from the typical onion skin appearance, PO shows various other radiographic appearances. The radiographic appearance of periostitis Ossificans may reflect the duration, progression and the mode of healing of the disease process. The radiographic classification of PO depends on the type of radiographs taken for evaluation.- - - - - - - - - - ranking = 4keywords = mandible (Clic here for more details about this article) |
5/11. osteomyelitis with proliferative periostitis: an unusual case.Chronic osteomyelitis with subperiosteal new bone formation results from periosteal reaction to chronic inflammatory/infectious stimulation. In the maxillofacial region, it has traditionally been termed Garre's osteomyelitis with proliferative periostitis and more recently periostitis ossificans. The term Garre's osteomyelitis has been regarded as a misnomer by many authors in the recent literature. The term chronic osteomyelitis with proliferative periostitis, although cumbersome, is considered to be the most accurate description of the pathology. It usually affects the mandible of young patients secondary to dental infection. Management involves removal of the source of infection and antibiotic treatment. We present an unusual case of chronic osteomyelitis with proliferative periostitis affecting the mandible of a 12-year-old patient. The source of infection was related to the developing lower left third molar, which had apparently no communication with the oral cavity.- - - - - - - - - - ranking = 2keywords = mandible (Clic here for more details about this article) |
6/11. Sclerosing osteomyelitis of Garre (periostitis ossificans).The diagnosis of sclerosing osteomyelitis of Garre, or periostitis ossificans, is suggested by a history of hard swelling of the mandible accompanied by a carious dentition. Computed tomography, nuclear medicine scanning, and pantomography are used to illustrate the appearance of this condition arising in a 25-year-old woman. The differential diagnosis of mandibular thickening and associated bony sclerosis is discussed.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
7/11. osteomyelitis with proliferative periostitis (Garre's osteomyelitis). Report of a case affecting the mandible.A case of chronic osteomyelitis with proliferative periostitis of the mandible is reported. This is a unique form of osteomyelitis characterized radiographically by localized thickening of the periosteum and deposition of laminated subperiosteal bone.- - - - - - - - - - ranking = 5keywords = mandible (Clic here for more details about this article) |
8/11. periostitis of the mandible. A case report and review of the literature.periostitis of the mandible has not been previously discussed in the otolaryngologic literature and only infrequently in the dental literature. It is characterized by a hard, painless, fixed mass overlying the mandible in a child or young adult. The etiology is usually an endosteal infection in the molar region with periosteal inflammation. Reactive new bone is deposited beneath the elevated periosteum, external to the outer cortex of the jaw, and separated from it by a layer of suppurative fluid. Treatment consists of removal of involved teeth and infected bone, drainage of the fluid pocked and appropriate antibiotics. patients are followed with repeat x-rays and erythrocyte sedimentation rates. A case is presented and the world literature is reviewed. The otolaryngologist should be aware of this entity and include it in the differential diagnosis of any fixed jaw mass to avoid mistaking it for a more malignant process with unfortunate consequences.- - - - - - - - - - ranking = 6.030868831828keywords = mandible, jaw (Clic here for more details about this article) |
9/11. Garre's proliferative periostitis occurring simultaneously in four quadrants of the jaws.Typically, Garre's osteomyelitis affecting the jaws is unilateral and is restricted to the mandible. We are reporting a case in which all four quadrants were involved, an occurrence which we believe must be extremely unusual and has not been reported previously. Conservative management over a period of 3 years resulted in complete resolution, with return of normal facial and osseous contours.- - - - - - - - - - ranking = 1.0771720795699keywords = mandible, jaw (Clic here for more details about this article) |
10/11. periostitis ossificans of the mandible. The value of computed tomography.periostitis ossificans in the mandible of a 9-year-old girl was assessed by means of computed tomography. Impaired mandibular function was the most consistent clinical sign and led on to referral for suspicion of a temporomandibular joint disease. Her symptoms improved with antibiotic therapy over a period of 2 months. During this time follow-up computed tomography demonstrated a more or less complete resolution of the new bone formation. The aetiology of the periostitis was considered non-dental due to haematogeneous spread from a pharyngitis.- - - - - - - - - - ranking = 5keywords = mandible (Clic here for more details about this article) |
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