Periostitis ossificans (Garrè's osteomyelitis) radiographic study of two cases

Kannan, Swati; Sandhya, G.; Selvarani, R

doi:10.1111/j.1365-263x.2006.00630.x

Cited by 29 publications

(37 citation statements)

References 9 publications

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“…Dans la littérature, on retrouve un cas de fistule cutanée où le diagnostic correct a été effectué seulement 32 ans après l'apparition de la lésion [8]. Parfois, cette fistule est considérée comme une lésion dermatologique et traitée par exérèse chirurgicale, voire jadis par radiothérapie ; quelquefois une biopsie apparait comme nécessaire [9,10]. Dans le cas rapporté, l'origine dentaire a bien été suspectée mais pas l'existence probable de deux foyers infectieux.…”

Section: Discussionunclassified

Fistule cutanée d’origine dentaire : recherche de la dent causale

Oualha

Bagga

Douki

et al. 2010

Med Buccale Chir Buccale

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Mots clés : fistule / cutané / odontogèneRésumé -Les fistules cutanées d'origine dentaire peuvent constituer un défi diagnostique. En l'absence de signes endobuccaux, l'origine dentaire n'est pas toujours évoquée d'emblée. Dans quelques cas, les examens clinique et radiologique ne permettent pas de déterminer l'étiologie et la dent causale. Faute de diagnostic correct, on est amené à réaliser un traitement inapproprié et inefficace. Les auteurs présentent un cas de fistule cutanée génienne basse, secondaire à une nécrose pulpaire de la première molaire et/ou à une péricoronarite sur la dent de sagesse. Cette double étiologie probable a prolongé le traitement et retardé la guérison. Lorsque la fistule cutanée d'origine dentaire n'est pas accompagnée de symptômes dentaires évidents et qu'il existe plusieurs dents causales éventuelles, il est parfois difficile d'identifier la dent responsable. La persistance de la fistule après le traitement initial a conduit à rechercher une autre dent causale. Key words: sinus tract / cutaneous / odontogenicAbstract -Challenging diagnosis face to cutaneous dental sinus tract. Cutaneous draining sinus tracts of dental origin often are a diagnostic challenge. A delay in correctly diagnosing these types of lesions can result in ineffective and inappropriate treatment. The authors present a case of cutaneous sinus tract on the lower cheek secondary to pulpal necrosis of the first molar and/or pericoronitis or the third molar. This double etiology has extended the treatment and delayed the healing. As patients with cutaneous facial sinus tracts of dental origin often do not have obvious dental symptoms, possible double dental etiology may be overlooked. Early correct diagnosis and treatment of these lesions can help prevent unnecessary surgical treatment.La fistule cutanée d'origine dentaire représente une voie de drainage plus ou moins longue pour une infection dentaire [1] ; il s'agit d'une entité connue et décrite depuis fort longtemps [2]. Cependant, errance diagnostique et retard de prise en charge thérapeutique sont encore fréquents, même en Médecine bucco-dentaire [3,4]. Parfois, elle est attribuée à une autre cause et tout traitement local, le plus souvent l'exérèse de la lésion cutanée, est rapidement suivi d'une ré-cidive [5].A travers ce travail, l'accent est mis sur la nécessité d'éta-blir un diagnostic étiologique correct afin d'adopter une attitude thérapeutique adéquate qui, seule, permet d'obtenir la guérison et d'éviter au patient un préjudice esthétique.

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Section: Discussionunclassified

Fistule cutanée d’origine dentaire : recherche de la dent causale

Oualha

Bagga

Douki

et al. 2010

Med Buccale Chir Buccale

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“…COPP presents a special radiographic feature, especially evident in computed tomography (CT) with threedimensional reconstruction, with new periosteal proliferation located in successive layers parallel to the condensed cortical bone. 5 This phenomenon is also correlated with typical radiographic features such as an "onion skin" appearance. Other lesions that must be considered in differential diagnosis of COPP are Ewing's sarcoma, fibrous dysplasia, osteogenic sarcoma, infantile cortical hyperostosis, callus, exostosis, calcifying hematoma, and osteotomas.…”

Section: Introductionmentioning

confidence: 94%

Chronic osteomyelitis with proliferative periostitis in the lower jaw

Chang

Shieh

Lee

et al. 2015

Journal of Dental Sciences

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Chronic osteomyelitis with proliferative periostitis (Garré's sclerosing osteomyelitis) is a distinctive type of chronic osteomyelitis that mainly affects children and young adults. Here we report on a 9-year-old girl in whom the condition arose following a pulpoperiapical infection in a mandibular right primary secondary molar. Clinically, it manifested as a bony, hard, mildly tender swelling. Radiography revealed a pathognomonic patchy thickening with radiolucency and radiopacity. The dental inflammation and infection were eliminated and conservative therapy followed. The patient was otherwise asymptomatic. Remission of the disease process and reappearance of a normal-looking mandible was observed with computed tomography imaging, three-dimensional reconstruction and a bone scan at a 10-month follow up visit.

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“…The term is ascribed to Gorman who in 1957 described the disease as a productive inflammatory condition of the mandibular periosteum. [27][28][29] The skin and mucosa overlying the mandibular swelling are usually normal. 26 It presents in children and teens as a palpable, fixed mandibular swelling.…”

Section: Figure 11mentioning

confidence: 99%

Mandibular Periostitis Ossificans in Immature Large Breed Dogs: 5 Cases (1999–2006)

et al. 2010

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This case series describes clinical, radiographic, and histopathological features of mandibular swellings in 5 immature, large breed dogs. The dogs originated from different regions of the United States. In each case, intraoral dental radiography of the jaw swelling revealed a two-layered (double) ventral mandibular cortex. Biopsy was performed in 4 of the 5 puppies, revealing periosteal new bone formation. Resolution of the mandibular swelling was spontaneous in the 4 dogs available for follow-up examination. The authors postulate that the clinical, radiographic, and histopathological presentation of mandibular swelling in these 5 dogs is a distinct pathological entity consistent with an inflammatory condition of the maturing human mandible known as periostitis ossificans.

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Periostitis ossificans (Garrè's osteomyelitis) radiographic study of two cases

Cited by 29 publications

References 9 publications

Fistule cutanée d’origine dentaire : recherche de la dent causale

Fistule cutanée d’origine dentaire : recherche de la dent causale

Chronic osteomyelitis with proliferative periostitis in the lower jaw

Mandibular Periostitis Ossificans in Immature Large Breed Dogs: 5 Cases (1999–2006)

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