Revisiting Peripheral Osteoma of the Mandible with Case Series and Review of Literature

Abstract

Osteomas are benign lesions composed of mature compact and cancellous bone usually arising from craniofacial region. They can be central or peripheral, solitary or multiple. We are presenting few cases of giant peripheral osteoma's of the mandible along with review literature of other jaw lesions with their diagnostic features and differential diagnosis. The purpose of presenting this paper is to evaluate radiopaque lesions of the jaw which require proper clinical and histological evaluation to reach a final diagnosis.

Mandibular Osteoma, Arising From a Mental Spine – A Case Report

“…According to Soni et al the prevalence of osteomas in the normal population is about 4 %. [9] Peripheral osteoma occurs most frequently in the frontal, ethmoid, and maxillary sinuses but are not common in jawbones. [10,11] A review of the literature revealed that mandible is more commonly affected than the maxilla.…”

“…[15] It is reported that these lesions are more predominant in females by a ratio of 3:1. [10,11,12] Some studies, show that osteomas are more frequent in males than in females [5] S. Soni et A. Bhargava [9] reported that there is no predilection for sex.…”

“…[5,16] According to other studies there is no predilection for age. [3,9] According to Sah K et al the exact aetiology and pathogenesis of peripheral osteoma are unknown. [12] Various hypotheses have been put forward, which include congenital and hereditary disorder, a developmental origin, neoplastic or a reactive mechanism to trauma or infection.…”

“…The growth of untreated osteomas can cause deformation of the bone and damage of the adjacent structures. [8] Review of the English literature demonstrated peripheral osteomas of the jaws in only 69 well-documented cases, according to Soni S et al [9] The aim of this paper is to present a rare case of peripheral osteoma originating from the genial tubercle (mental spine) of the mandible.…”

Solitary Peripheral Osteoma of the Hard Palate: Case report and literature review

“…5,14,18 In addition, the osteoid subtype of osteomas usually grows rapidly and is painful. 14,19 A periosteal osteoblastoma has similar characteristics in terms of growth rate and symptoms. 14,19 Similar to an osteoma, a peripheral ossifying fibroma appears as a radiopaque mass; however, it does not intrude into the cortical bone.…”