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KMID : 0355620160420040215
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Journal of Korean Association of Oral and Maxillofacial Surgeons
2016 Volume.42 No. 4 p.215 ~ p.220
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Chronic suppurative osteomyelitis with proliferative periostitis related to a fully impacted third molar germ: a report of two cases
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Park Joon-Hyoung
Myoung Hoon
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Abstract
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In prolonged chronic osteomyelitis, chronic inflammation and low-grade infections can result in new periosteal bone formation. Chronic osteomyelitis with proliferative periostitis (traditionally termed Garre’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.
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KEYWORD
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Osteomyelitis, Juvenile periodontitis, Periostitis, Folliculitis
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