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KMID : 0358920110380040413
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Journal of the Korean Academy of Pedodontics
2011 Volume.38 No. 4 p.413 ~ p.420
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GARRE’S OSTEOMYELITIS IN CHILDREN
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Woo Se-Eun
Kim Young-Jin
Kim Hyun-Jung
Nam Soon-Hyeun
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Abstract
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Garre’s osteomyelitis is associated with bacterial infection and bone necrosis resulting from obstruction of blood supply. The most common cause for Garre’s osteomyelitis is odontogenic infection that originates from periodontal tissue or dental pulp. Subperiosteal abscess may also cause Garre’s osteomyelitis in the progress of the infection. Mandible is more often affected than maxilla, most commonly in the permanent first molar region of mandible. Clinically, it results in a hard swelling over the jaw, producing facial asymmetry. Meanwhile, radiograph shows a characteristic feature of irregular pulpal cavity, showing new periosteal proliferation located in successive layers to the condensed cortical bone on stimulated site. The treatment method for Garre’s osteomyelitis are removal of the infection source, root canal treatment, antibiotic medication, and incision and drainage. This report presents a case of Garre’s osteomyelitis under 15 years old. The patient was successfully treated by antibiotic medication accompanied with root canal treatment. Since the symptom of pediatric patients is less severe than adult, careful diagnosis with history taking and clinical examination is necessary. Furthermore long-term follow-up examination is needed to prevent recurrence even after the symptom disapears.
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KEYWORD
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Garre’s osteomyelitis, Mandibular permanent first molar, Eruption
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