Garre’s Osteomyelitis of the Mandible Caused by Infected Tooth

Abstract

Aim Garre's osteomyelitis is a local thickening of the periosteum caused by a slight irritation or infection. We aimed to present the extraoral, intraoral, and radiographic findings and postoperative pursuits of two patients diagnosed with Garre's osteomyelitis. In this case report, although clinical findings indicate infection source, these clinical findings are strongly supported by cone-beam computed tomography images. In addition, it can be seen that when we have followed the case I, we have chosen the right path in treatment. Case Reports Two patients presented to our clinic due to severe swelling and facial asymmetry in the right and left mandibular region. As a result of the clinical and radiological examinations, the patients were diagnosed with Garre's osteomyelitis. Infected teeth that were responsible for the formation of Garre's osteomyelitis were extracted under antibiotic treatment in both cases. A complete improvement in postoperative control was observed in case I. On the other hand, the other case could not be followed up postoperatively. Conclusion In Garre's osteomyelitis, new bone formation can occur in many pathological conditions. Therefore, it should be distinguished from other pathologies that cause new bone formation, such as Ewing's sarcoma, Caffey disease, and fibrous dysplasia.

Pediatric mandibular osteomyelitis: a probable case from Okhotsk period (5th–13th century AD) northern Japan

“…Ewing's sarcoma and neuroblastoma are two other childhood malignancies that also cause osteoblastic lesions, including 'onion skin', sunburst, or hair-on-end reactions. However, these are typically aggressive bony expansions accompanied by osteolysis (e.g., mottling) visible on radiographs (Campanacci et al, 1990;Belli et al, 2002;White and Pharoah, 2009;Akgül et al, 2018;Botía González et al, 2018;Lewis, 2018), which are absent here. The localized and partially remodeled bone formation on Moyoro 165 does not support a malignant diagnosis.…”

Periostitis Ossificans: Report of Two Cases Resolved with Endodontic Treatment

“…Even more, hyperbaric oxygen therapy and endodontic treatment have proven to be successful [ 1 , 30 , 31 ].…”

Garré's Sclerosing Osteomyelitis with Perimandibular Soft Tissue Inflammation and Fistula

“…2 However, rare instances of this condition, resulting in abscess and fistula formation, are described in literature. 3,4 We report one such rare case of Garré's sclerosing osteomyelitis associated with unusual surrounding soft tissue inflammation and intramuscular abscess and fistula to skin.…”

“…1 This condition is usually nonsuppurative and asymptomatic without signs of inflammation. [2][3][4] The SAPHO-synovitis, acne, pustulosis, hyperostosis, osteitis-syndrome is characterized by the presence of osteomyelitis in other bones, arthritis, and skin diseases. 2 However, rare instances of this condition, resulting in abscess and fistula formation, are described in literature.…”