Peripheral osteoma of the mandibular crest: a short case study

Abstract

Introduction: Osteoma is a benign slow-growing osteogenic neoplasm characterized by the proliferation of cancellous and/or cortical bone. Jaw bones are seldom affected. Observation: We observed a rare case of a patient with a peripheral mandibular osteoma, which was surgically removed. Comments: Frequently asymptomatic, a peripheral osteoma looks like a bony swelling that may be sessile or pedunculated. Imaging examinations show a well-circumscribed radio-opaque mass. Symptomatic osteomas must be surgically excised and submitted for histological evaluation. Conclusion: Excessive osseous healing following a tooth extraction may explain this rare form of osteoma.

Multiple Mandibular Osteomas Not Associated with Gardner Syndrome: Case Report and Literature Review

“…Surgical resection may be indicated in some cases when the osteoma causes functional or aesthetic discomfort (facial asymmetry and occlusal changes), pain, trismus, traumatic ulcers, or periodontal disorders [6,16]. In addition, the type of approach selected should allow adequate viewing and access for the amount of tissue to be removed, and an optimal aesthetic result [7].…”

“…Depending on size, location, and growth vector, condylar osteomas (like condylar hyperplasia) can generate facial asymmetries, manifested by asymmetric mandibular prognathism and altered occlusion [19]. Condylar osteomas can be classified according to their proliferation pattern in central and peripheral [16]. In general, peripheral osteomas are usually pedicled and respect the shape of the condyle since their proliferation pattern does not imply a condylar replacement, so facial and occlusal changes will depend on the location of the osteoma [20].…”

“…In general, peripheral osteomas are usually pedicled and respect the shape of the condyle since their proliferation pattern does not imply a condylar replacement, so facial and occlusal changes will depend on the location of the osteoma [20]. As they are generally located in the lateral or medial pole, these alterations will be absent, requiring a more conservative resection [16]. However, central type condylar osteomas generate a replacement of the mandibular condyle, causing an alteration of the condylar anatomy and as a consequence facial and occlusal alterations, requiring a major resection through a condylectomy [15].…”

Giant mandibular osteoma: A case report and review of literature

“…Osteomas are benign tumors of slow growing nature consisting of mature bone either cancellous or compact in nature. 1 These are generally painless tumors of chronic nature which rarely cause any discomfort to patient other than aesthetic issues. Osteomas are classified and central, peripheral or extraskeletal types.…”

Endodontic remnants are found more than other radiopacities in proposed implant sites

“…Osteoma, hyperplastic calcifications, endodontic fillings, broken tooth fragment, or fractured pieces of fillings and instruments are sometimes visualized in extraction sites [4][5][6][7][8]. These foreign bodies may disturb socket healing.…”