Chronic suppurative osteomyelitis with proliferative periostitis related to a fully impacted third molar germ: a report of two cases.
In prolonged chronic osteomyelitis, chronic inflammation and low-grade infections can result in new periosteal bone formation. Chronic osteomyelitis with proliferative periostitis (traditionally termed Garré'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.
Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.
Joonhyoung
0000-0003-1017-4285
J
Park
Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.; Dental Research Institute, Seoul National University, Seoul, Korea.
Hoon
0000-0002-9984-8479
H
Myoung
Folliculitis; Juvenile periodontitis; Osteomyelitis; Periostitis