Abstract
A total of 1008 cases with osteomyelitis of the mandible underwent radiological examinations at the department of Oral Radiology, Osaka Dental University Hospital from 1979 to 1988. Osteomyelitis with periosteal new bone formation was observed in 114 out of the 1008 cases (11.3%). The radiographic patterns of the periosteal new bone formation were grouped into 3 types: solid, laminated and one-layer. Sixty-seven of the 114 cases (58.8%) were of the solid type, 23 cases (20.2%) were the laminated type and 24 cases (21.0%) were the one-layer type. The average age in the solid type was 30.8 years, 23.8 years in the laminated type and 38.0 years in the one-layer type.
Concerning the sites of periosteal new bone formation 94 out of 114 cases (82.5%) were in the mandibular body and 20 (17.5%) in the ascending ramus of the mandible. The extent of the periosteal new bone formation was far larger among the young. This was particularly remarkable in the ascending ramus of the mandible.
These findings were proved to correlate with the age, the clinical symptoms, the route of infection and the condition of eruption in the lower molars.
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Jack, E., Philip, J. H. and Lawrence, H. C.: New bone production and periosteal reaction.Am. J. Roentgenol Radium Ther. Nucl. Med. 97: 708–718, 1966
Lewis, R. E., Alan, S. L., John, O. C. and Bernard, K. K.: Proliferative periostitis of Garré: its differentiation from other neoperiostoses.J. Oral Surgery 37: 725–731, 1979
Asada, K.: A clinical and pathological study on diffuse sclerosing osteomyelitis of the mandible.J. Stomatol. Soc. Jpn. 45: 334–363, 1978 (in Japanese)
Teshima, T., Machida, T., Echigo, S., Saitoh, T. Kawamura, H., Iizuka, Y., Tanaka, K., Marumo, M. and Hayashi, S.: Clinical observations on chronic osteomyelitis of the mandible. I. Clinical statistical study.Japan. J. Oral Surg. 24: 83–88, 1978 (in Japanese)
Emmanual, O. A. and John, C.: Osteomyelitis of the jaws: a review of 141 cases.Br. J. Oral Maxillofac. Surg. 23: 24–35, 1985
Choi, S. C.: Clinical and Radiographic Analysis of 313 Cases with Osteomyelitis of the Mandible.Oral Radiol. 4: 21–25, 1988
Kawai, T.: Roentgenodiagnostic study on the nature of chronic osteomyelitis of the mandible.J. Osaka Univ. Dent. Soc. 26: 22–47, 1981 (in Japanese)
Fujishita, M., Kawai, T. and Fuchihata, H.: Radiographic Features of Chronic Osteomyelitis of the Mandible.Oral Radiol. 4: 41–51, 1988
Anwar, P. and Ahmed, U.: Periostitis Ossificans.Br. J. Oral Surg. 10: 211–216, 1972
Gunge, M., Yamamoto, H., Kato, T. and Izumi, H.: Suppurative osteomyelitis of the mandible in a child.Int. J. Oral Maxillofac. Surg. 16: 99–103, 1987
David, J. E., Jack, R. W. and Anthony, A. I.: Garré's osteomyelitis of the mandible Report of a case.Oral Surg. Oral Med. Oral Pathol. 44: 183–189, 1977
Shimoda, T., Okamura, H., Lin, S., Honda, T. and Komoto, K.: Three cases Garré's osteomyelitis of the mandible.J. Kyushu Dent. Soc. 40: 477–488, 1986 (in Japanese)
Batcheldor, G. D., Giansanti, J. S., Hibbard, E. D. and Waldron, C. A.: Garré's osteomyelitis of the jaws: a review and report of two cases.J. A. D. A. 87: 892–897, 1973
Uneoka, M., Yang, R., Sakurai, T., Chen, C. and Ohba, T.: Garré's osteomyelitis of the mandible Clinical and radiological study.Dent. Radiol. 24: 21–30, 1984 (in Japanese)
Kawashima, M. and Teshima, T.: Clinical observations on chronic osteomyelitis of the mandible II. So-called Garré's osteomyelitis of the mandible.Japan. J. Oral Surg. 24: 316–330, 1978 (in Japanese)
Nortje, C. J., Wood, R. E. and Grotepass, F.: Periostitis ossificans versus Garré's osteomyelitis Part II: Radiologic analysis of 93 cases in the jaws.Oral Surg. Oral Med. Oral Pathol. 66: 249–260, 1988
Dental Health Division of Health Policy Bureau, Japanese Ministry of Health and Welfare:Report on the Survey of Dental Disease 1987
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Hayashi, Y., Shimizutani, K. & Koseki, Y. Radiographic study of periosteal new bone formation in osteomyelitis of the mandible. Oral Radiol. 8, 19–26 (1992). https://doi.org/10.1007/BF02347274
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DOI: https://doi.org/10.1007/BF02347274