Abstract
Background
Mandibular tumors in children are mostly benign, although they can be locally aggressive and rapidly progressing. Methods of reconstructing mandibular defects after the ablation of these lesions are still challenging. In the pediatric population, there is enormous periosteal osteogenic potential due to high cellular activity and viability of mesenchymal cells for new bone formation, which, together with grafts, can aid in spontaneous bone neo-formation (SBNF).
Case Report
We present an uncommon case of well-shaped bone neo-formation of the ramus–condyle unit in a 3-year-old patient who underwent mandibular partial resection after being affected by a central giant cell granuloma. In addition, a literature review of all the main cases of SBNF after partial or total resection of this bone is presented, with the representative features outlined.
Conclusion
Future studies focusing on the exact mechanisms of the periosteum in bone neo-formation should be conducted.
Similar content being viewed by others
References
Troulis MJ, Williams WB, Kaban LB (2004) Staged protocol for resection, skeletal reconstruction and oral rehabilitation of children with jaw tumors. J Oral Maxillofac Surg 62:335
Sharma P, William R, Monaghan A (2013) Spontaneous mandibular regeneration: another option for mandibular reconstruction in children? Br J Oral Maxillofac Surg 51:63–66
Castellon L, Jerez D, Mayorga J, Fuenzalida C (2017) Remodeling of Costochondral graft after mandibular reconstruction. J Oral Maxillofac Surg 75:226.e1-226.e7
Anyanechi CE, Saheeb BD (2016) Bassey GO (2016) Spontaneous bone regeneration after segmental mandibular resection: a retrospective study of 13 cases. Int J Oral Maxillofac Surg 45:1268–1272
Kazanjian VH (1948) Spontaneous regeneration of bone following excision of section of the mandible. Am J Orthod Oral Surg 32:242–248
Budal J (1979) The osteogenic capacity of the periosteum. Oral Surg 47:227–229
Nwoku AL (1980) unusually rapid bone regeneration following mandibular resection. J Maxillofac Surg 8:309–315
Kisner WH (1980) Spontaneous posttraumatic mandibular regeneration. Plast Reconstr Surg 66:442–447
Nagase M, Ueda K, Suzuki I, Nakajima T (1985) Spontaneous regeneration of the condyle following hemimandibulectomy by disarticulation. J Oral Maxillofac Surg 43:218–220
Shuker S (1985) Spontaneous regeneration of the mandible in a child. A sequel to partial avulsion as a result of a war injury. J Maxillofac Surg 13:70–73
Elbeshir EI (1990) Spontaneous regeneration of mandibular bone following hemimandibulectomy. Br J Oral Maxillofac Surg 28:128–130
Kamegai A, Mori M, Inoue S (1990) Mandibular reconstruction using electrically stimulated periosteum. J Craniomaxillofac Surg 18:8–13
Ruggiero SL, Donoff RB (1991) Bone regeneration after mandibular resection: report of two cases. J Oral Maxillofac Surg 49:647–652
Whitmeyer CC, Esposito SJ, Smith JD, Zins JE (1996) Spontaneous regeneration of a resected mandible in a preadolescent: a clinical report. J Prosthet Dent 75:472–476
De Villa GH, Chen CT, Chen YR (2003) Spontaneous bone regeneration in an elderly patient: a case report and review of the literature. Chang Gung Med J 26:363–369
Pramono C (2004) Spontaneous bone regeneration after mandibular resection in a case of ameloblastoma: a case report. Ann Acad Med Singapore 33(suppl):59S-62S
Martins WD, de Castro Avila LF (2004) Partial spontaneous bone regeneration subsequent to mandibulectomy. J Contemp Dent Pract 5:108–120
Ogunlewe MO, Akinwande JA, Ladeinde AL, Adeyemo WL (2006) Spontaneous regeneration of whole mandible after mandulectomy in a sickcle cell patient. J Oral Maxillofac Surg 64:981–984
Espinosa SA, Villanueva J, Hampel H, Reyes D (2006) Spontaneous regeneration after ossifying fibroma resection: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102:e32–e35
Khodayari A, Khojasteh A, Kiani MT, Nayebi A, Mehrdad L, Vahdatinia M (2011) Spontaneous regeneration of the mandible after hemimandibulectomy: report of a case. J Dent Tehran 8:152–156
Wilde F, Riese C, Pausch N, Schramm A, Heufelder M (2011) Bone regeneration without bone grafting after resection of a segment of the mandible to treat bisphosphonate-related osteonecrosis of the jaw. J Oral Maxillofac Surg 69:2657–2662
Abdulai AE (2012) Complete spontaneous bone regeneration following partial mandibulectomy. Ghana Med J 46:174–177
Adebayo ET, Fomete B, Ajike SO (2012) Spontaneous bone regeneration following mandibular resection for odontogenic myxoma. Ann Afr Med 11:182–185
Ahmad O, Omami G (2015) Self-regeneration of the mandible following hemimandibulectomy for ameloblastoma: a case report and review of literature. J Maxillofac Oral Surg 14:245–250
Zhang Z, Hu J, Pan J (2015) Spontaneous regeneration of bone after removal of a vascularised fibular bone graft from a mandibular segmental defect: a case report. Br J Oral Maxillofac Surg 53(7):650–651
Bataineh AB (2016) Spontaneous bone regeneration of the mandible: in a case of osteosarcoma and literature review. Austin J Dent 3(1):1031
Cardinal L, Dominguez GC, Marodin AL (2016) Unusual spontaneous mandibular regeneration of a large defect followed by orthodontics, alveolar distraction, and dental implant rehabilita- tion: a 10-year follow-up. J Oral Maxillofac Surg 74:786–793
Chatzistefanou I, Kabesi S, Paraskevopoulos K, Koliouskas D, Antoniades K (2016) Ewing’s sarcoma of mandible: an impressive case of spontaneous mandible regeneration. Int J Clin Pediatr Dent 9(3):273–277. https://doi.org/10.5005/jp-journals-10005-1376
Adeola DS, Onyebuchi EP, Agbara R, Okeke AU (2016) Spontaneous regeneration of a wide mandibular defect following segmental mandibulectomy for ameloblastoma: a case report and review of the literature. Arch Int Surg 6:228–232
Hakobyan K, Poghosyan Y (2017) Spontaneous bone formation after mandible segmental resection in “krokodil” drug-related jaw osteonecrosis patient: case report. Oral Maxillofac Surg 21(2):267–327
Fauvel F, Pace R, Grimaud F, Marion F, Corre P, Piot B (2017) Costal graft as a support for bone regeneration after mandibular juvenile ossifying fibroma resection: an unusual case report. J Stomatol Oral Maxillofac Surg 118(5):320–325
Rai S, Rattan V, Singh Jolly S, Sharma VK, Mubashir MM (2019) Spontaneous regeneration of bone in segmental mandibular defect. J Maxillofac Oral Surg 18(2):224–228
Mesgarzadeh AH, Abadi AHBS, Keshani F (2019) Seven-year follow-up of spontaneous bone regeneration following segmental mandibulectomy: alternative option for mandibular reconstruction. Dent Res J (Isfahan) 16(6):435–440
Boyne PJ (1983) The restoration of resected mandibles in children without the use of bone grafts. Head Neck Surg 6:626–663
Okoturo E, Ogunbanjo OV, Arotiba GT (2016) Spontaneous regeneration of the mandible: an institutional audit of regenerated bone and osteocompetent periosteum. J Oral Maxillofac Surg 74:1660–1667
Adekeye EO (1977) Rapid bone regeneration subsequent to subtotal mandibulectomy: report of an unusual case. Oral Surg Oral Med Oral Pathol 44(4):521–526
Perrott DH, Umeda H, Kaban LB (1994) Costochondral graft reconstruction of the ramus/condyle unit: long-term follow-up. Int J Oral Maxillofac Surg 23:321
Pai D, Kamath AT, Kudva A, Solomon MMC, Kumar S, Sasikumar P (2017) Concomitant central giant cell granuloma and aneurismal bone cyst in a young child. Case Rep Dent. https://doi.org/10.1155/2017/6545848
Moss ML (1969) The primary role of functional matrices in facial growth. Am J Orthod 55:566
Acknowledgements
Division of Oral Pathology—Department of Oral Diagnosis, Piracicaba Dental School, Campinas State University—FOP-UNICAMP in conducting the immunohistochemical analysis and final characterization of the lesion. The Information Technology Center—CTI Renato Archer (Campinas-SP) for planning and providing the prototyped biomodel.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
There are no conflicts of interest to declare.
Ethical approval
This study was approved by the Federal University of Maranhao Ethical Committee (Protocol # 3.809.800).
Consent for publication
Written consent was obtained from the child’s parent to include the photographs in a publication.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Cantanhede, A.L.C., Martins Neto, R.S., Pereira, E.M. et al. Spontaneous Bone Neo-formation After Mandibular Resection: Case Report and a Scoping Review. J. Maxillofac. Oral Surg. (2024). https://doi.org/10.1007/s12663-023-02084-2
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s12663-023-02084-2