Professional paper

Condensing Osteitis - Case Report

Walter Dukić
Irina Filipović-Zore
Ivona Bago

Abstract

Condensing osteitis is pathologic growth of the maxillomandibular bones, characterized by mild clinical symptoms. Bone thickening refl ects impaired bone rearrangement in response to the mild infection of dental pulp. This case report describes a patient with extreme bone thickening localized in the left maxilla causing facial asymmetry. Clinical and radiological examination failed to point to defi nitive diagnosis. On differential diagnosis, all bone tissue tumors, cementoma and condensing osteitis with prolonged unsuccessful conservative endodontic treatment of the upper fi rst molar, were considered. A surgical procedure in local anesthesia was preformed in order to remove the pathologically altered bone mass and to extract the tooth that could not have been treated successfully. Histopathologic analysis confi rmed the infl ammatory etiology of the bone lesion. Clinical and radiological follow-up indicated complete healing of the area, with appropriate density and trabeculation of the bone. This case presents as an extreme example of condensing osteitis with major bone lesion, caused by a mild tooth infection.

Keywords

osteitis; infection; jaw; dental pulp

Hrčak ID:

11578

URI

https://hrcak.srce.hr/11578

Publication date:

1.6.2006.

Article data in other languages: croatian

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