Peripheral osteoma of the mandibular alveolar ridge arising from a tooth extraction site: A case report and review of literature
Keywords:
peripheral osteoma, vestibular aspect, lower jawAbstract
The primary aim of this study is to investigate the potential etiological factors involved in the occurrence and progression of mandibular osteoma, as well as to delineate its clinical characteristics and the available diagnostic and treatment approaches. In addition, the publication presents a clinical case involving a vestibularly positioned osteoma located in the distal portion of an edentulous segment of the right mandibular alveolar ridge. We report a clinical case involving a 63-year-old patient who presented with a slowly enlarging, firm, and painless swelling on the crest of the right mandibular alveolar ridge, corresponding to the area of tooth No. 46, which had been extracted many years earlier. Based on the analysis of the clinical and radiological findings, the presence of a slowly enlarging, firm mass attached to the vestibular aspect of the mandibular alveolar ridge by a thin bony isthmus (pedicle) was consistent with a diagnosis of peripheral osteoma, and the patient was subsequently referred for appropriate treatment. Although osteomas of the jawbone are relatively uncommon benign osseous lesions characterized by reactive bone proliferation, they can be challenging to differentiate from other tumors or tumor-like entities, particularly when they arise in atypical anatomical locations.
References
Tilaveridis I, Katopodi T, Karakostas P, et al. Peripheral osteoma of the mandibular condyle: case series. Dent J (Basel). 2022 Sep 29;10(10):182. doi:10.3390/dj10100182.
El-Naggar AK, Chan JKC, Grandis JR, et al. WHO Classification of Head and Neck Tumours. 4th ed. Lyon: IARC Press; 2017. p. 246.
Kamimura R, Fukumoto C, Hasegawa T, et al. A case of mandibular peripheral osteoma on the inferior border of the mandible. Oral Sci Int. 2020;17:164–168. doi:10.1002/osi2.1066.
Wolf-Grotto I, Nogueira LM, Milani B, Marchiori EC. Management of giant osteoma in the mandible associated with minor trauma: a case report. J Med Case Rep. 2022 Jan 8;16(1):8. doi:10.1186/s13256-021-03217-2.
Nishigushi Y, Watanabe M, Ibeke S, et al. A peripheral osteoma of the mandibular coronoid process. J Oral Maxillofac Surg Med Pathol. 2024;36(3):724–728. doi:10.1016/j.ajoms.2024.02.010.
Ghita I, Brooks J, Bordener SL, et al. Central compact osteoma of the mandible: case report with unusual radiographic and CT presentations and brief literature review. J Stomatol Oral Maxillofac Surg. 2021 Nov;122(5):516–520. doi:10.1016/j.jormas.2020.09.014.
Mohod S, Dagval KV, Rajankanth K, et al.. A rare case report of peripheral exophytic osteoma of the mandible arising from an extraction site: cone-beam computed tomography (CBCT). Cureus. 2024 Jul 10;16(7):e64221. doi:10.7759/cureus.64221.
Gušić I, Stojković M, Mirnić J, et al. A rare case of peripheral osteoma of the alveolar bone of the maxilla in a 13-year-old boy. J Clin Med. 2024;13:7187. doi:10.3390/jcm13237187.
Nakayama A, Abe R, Takahashi M, et al. Peripheral osteoma in an unusual region of the mandible: a case report. Oral Maxillofac Surg Cases. 2021;7(1):100207. doi:10.1016/j.omsc.2021.100207.
Nayak V, Rao PK, Kini R, Shetty U. Peripheral osteoma of the mandible. BMJ Case Rep. 2020 Sep 23;13(9):e238225. doi:10.1136/bcr-2020-238225.
Makoud C, Akouri E, Chammas C, Aoun G. Peripheral osteoma: report of a case in the anterior mandibular region. Cureus. 2023 Nov 5;15(11):e48310. doi:10.7759/cureus.48310.
Bourgeois P, Fichten A, Louis E, et al. Frontal sinus osteomas: neuro-ophthalmological complications. Neurochirurgie. 2002 May;48(2–3 Pt 1):104–108.
Tarciano A, Ricotta F, Spinnato P, et al. Craniofacial osteomas: from diagnosis to therapy. J Clin Med. 2021;10(23):5584. doi:10.3390/jcm10235584.
Deliverska E. Peripheral osteoma of the mandible: case report and literature review. J IMAB. 2016;22:1274–1278. doi:10.5272/jimab.2016223.1274.
Geron ABC, Carvalho VA, Santos JLD, et al. Surgical management of traumatic peripheral osteoma of the mandible. J Craniofac Surg. 2017 Jun;28(4):e405–e408. doi:10.1097/SCS.0000000000003769.
De Santana Santos T, Frota R, Martins-Filho PR, et al. Central osteoma of the maxilla with involvement of the paranasalsinus. J Craniofac Surg. 2011;22(2):589–591. doi:10.1097/SCS.0b013e318208555d.
Demant JH, da Silva Guerra EN, Ferreira Jr O. Spontaneous resolution of a simple bone cyst. Dentomaxillofac Radiol. 2002;31(3):182–186. doi:10.1038/sj/dmfr/4600696.
Zielińska-Kaźmierska B, Grodecka J, Jabłońska-Polakowska L, Arkuszewski P. Mandibular osteoma in encephalocraniocutaneous lipomatosis. J Craniomaxillofac Surg. 2005;33(4):286–289. doi:10.1016/j.jcms.2005.02.006.
D’Agostino S, Dell’Olio F, Tempesta A, et al. Osteoma of the jaw as first clinical sign of Gardner’s syndrome: experience of two Italian centers and review. J Clin Med. 2023;12(4):1496.
Toner M, Allen CM, Castle J. Benign maxillofacial bone and cartilage tumors. In: El-Naggar AK, Chan JKC, Grandis JR, et al., editors. WHO Classification of Head and Neck Tumours. 4th ed. Lyon: IARC Press; 2017. p. 246.
White SC, Pharoah MJ. Oral Radiology: Principles and Interpretation. 7th ed. St. Louis (MO): Mosby/Elsevier; 2014. p. 359–452.
Ghita I, Brooks J, Bordener SL, et al. Central compact osteoma of the mandible: case report featuring unusual radiographic and computed tomographic presentations and brief literature review. J Stomatol Oral Maxillofac Surg. 2021 Nov;122(5):516–520. doi:10.1016/j.jormas.2020.09.014.
Liang X, Jacobs R, Hassan B, et al. A comparative evaluation of cone beam computed tomography (CBCT) and multislice CT (MSCT). Part I: subjective image quality. Eur J Radiol. 2010;75:265–269. doi:10.1016/j.ejrad.2009.03.042.
Bombeccari GP, Candotto V, Gianni AB, et al. Accuracy of cone-beam computed tomography in detecting bone invasion in oral cancer: a systematic review. Eurasian J Med. 2019;51:289–306. doi:10.5152/eurasianjmed.2019.18101.
Weiss R, Read-Fuller A. Cone beam computed tomography in oral and maxillofacial surgery: an evidence-based review. Dent J (Basel). 2019 May 2;7(2):52. doi:10.3390/dj7020052.
Dell’Aversana Orabona G, Salzano G, Iaconetta G, et al. Facial osteomas: fourteen cases and literature review. Eur Rev Med Pharmacol Sci. 2015 May;19(10):1796–1802.
Johann AC, de Freitas JB, de Aguiar MC. Peripheral osteoma of the mandible: case report and review of the literature. J Craniomaxillofac Surg. 2005;33:276–281. doi:10.1016/j.jcms.2005.02.002.
Woźniak AW, Nowaczyk MT, Osmola K, Golusiński W. Malignant transformation of an osteoblastoma of the mandible: case report and literature review. Eur Arch Otorhinolaryngol. 2010;267(6):845–849. doi:10.1007/s00405-009-1172-8.
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