An Uncommon Case of Solitary Peripheral Osteoma in the Mandible.

Rohit Agrawal,Mahesh Motlani,Shipra Agrawal,Shitij Bhargava,Rahul Agrawal

doi:10.1155/2015/319738

Abstract

Osteoma is a benign osteogenic lesion which is composed of well differentiated mature compact and/or cancellous bone that proliferates continuously. Its prevalence is 4%. Its pathogenesis is still controversial. Solitary peripheral osteoma of craniofacial region is a rare finding. We report a case of 30-year-old female having solitary peripheral osteoma present on the lingual cortex of the left posterior mandible which was initially asymptomatic but now is causing discomfort while chewing and not associated with Gardner's syndrome. We also laid emphasis on its clinical, differential diagnosis, radiological, surgical, and histopathological features. The aim of this paper is to present an uncommon case of solitary peripheral osteoma in the mandible along with analysis of literature for peripheral osteomas of jaws and to contribute to the knowledge concerning the pathogenesis, differential diagnosis, and management of these lesions.

Highlights

IntroductionSlow-growing, benign osteogenic neoplasms that arise most frequently in the craniofacial skeleton [1, 2]
Osteomas are uncommon, slow-growing, benign osteogenic neoplasms that arise most frequently in the craniofacial skeleton [1, 2]
The triad of colorectal polyposis, skeletal abnormalities, that is, multiple osteomas, and multiple impacted or supernumerary teeth are commonly present in patients suffering from this syndrome [15]

Summary

Introduction

Slow-growing, benign osteogenic neoplasms that arise most frequently in the craniofacial skeleton [1, 2]. Endocrine factors have been considered to be one of the etiological factors for osteoma [7] They are categorized as central, peripheral, or extraskeletal according to location [8,9,10]. Patients with multiple osteomas affecting the mandible should be evaluated for Gardner’s syndrome [18]. The solitary peripheral osteoma of the mandible is a rare finding, Case Reports in Dentistry. Aim of this paper is to present an uncommon case of solitary peripheral osteoma in the mandible along with analysis of literature for peripheral osteomas of jaws and to contribute to the knowledge concerning the pathogenesis, differential diagnosis, and management of these lesions

Case Report

Discussion

Conclusion