Abstract

Garre's osteomyelitis, a rare form of osteomyelitis, with proliferative periostitis, mainly affects children and adolescents. It is commonly associated with odontogenic infection resulting from dental caries, with no predilection for sex, and affects mostly the molar area of the jaw. Radiographically, the new subperiosteal bone is deposited in parallel layers, expanding a surface of the affected bone, and producing an appearance of onion skin. This paper describes the case of an 11-year-old girl with Garre's osteomyelitis caused by infection of the lower left first molar, associated with pain and facial asymmetry. Cone beam computed tomography analysis showed a cavity involving the dental crown of the lower left first molar, as concurred by a periapical radiolucent image. Reactional osteogenesis adjacent to the cortical bone was also observed that suggested the diagnosis of Garre's osteomyelitis. The prognosis is favorable; the treatment consisted of elimination of infection. Currently, the patient is in outpatient follow-up.

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