An Orthodontic Approach for Garre’s Sclerosing Osteomyelitis of the Mandible

Ioan Barbur, Simion Bran, Mihaela Baciut, Gabriel Armencea, Alexandra Iulia Aghiorghiesei, Tudor-Sergiu Suciu, Adina Maria Barbur, Horia Opris, Grigore Baciut and Cristian Dinu
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Ioan Barbur: Department Maxillofacial Surgery and Implantology, Iuliu Hatieganu University of Medicine and Pharmacy, 37 Cardinal Iuliu Hossu Street, 400029 Cluj-Napoca, Romania
Simion Bran: Department Maxillofacial Surgery and Implantology, Iuliu Hatieganu University of Medicine and Pharmacy, 37 Cardinal Iuliu Hossu Street, 400029 Cluj-Napoca, Romania
Mihaela Baciut: Department Maxillofacial Surgery and Implantology, Iuliu Hatieganu University of Medicine and Pharmacy, 37 Cardinal Iuliu Hossu Street, 400029 Cluj-Napoca, Romania
Gabriel Armencea: Department Maxillofacial Surgery and Implantology, Iuliu Hatieganu University of Medicine and Pharmacy, 37 Cardinal Iuliu Hossu Street, 400029 Cluj-Napoca, Romania
Alexandra Iulia Aghiorghiesei: Department of Prosthodontics and Dental Materials, Iuliu Hațieganu University of Medicine and Pharmacy, 32 Clinicilor Street, 400006 Cluj-Napoca, Romania
Tudor-Sergiu Suciu: Department Maxillofacial Surgery and Implantology, Iuliu Hatieganu University of Medicine and Pharmacy, 37 Cardinal Iuliu Hossu Street, 400029 Cluj-Napoca, Romania
Adina Maria Barbur: Ortolife Orthodontic Private Practice, 8 Andrei Muresanu Street, 400071 Cluj-Napoca, Romania
Horia Opris: Department Maxillofacial Surgery and Implantology, Iuliu Hatieganu University of Medicine and Pharmacy, 37 Cardinal Iuliu Hossu Street, 400029 Cluj-Napoca, Romania
Grigore Baciut: Department Maxillofacial Surgery and Implantology, Iuliu Hatieganu University of Medicine and Pharmacy, 37 Cardinal Iuliu Hossu Street, 400029 Cluj-Napoca, Romania
Cristian Dinu: Department Maxillofacial Surgery and Implantology, Iuliu Hatieganu University of Medicine and Pharmacy, 37 Cardinal Iuliu Hossu Street, 400029 Cluj-Napoca, Romania

IJERPH, 2021, vol. 18, issue 6, 1-18

Abstract: The nonsuppurative osteomyelitis of the mandible is a rare condition that can occur in children due to low-grade inflammatory processes, dental cavities, periodontal lesions as well as the eruption process of the teeth. We submit a case report involving the orthodontic management of a 9-year-old female patient who presented in our service in the mixed dentition period with diagnosed Garre’s sclerosing osteomyelitis of the entire mandibular body. After a full work-up, the following symptoms and signs were noted: bilateral temporomandibular joint (TMJ) pain, loss of the leeway space, anterior open bite, distalization of the secondary maxillary right canine, nail biting and tongue thrust. Our orthodontic objectives were to relieve the TMJ pain, limit the eruption process of the teeth and to diminish the evolution of the osteomyelitis, reduce the growth of the inferior lower third of the face and to prevent further invasive treatment of the patient. In the first phase of treatment, we established a centric relationship using an orthopedic appliance (occlusal splint) and physiotherapy to deprogram the muscles and the TMJ. Throughout the second phase of treatment, we used orthopedic appliances to inhibit the overeruption of the secondary molars. After another year of treatment, the osteomyelitis lesions were under control with the permanent teeth in final position, good facial esthetic and as a functional result, no root resorption. We can conclude that by using low physiological forces to direct and control the growth pattern, good results could be obtained in stabilizing and controlling the sclerosing osteomyelitis of the mandible.

Keywords: osteomyelitis; orthodontics; functional therapy; mixed dentition (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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