Pediatric mandibular chronic nonbacterial osteomyelitis: A case report with 12 years of radiologic follow-up

Imaging Sci Dent. 2024 Mar;54(1):93-104. doi: 10.5624/isd.20230189. Epub 2024 Feb 6.ABSTRACTChronic nonbacterial osteomyelitis (CNO) is histologically characterized by nonspecific osteitis. This inflammatory disorder, which lacks an infectious origin, typically presents with chronic pain and swelling at the affected site that can persist for months or even years. However, it is rare for CNO to affect the mandible. A 10-year-old girl presented with a primary complaint of pain in her left mandible. She had no significant medical or dental history. On examination, swelling was visible on the left buccal side, and imaging revealed radiolucent bone deterioration within the left mandible. This case report presents the radiological changes observed over a 12-year follow-up period. Variations in radiopacity, radiolucency, and periosteal reactions were noted periodically. This case highlights the radiological characteristics and findings that are crucial for the diagnosis of CNO, a condition for which no clear diagnostic criteria are currently available.PMID:38571777 | PMC:PMC10985518 | DOI:10.5624/isd.20230189
Source: Imaging Science in Dentistry - Category: Dentistry Authors: Source Type: research