e-ISSN: 3051-6269 | ISSN: 2975-9293

Language

European Journal of Stomatology Oral and Facial Surgery

e-ISSN: 3051-6269 | ISSN: 2975-9293


Abstract

Garrè’s osteomyelitis is a rare inflammatory disease with an unclear aetiology. It mainly affects the mandible in young children and adults under 30 years old. The goal of the treatment is to control the symptoms. However, the most appropriate management remains unclear. There are reports of off-label use of antiresorptive drugs, namely bisphosphonates, in patients with refractory disease, with favourable outcomes. 

In this article we present a literature review about Garrè’s osteomyelitis and a case report of a patient with this diagnosis, refractory to conventional treatments and symptomatic over the previous five years, who was effectively treated with zoledronic acid.

References

  • Song S, Jeong HJ, Shin H-K, Kim E, Park S-J, Park JH. Sclerosing osteomyelitis of Garré: A confusing clinical diagnosis. Journal of Orthopaedic Surgery. September 2019, doi:10.1177/2309499019874704.
  • Kuijpers, SC, de Jong, E, Hamdy, NA, et al. Initial results of the treatment of diffuse sclerosing osteomyelitis of the mandible with bisphosphonates. J Cranio-Maxillofac Surg 2011; 39: 65–68, doi:10.1016/j.jcms.2010.03.014.
  • Hallmer, Fredrik et al. “Treatment of diffuse sclerosing osteomyelitis of the jaw with denosumab shows remarkable results-A report of two cases.” Clinical case reports vol. 6,12 2434-2437. 26 Oct. 2018, doi:10.1002/ccr3.1894.
  • Otto S, Troeltzsch M, Burian E, et al. Ibandronate treatment of diffuse sclerosing osteomyelitis of the mandible: pain relief and insight into pathogenesis. J Craniomaxillofac Surg. 2015;43(9):1837‐1842.
  • Makrami AM, Hakami AA, Alhazmi AA, et al. Garre’s Osteomyelitis of the Mandible: Report of 2 Cases. Maced J Med Sci. 2021;9(C):31-3. Available from: https://oamjms.eu/index.php/mjms/article/view/5630.
  • Akgül HM, Çağlayan F, Yılmaz SG, Derindağ G. Garre’s Osteomyelitis of the Mandible Caused by Infected Tooth. Case Reports in Dentistry, vol. 2018, 2018. https://doi.org/10.1155/2018/1409539
  • Schwartz S, Pham H. Garre’s osteomyelitis: a case report. Pediatric Dentistry. Volume 3, No 3. 1981.
  • de Moraes FB, Motta TM, Severin AA, de Alencar Faria D, de Oliveira César F, de Souza Carneiro S. Garré's sclerosing osteomyelitis: case report. Rev Bras Ortop. 2014 Apr 24;49(4):401-4. doi: 10.1016/j.rboe.2014.04.010.
  • Barros JSM, Barra SG, Wanzeler AMV, Manzi FR. Osteomielite de Garré: relato de caso clínico. Faculdade de Odontologia de Lins/Unimep. 2015;25(1):79-83.
  • Gaal A, Basiaga ML, Zhao Y, Egbert M. Pediatric chronic nonbacterial osteomyelitis of the mandible: Seattle Children’s hospital 22-patient experience. Pediatric Rheumatology. 2020; 18:4 https://doi.org/10.1186/s12969-019-0384-8.
  • Padwa BL, Dentino K, Robson CD, Bin WS, Kurek K, Resnick CM. Pediatric chronic nonbacterial osteomyelitis of the jaw: clinical, radiographic, and Histopathologic features. J Oral Maxillofac Surg. 2016;74:2393–402.
  • Barbur I, Bran S, Baciut M, Armencea G, Aghiorghiesei AI, Suciu TS, Barbur AM, Opris H, Baciut G, Dinu C. An Orthodontic Approach for Garre's Sclerosing Osteomyelitis of the Mandible. Int J Environ Res Public Health. 2021 Mar 18;18(6):3159. doi: 10.3390/ijerph18063159.
  • Maurer M, Gottsauner JM, Mamilos A, Reichert TE, Ettl T. Recurrent osteomyelitis with proliferative periostitis after segmental resection and reconstruction of the mandible: a case report. Oral Maxillofac Surg. 2022 Mar 17. doi: 10.1007/s10006-022-01051-4.

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright (c) 2025 Augusto José Serra Gaspar Silva, João André Correia, Francisco Salvado, José Carlos Romeu

Metrics

PlumX
Dimensions
Altmetric

Categories

Paper information

History

  • Received: 17/11/2024
  • Published: 25/06/2025

Current Issue

Open Journal Systems
Exclusive OJS theme plugin developed with by