Osteoid Osteoma in the Front of the Mandible

The patient is a 33-year-old female.

The first symptom was pain on the right side of the mandible, in teeth #41 (25), #42 (26) and #43 (27) similar to pulpitis. After endodontic treatment, the X-ray and CBCT showed a focus of necrosis with strongly shaded elements in the central area. Root resection of #42 (26) and #43 (27) resection with backfill of the root canal with MTA.

The tumor was removed with peripheral bone curettage to about 1 millimeter deep. The biological structure of the tumor was similar to spongy bone but a little harder. The bone defect was filled with Bond Apatite® (2cc).

The tumor was taken to histopathology with a diagnosis of osteoid osteoma of the mandible.

Good healing of the wound was observed. The sutures were removed 7-days post-op. 12-months post-op no recurrence or secondary inflammatory symptoms were observed.

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