Condensing Osteitis

- Description:

It's a periapical inflammatory diseases, that results from reaction to infection, which is periodontal and not dental.
There would be bone production rather than bone destruction.

The most common site is near premolars and molars.
The Lesion appear as an radio-opacity in the periapical area hence the sclerotic reaction.
The sclerotic reaction result from good patient resistance and a low degree of virulence of the offending bacteria.
The associated tooth is carious or contains a large restoration.

- Synonyms:
1- Garre's Disease (described by Dr. Carl Garré in 1893).
2- Sclerosing Osteitis.

- Etiology:
Infection of periapical tissues of a high immunity host by organisms of low virulence.

- Treatment:
The offending tooth should be tested for vitality of the pulp, if inflamed or necrotic, then endodontic treatment is required, while hopeless teeth should be extracted.

- Prognosis:
if the offending tooth is extracted, the area of condensing osteitis may remain in the jaws indefinitely, and is termed osteosclerosis or bone scar.

- Differential Diagnosis:
1- Idiopathic osteosclerosis.
2- cementoblastoma.
NOTE: An abnormal result with pulp testing strongly suggests condensing osteitis and tends to rule out osteosclerosis and cementoblastoma.

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:: World Of Dentistry :: TEAM