ISSN 2398-2977      

Mandible/maxilla: alveolar periostitis (chronic ossifying periostitis)

pequis

Synonym(s): Chronic ossifying alveolar periostitis, pseudo-odontoma, dental lumps, eruption cysts


Introduction

  • A description of the cain of inflammatory changes that occur in perialveolar osseous tissues.
  • It has also been descirbed as chronic ossifying periostitis, pseudo-odontoma and eruption cysts depending on etiology, location and nature of inflammatory response seen in the tissues.
  • Cause: benign inflammatory response to eruption of permanent teeth; term is also used to describe pathologic inflammation around the tooth root associated with periodontal disease   Teeth: periodontal disease  and dental decay   Teeth: caries - infundibular cement  .
  • Signs: swelling along the vertical border of the mandible ('bumps'); signs associated with periodontal disease.
  • Diagnosis: palpable lumps along the horizontal border of the mandible.
  • Treatment: none for benign condition; as for periodontal disease.
  • Prognosis: good. Some swelling may persist.

Pathogenesis

Etiology

  • Direct dental trauma and dentistogenic injury or maxillary/mandibular bone trauma and infections around reserve crowns and tooth roots.

Specific

  • Overcrowding of unerupted teeth.

Pathophysiology

Benign
  • Active dental sac during eruption of permanent premolars and molars   →   benign inflammation of the alveolar bone (periostitis)   →   focal enlargements along the ventral mandible.
  • With completion of eruption, active inflammation resolves   →   residual swelling due to new bone formation.

Pathologic

Diagnosis

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Treatment

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Tremaine H (1997) Dental care in horses. In Pract 4, 186-199 VetMedResource.
  • Lane J G (1994) A review of dental disorders of the horse, their treatment and possible fresh approaches to management. Equine Vet Educ (1), 13-21 Wiley Online Library.
  • Stickle R et al (1992) What is your diagnosis? Alveolar periostitis, sinusitis and malocclusion of supernumerary upper teeth. JAVMA 201 (8), 1271-1272 PubMed.
  • Gibbs C et al (1987) Radiologic examination of the facial, nasal and paranasal sinus regions of the horse, II. Radiologic findings. Equine Vet J 19 (5), 474-482 PubMed.
  • Lane J G et al (1987) Radiologic examination of the facial, nasal and paranasal sinus regions of the horse, I. Indications and procedures in 235 cases. Equine Vet J 19 (5), 466-473 PubMed.
  • Jackson L L et al (1971) Radiographic diagnosis of alveolar periostitis in the molar tooth of a horse. JAVMA 158 (4), 511-512 PubMed.

Other sources of information

  • Baker G J & Easley J (1999) Eds. Equine Dentistry. W B Saunders, USA.

Related Images

Can’t find what you’re looking for?

We have an ever growing content library on Vetlexicon so if you ever find we haven't covered something that you need please fill in the form below and let us know!