Journal of the Korean Academy of Pediatric Dentistry 2011;38(4):413-420.
Published online November 30, 2011.
Se-eun Woo, Young-Jin Kim, Hyun-Jung Kim, Soon-Hyeun Nam
Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University 
소아에서의 Garre 골수염
우세은, 김영진, 김현정, 남순현
경북대학교 치의학전문대학원 소아치과학교실
Correspondence:  Soon-Hyeun Nam,  Tel: 053-600-7201, Email:
Received: 31 March 2011   • Accepted: 5 November 2011
Garre's osteomyelitis is associated with bacterial infection and bone necrosis resulting from obstruction of blood supply. The most common cause for Garre's osteomyelitis is odontogenic infection that originates from periodontal tissue or dental pulp. Subperiosteal abscess may also cause Garre's osteomyelitis in the progress of the infection. Mandible is more often affected than maxilla, most commonly in the permanent first molar region of mandible. Clinically, it results in a hard swelling over the jaw, producing facial asymmetry. Meanwhile, radiograph shows a characteristic feature of irregular pulpal cavity, showing new periosteal proliferation located in successive layers to the condensed cortical bone on stimulated site. The treatment method for Garre's osteomyelitis are removal of the infection source, root canal treatment, antibiotic medication, and incision and drainage. This report presents a case of Garre's osteomyelitis under 15 years old. The patient was successfully treated by antibiotic medication accompanied with root canal treatment. Since the symptom of pediatric patients is less severe than adult, careful diagnosis with history taking and clinical examination is necessary. Furthermore long-term follow-up examination is needed to prevent recurrence even after the symptom disapears.
Key Words: Garre’s osteomyelitis, Mandibular permanent first molar, Eruption

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