Osteomielite crônica com periostite proliferativa: revisão de literatura

Abstract

Due to the importance of establishing a correct radiographic diagnosis, the difficulty of differentiating between chronic osteomyelitis with proliferative periostitis (COPP) with other diseases and due to the importance of images in controlling regression of the lesion during treatment, was performed a literature review on COPP, with emphasis on imaging (radiography and tomography). In addition to addressing the clinical and histopathological features. Inclusion criteria were studies of scientific research, literature reviews and case reports. The COPP is a variety of chronic osteomyelitis, which is characterized by involve young people with a history of inflammation and infection. The most common cause is the presence of caries in first permanent molars lower with presence of periapical infection. Usually patients have episodes of pain, swelling hardened, leading to facial asymmetry, trismus, regional lymphadenopathy and absence of suppuration. The images show a sclerotic bone, radiopaque, with gray areas of osteolysis, radiolucent. The deposition of new bone, called proliferative periostitis, has an aspect of "onion skin". The treatment is based on eliminating the cause, antibiotic medication and monitoring the reduction of injury or surgery rescinded.