Abstract Osteoma cutis is a rare benign condition characterized by the formation of ectopic bone within the dermis or submucosa. Herein, we report the case of a 39-year-old male who presented with a broken root canal-treated tooth (maxillary right second premolar). The crown was absent, and only the root remained. Radiographic examinations revealed multiple discrete, well-circumscribed radiopacities with mild internal radiolucency in the soft tissue of the right cheek in the posterior region. The patient had a history of acne vulgaris 10 years ago. Based on the clinical and radiographic findings, a presumptive diagnosis of secondary osteoma cutis was reached. The patient was referred for dental treatment, and follow-up was advised. This case highlights a rare presentation of osteoma cutis in the cheek, identified incidentally during routine imaging. The differential diagnosis of soft-tissue calcifications in the head and neck should include osteoma cutis, especially when multiple radiopacities are observed radiographically. Early diagnosis is crucial for effective management and the exclusion of underlying systemic or syndromic associations.
Ali Mosfer A. Alqahtani (Tue,) studied this question.