Osteomyelitis with proliferative periostitis (OMPP) is a rare, chronic inflammatory condition affecting primarily children and adolescents, characterized by subperiosteal bone formation due to low‐grade infectious or inflammatory stimuli. This study reports a case of OMPP treated with nonsurgical endodontic therapy and presents a scoping review of similar cases. Sixteen published reports were identified, most involving young patients and the mandibular first molar. Despite protocol variations, nonsurgical root canal treatment (RCT)—often combined with intracanal medication and/or antibiotics—was the preferred approach, with favorable outcomes in all cases. The present case involves a 10‐year‐old male with asymptomatic mandibular swelling. Radiographs showed a periapical lesion and periosteal reaction in the right first molar. RCT was performed over three appointments. Complete clinical and radiographic remission occurred after 6 months. This study highlights the effectiveness of conservative endodontic treatment and the importance of permanent tooth preservation and follow‐up in managing OMPP.
Braz et al. (Thu,) studied this question.
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