Al Sadhan R, Alosaimi A, Al Shagroud R, Zaman M U, Allahyani M S
Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
Dental University Hospital, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.
Case Rep Dent. 2020 Jul 23;2020:2092940. doi: 10.1155/2020/2092940. eCollection 2020.
Osteoid osteoma (OO) is a benign osteogenic lesion, regularly noticed in young individuals. A solitary lesion most frequently appears in long bones but is extremely rare in jawbones. Pain is a distinguishing characteristic of this lesion. Herein, we report a rare case of an OO in the right maxilla of a 37-year-old male presenting as pain associated with dental implants. Clinical and radiographic features were indicative of a benign neoplasia of boney origin. An excisional biopsy and histological examination of the lesion confirmed the diagnosis of osteoid osteoma. Surgical excision was followed by immediate relief of most of the pain. His follow-up visits were documented; complete relief of symptoms with no complications was observed during the postoperative period. There was no evidence of recurrence at a two-year follow-up. Osteoid osteoma of the maxilla may present as pain related to dental implants, and careful radiographic assessment of the entire jawbone should be considered if diagnosis of dental implant pain is unclear.
骨样骨瘤（OO）是一种良性成骨性病变，常见于年轻人。单个病变最常出现在长骨中，但在颌骨中极为罕见。疼痛是该病变的一个显著特征。在此，我们报告一例罕见的37岁男性右侧上颌骨骨样骨瘤病例，表现为与牙种植体相关的疼痛。临床和影像学特征提示为骨源性良性肿瘤。病变的切除活检和组织学检查确诊为骨样骨瘤。手术切除后大部分疼痛立即缓解。记录了他的随访情况；术后观察到症状完全缓解且无并发症。两年随访时无复发迹象。上颌骨骨样骨瘤可能表现为与牙种植体相关的疼痛，如果牙种植体疼痛的诊断不明确，应考虑对整个颌骨进行仔细的影像学评估。
