The most likely pathology associated with the following radiograph is:
Garre’s osteomyelitis
The condition occurs almost exclusively in young people and has a predilection for the mandible. The condition presents purely as a periosteal reaction to low-grade infection.
Radiological signs
There may be a grossly carious tooth present or evidence of pericoronitis. Radiological change is usually restricted to the laying down of periosteal new bone either as an “onion skin” reaction or as a more extensive thickening of the whole body of the mandible.
Key Concept
Chronic suppurative (or rarefying) osteomyelitis
Acute osteomyelitis
Garre's osteomyelitis
Sclerosing osteomyelitis