An unusual case of peripheral osteoma in a young patient

Osteoma is a benign osteogenic neoplasm characterized by gradual growth. Commonly, it manifests in the craniofacial region, marked by the proliferation of compact and/or cancellous bone. Despite its frequent occurrence, peripheral osteoma’s precise etiology and pathogenesis remain unknown. Post-surgical excision recurrence is rare, and malignant transformation has yet to be documented. This study aims to detail an unusual case of an 11-year-old male patient presenting with a solitary peripheral osteoma in the right retromolar trigone region, a previously unreported site. The patient was initially asymptomatic, but after one month, the lesion induced facial asymmetry and discomfort while chewing. Successful surgical intervention resulted in the lesion's removal, and after 1 year of monitoring, no signs of recurrence were observed. This paper also highlights the peripheral osteoma’s clinical, radiographic, surgical, and histopathological features, as well as its differential diagnoses.