The Significance of Oral Radiology for Early Detection of Gardner Syndrome: A Case Report

Gardner syndrome is a rare disease with autosomal dominant inheritance characterized by the presence of polyposis coli, multiple osteoma, and mesenchymal tumour in the skin and soft tissue. This study aims at presenting a case of Gardner syndrome together with clinical and radiographic features. A 40 year-old male patient with the chief complaint of toothache was admitted to the Oral and Maxillofacial Radiology Clinic of KTU Faculty of Dentistry. Panoramic radiography obtained from the patient showed the indications of osteomas, which were then supported by the subsequent cone beam computed tomography. The patient was referred to Gastroenterology Clinic with a prediagnosis of Gardner syndrome. After carrying out colonoscopy, polyposis coli were detected. In case of presence of multiple osteomas on patient's radiographies, it is highly substantial to undertake a GIS examination for Gardner syndrome to search for polyposis coli which necessitates a surgical treatment plan, since polyposis coli is a characteristic feature of Gardner syndrome and has a high malignant potential.