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mandibular osteomyelitis

Mateus Barros Cavalcante, Amanda Laísa de Oliveira Lima, Marcus Antônio Brêda Júnior, Milkle Bruno Pessoa Santos
INTRODUCTION: The florid cemento-osseous dysplasia is an uncommon condition nonneoplastic, of unknown cause with higher prevalence in melanodermic women, limited the maxillary bones, is characterized by the presence of dispersed and diffuse radiopaque calcifications, constituted of bone and dense cemento; however, when the bone is infected it induces the suppuration and formation of osseous sequestra, thus resulting in an osteomyelitis frame. CLINICAL REPORT: The patient was attended in a Dental Specialties Center in the state of Alagoas, Brazil, presenting on clinical examination edema and extra oral fistula with pus drainage in hemiface submandibular of the right side...
November 2016: Journal of Craniofacial Surgery
Jorge Tellez-Rodriguez, Rubi Lopez-Fernandez, Rodolfo Rodriguez-Jurado, Hayde Nallely Moreno-Sandoval, Francisco Martinez-Perez, Juan Antonio Gonzalez-Barrios
BACKGROUND: Tuberculosis is considered an emerging disease worldwide; in the last 10 years, its incidence has increased to more than 9.6 million cases of active tuberculosis. In 2014, it resulted in 1.5 million patient deaths. However, oral presentation with bone involvement occurs in less than 3% of all reported cases and rarely arouses clinical suspicion on initial presentation. CASE PRESENTATION: A 15-year-old Mexican girl who had a previous diagnosis of neurofibromatosis presented to our hospital with pain and swelling in the region of the left mandibular body since November 2011...
December 20, 2016: Journal of Medical Case Reports
Gabriel Semel, Amir Wolff, Dekel Shilo, Sharon Akrish, Omri Emodi, Adi Rachmiel
PURPOSE: To present a series of rare and serious complications associated with endosseous implant therapy. MATERIALS AND METHODS: Five cases of mandibular osteomyelitis emerging in dental implant insertion sites are presented. In three cases, the clinical signs and symptoms of osteomyelitis occurred almost immediately following implant insertion. All cases occurred in patients with stable pre-existing medical conditions. Three of the patients were females and two were males, all of whom were in their sixth and seventh decades of life...
2016: European Journal of Oral Implantology
Marina Reis Oliveira, Luíz Fernando de Oliveira Gorla, Marisa Aparecida Cabrini Gabrielli, Valfrido Antonio Pereira-Filho
This paper describes 3 patients of off-label use of bone morphogenetic protein 2 (rhBMP-2) in the reconstruction of mandibular continuity defects. In the first patient, rhBMP-2 was associated with iliac crest bone graft for late mandibular reconstruction after resection of osteosarcoma. In the 2 other patients, rhBMP-2 was used alone. In 1 patient the mandibular continuity defect was due to resection for treatment of osteomyelitis and in the other patient a continuity defect was created by unsuccessful osteogenic distraction for correction of mandibular hypoplasia...
January 2017: Journal of Craniofacial Surgery
Chi-Hwan Lee, Yoorina Choi, Sujung Park
Paraformaldehyde has been used in the past as a pulpotomy agent. However, it has a severe cytotoxic effect and may cause alveolar bone necrosis. Depulpin, a devitalizing agent containing 49% paraformaldehyde, is no longer used frequently due to its severe side effects. In the two cases described in the present study, Depulpin was used as a devitalizing agent during root canal treatment. It caused a gradual loss of sensibility in adjacent teeth, gingival necrosis, and osteomyelitis. This case report demonstrates the serious side effects of using a paraformaldehyde-containing paste as a devitalizing agent for pulp, particularly mandibular bone necrosis...
November 2016: Restorative Dentistry & Endodontics
Ajmal Mohamed, Beena Varma, Nidhin J Valappila, S Aravind Meena
Exact localization of foreign body is important for planning the treatment required for its retrieval without much tissue damage. Plain film radiography is the initial screening modality used for the detection of suspected foreign body. However, about one-third of all the foreign bodies are missed in the initial radiographic examination. In case of a wooden foreign body, only 15% are well-visualized on plain radiographs and are, therefore, often missed or misdiagnosed. Hence, the different radiographic technique should be used to localize the object instead of relying on a single radiographic image...
September 2016: Indian Journal of Dentistry
Marijus Leketas, Evelina Vedlugaitė, Ričardas Kubilius
OBJECTIVES: To investigate which treatment of maxillofacial fractures is more effective and what type of complications is the most common after observed treatment. The second aim is to explore relationship between treated facial bone fractures and temporomandibular joint (TMJ) pathology. MATERIAL AND METHODS: Cases with TMJ pathology in Lithuanian University of Health Sciences (LUHS) in the Department of Maxillofacial Surgery (MS) during 2012-2014 were analysed to research the occurrence of TMJ disorders after facial bone fracture treatment...
2016: Stomatologija
Probodh K Chattopadhyay, Shakil Ahmed Nagori, Rahul P Menon, Balasundaram Thanneermalai
In the maxillofacial area, osteomyelitis generally involves the mandible more commonly than the maxilla. Osteomyelitis of the mandible more often than not is odontogenic in origin and the dentate part is usually affected. In this context, involvement of the condyle and coronoid processes is very rare. This report describes 2 unique cases of condylar involvement with osteomyelitis. In these cases, the etiologies were unknown and were successfully managed by condylectomy and antibiotics. A comprehensive review of the English-language literature showed only 18 cases of osteomyelitis of the condyle...
February 2017: Journal of Oral and Maxillofacial Surgery
Matthias Christian Wurm, Ines Brecht, Michael Lell, Kathrin Brunner, Konstantinos Theodorou Mitsimponas, Martin Chada, Julia Jahn, Friedrich-Wilhelm Neukam, Cornelius von Wilmowsky
BACKGROUND: Chronic recurrent multifocal osteomyelitis (CRMO) is a rare acquired inflammatory skeletal disorder of unknown origin. CRMO was first described by Gideon in 1972 and mainly affects children and young adults of female gender. The CRMO is part of the clinical picture of non-bacterial Osteomyelitis (NBO) and typically presents a relapsing recurring course with both remission and spontaneous exacerbation. CRMO is typically encountered in the limbs and the metaphysis of long bones in particular...
2016: BMC Oral Health
Yuki Kojima, Takashi Ishigami, Masakazu Akiba
We report a case of chronic myelomonocytic leukaemia (CMMoL) in a 68-year-old man who developed osteomyelitis of the mandible. At the initial visit, he reported uncontrolled gingival bleeding, despite self-administered haemostasis. He complained of severe pain in the socket, despite potent opioid analgesia. After consultation with the internal medicine specialists, we undertook a surgical anti-inflammatory approach that included sequestrectomy with massive blood transfusion. His physical condition was ameliorated after the surgical procedure, and he was discharged from the hospital...
2016: Journal of Surgical Case Reports
Tohru Taniguchi, Yoshiko Ariji, Michihito Nozawa, Munetaka Naitoh, Yuichiro Kuroiwa, Kenichi Kurita, Eiichiro Ariji
OBJECTIVES: To compare the computed tomography (CT) features of mandibular cancellous and cortical bones between patients with bisphosphonate (BP) administration and those without and to assess the early changes of the mandible in BP-treated patients. STUDY DESIGN: Twenty-four BP-treated patients suffering from medication-related osteonecrosis of the jaw (MRONJ) were enrolled in this study. For comparison, 20 patients suffering from osteomyelitis and 20 patients without pathology in the jaw were also enrolled, all of whom did not receive BP treatment...
September 2016: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Meredith M Clancy, Alisa L Newton, John M Sykes
An adult female Taylor's cantil (Agkistrodon bilineatus taylori) presented with marked spinal and mandibular osteomyelitis that cultured positive for Salmonella enterica subsp. houtenae, serovar IV 43:z4,z32:-. Progression of osteomyelitis was arrested by treatment using amikacin (0.026 mg/kg per hour) delivered via subcutaneous osmotic pump for 10 mo, replacing the pump every 4 wk. No adverse effects on renal function were appreciated throughout the course of therapy. Amikacin therapy was discontinued after improvement with treatment, but 5 mo later, bony lesions worsened, and an additional abscess formed at the previous pump site...
June 2016: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
Hamid Abbaszadeh, Mohammad Sina Arab Sheibani
Actinomycosis is an infection of filamentous, gram-positive anaerobic bacteria. Actinomycosis of jaw bone is rare and the diagnosis is often difficult. The aim of this patient report is to present an actinomycotic osteomyelitis of mandible in a 30-year-old male patient. The patient presented with a chief complaint of pain and unhealed dental socket after mandibular teeth extractions. Radiographs showed ill-defined radiolucencies and perforation of buccal and lingual cortical plate; several biopsies and different therapy could not improve the lesion because of fault diagnosis and improper treatment...
July 2016: Journal of Craniofacial Surgery
Ragda Abdalla-Aslan, Chen Nadler, Rafael Benoliel, Yair Sharav, Yaron Haviv
Chronic osteomyelitis of the jaws presents a diagnostic and therapeutic challenge. A 45-year-old woman presented with episodic pain in the right mandible of two and a half years' duration. During active periods, lasting for 2 to 3 weeks, the pain woke the patient from sleep at a regular time, and had features mimicking a variant of cluster headache. However, clinical, radiologic, and histologic findings confirmed the diagnosis of chronic sclerosing osteomyelitis. Conservative treatment, including 6 weeks of intravenous antibiotics, relieved the pain with no signs of recurrence at the 1-year follow-up...
2016: Quintessence International
Bonnie L Padwa, Kelley Dentino, Caroline D Robson, Sook Bin Woo, Kyle Kurek, Cory M Resnick
PURPOSE: Chronic nonbacterial osteomyelitis (CNO) is a focal sterile inflammatory osteitis in children that most commonly develops in the long bones, but can occur in any bone. The disease course is variable, ranging from acute and self-resolving isolated lesions to chronic recurrent multifocal osteomyelitis (CRMO), which is frequently associated with extraosseous inflammatory disease. The purpose of this study was to present our clinical experience with CNO of the mandible in children...
December 2016: Journal of Oral and Maxillofacial Surgery
Tamer Celakil, Merve Dogan, Bilge Gokcen Rohlig, Gulumser Evlioglu, Haluk Keskin
Osteopetrosis is a congenital disorder characterized by increasing osteoclastic function resulting in osteomyelitis in the jaws. Orofacial findings in osteopetrosis patients are unerupted, malformed, or delayed teeth and many dental caries due to vulnerable enamel and dentin and osteomyelitis. Many reports have described that maxilla is an uncommon site of occurrence for osteomyelitis due to cortical bone morphology and collateral circulation. This report aims to discuss clinical features and prosthodontic management of a patient with clinical features of adult form of osteopetrosis and osteomyelitis in both jaws...
2016: Case Reports in Dentistry
Miki Kadowaki, Tateki Kubo, Masakazu Fujikawa, Hiroki Tashima, Hiromi Nagayama, Osamu Ishihara, Ryuhei Yamada, Ippei Otake, Ko Hosokawa
OBJECTIVE: We invented a two-tiered structure device based on stereolithography for residual mandible repositioning in mandibular reconstruction with fibular flap, and examined its usefulness. PATIENTS AND METHODS: A total of eight patients (six carcinomas and two osteomyelitis) who had undergone mandibular reconstruction with fibular flap were included. Mandibular defects according to Jewer's classification were L for five, LC for two, and H for one patient (range of bone defect size, 7...
April 21, 2016: Microsurgery
Zixian Huang, Zhiquan Huang, Daming Zhang, Huijun Hu, Qixiang Liang, Weiliang Chen
The aim of this study was to evaluate the possibility of using an endoscope in the treatment of five patients with odontogenic peripheral osteomyelitis of the posterior mandible diagnosed between March 2012 and September 2014. After imaging and general preoperative examination, the patients had endoscopically-assisted curettage and sequestrectomy. The data collected included the duration of the operation, complications, and patients' degree of satisfaction. The mean duration of the operation through an intraoral incision, was 46 (range 40-60) minutes...
June 2016: British Journal of Oral & Maxillofacial Surgery
Stefan Hartwig, Christian Doll, Jan Oliver Voss, Jan Dirk Raguse
Intermaxillary fixation (IMF) with screws is routinely used as a conservative therapy or to obtain normal occlusion during the surgical procedure of open reduction and internal fixation for treating mandibular fractures. The risk of iatrogenic dental damage caused by interdental drilling is widely known. Several side effects are described, including loss of response to pulp sensibility testing, root fracture, and, loss of the tooth. This is a case report about a young man who had undergone temporary IMF treatment with a single proven root damage...
October 2016: Dental Traumatology: Official Publication of International Association for Dental Traumatology
A Kulyapina, J Verdaguer Martin, C Navarro Cuellar, C Navarro Vila
Osteopetrosis (OP) is a rare metabolic bone disease characterized by a generalized increase in skeletal mass. The disease is characterized by increased susceptibility to develop osteomyelitis of the jaws. We report a case of clinical and radiological progression of bimaxillary osteomyelitis in a patient with autosomal dominant OP. The patient presented non simultaneous osteomyelitis in both upper and lower jaws with time interval of 10 years. The osteomyelitis of maxilla resulted in oroantral fistula formation and required surgical closure with Bichat fat pad flap...
March 2016: Journal of Maxillofacial and Oral Surgery
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