Mandibular osteomyelitis

Case contributed by Dr Domenico Nicoletti

Presentation

Swelling right horizontal branch of the jaw after three week tooth extraction.

Patient Data

Age: 65
Gender: Female
X-ray

Presence of osteolysis with blurred margins in the right horizontal branch of the mandible

CT

In the right hemimandible, in pre molar region is visible osteolysis area bounded by reactive osteosclerosis, open on the vestibular surface with periosteal reaction and some bone seizures in context.

It is associated soft tissue swelling with adenopathy.

The mandibular canal is normal.

CT

Control after surgical revision

Complete healing of the osteomyelitis hotbed with new bone apposition.

Case Discussion

Osteomyelitis is a complication of periapical infections or secondary bacterial insults to tooth extractions, broken teeth, infected wounds or dental cyst.

Bone infections causes toothache, fever, swelling, lymphadenitis. If no action is taken promptly, dental osteomyelitis can develop into abscesses and fistulas.

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