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Case Reports
. 2013 Oct 15;6(2):43-7.
eCollection 2013.

A complication following tooth extraction: chronic suppurative osteomyelitis

Affiliations
Case Reports

A complication following tooth extraction: chronic suppurative osteomyelitis

B Lorè et al. Oral Implantol (Rome). .

Abstract

A complication following tooth extraction: a case report of chronic suppurative osteomyelitis.

Objective: This article presents a case report about the surgery treatment of chronic suppurative osteomyelitis following a tooth extraction.

Methods: Cone beam computed tomography revealed a sequestrum bone formation that required the sequestrectomy and the debridement of the involved area. The prescription of oral penicillin and metronidazole were necessary after and before the surgery. Also 20 sessions of hyperbaric oxygen therapy were important for the healing of the marrow space.

Results: The histologic test confirmed the diagnosis of "Chronic suppurative osteomyelitis". Clinically the post-operative course showed no complications but a good healing of the bone tissue. Culture reports revealed two microorganisms, streptococcus viridans and staphylococcus, that are sensitive to penicillin.

Conclusions: Clinical results confirmed the validity of the sequestrectomy and the debridement of the involved area for the treatment of chronic suppurative osteomyelitis. Such approach has always to be preferred because it guarantees the healing of bone tissue.

Keywords: bone sequestrum; chronic osteomyelitis; complication tooth extraction; sequestrectomy.

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Figures

Figure 1
Figure 1
Panoramic view before the extracion of tooth 46.
Figure 2
Figure 2
Extraoral photograph of the patient showing swelling on right side of mandible.
Figure 3
Figure 3
Panoramic view after the extracion of tooth 46.
Figure 4
Figure 4
CBCT revealing the bone sequestrum.
Figure 5
Figure 5
Extra oral photograph of the patient showing the expulsion of bone sequestrum.
Figure 6
Figure 6
Intra operative photograph after extraction of teeth 45 and 47.
Figure 7
Figure 7
Bone sequestrum removed.
Figure 8
Figure 8
Bone sequestrum removed.
Figure 9
Figure 9
Clinic healing after 3 months from surgery.
Figure 10
Figure 10
Panoramic view showing healing of bone tissue.

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