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Case Reports
. 2019 Jun 1;7(2):55.
doi: 10.3390/dj7020055.

Idiopathic Exposed Bone Lesions of the Jaw

Božana Lončar Brzak  1 , Vanja Vučićević Boras  2 , Ana Kotarac Knežević  3 , Mato Sušić  4 , Sven Seiwerth  5 , Dragana Gabrić  6
Affiliations
Case Reports

Idiopathic Exposed Bone Lesions of the Jaw

Božana Lončar Brzak et al. Dent J (Basel). .

Abstract

Introduction: Osteonecrosis of the jaw is defined as exposed bone in the oral cavity that does not heal longer than eight weeks after identification. The two most common predisposing factors for osteonecrosis of the jaw are medication-related and radiotherapy. Rarely, exposed bone in the maxillofacial region can occur due to other causes and represents a clinical and therapeutic challenge for the dentist because there is no universally accepted treatment protocol.

Case presentation: We report a case of a patient with two idiopathic lesions of exposed bone which have healed after systemic antibiotic therapy, seven weeks after the first examination.

Conclusion: Exposed bone lesions of the jaw are a rare entity and are poorly documented in the literature. It is necessary to exclude possible local or systemic contributing factors. Surgical and conservative therapy (antibiotics) are the treatment of choice.

Keywords: jaw; oral cavity; osteonecrosis; therapy.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Tongue ulceration.
Figure 2
Figure 2
Exposed bone in distal part of the mandible.
Figure 3
Figure 3
Orthopantomograph.
Figure 4
Figure 4
Exposed bone in anterior part of the mandible.
See this image and copyright information in PMC

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