2014
DOI: 10.1111/adj.12186
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Osteomyelitis of the condyle secondary to pericoronitis of a third molar: a case and literature review

Abstract: In this study, we report a very unusual case of a patient with osteomyelitis of the condyle secondary to pericoronitis of an impacted third molar. The patient was treated by removal of the impacted third molar, opening of the drainage, combined with systemic application of antibiotics for two weeks. This treatment option did not lead to any functional defects or facial asymmetry. The patient fully recovered and the disease did not recur.

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Cited by 6 publications
(4 citation statements)
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“…2 Furthermore, the third molars are by far the most commonly impacted, as they are the last to be formed and erupt in the oral cavity. 3 Impacted third molars are at a relatively high risk of development of various disorders and complications, 4 such as pericoronitis, caries, resorption, and periodontal problems, 5 and may even induce bone fractures and tumorigenesis. 6 Therefore, lower third molar extraction (LTME) has become a common yet vital dental treatment.…”
mentioning
confidence: 99%
“…2 Furthermore, the third molars are by far the most commonly impacted, as they are the last to be formed and erupt in the oral cavity. 3 Impacted third molars are at a relatively high risk of development of various disorders and complications, 4 such as pericoronitis, caries, resorption, and periodontal problems, 5 and may even induce bone fractures and tumorigenesis. 6 Therefore, lower third molar extraction (LTME) has become a common yet vital dental treatment.…”
mentioning
confidence: 99%
“…The other was a case of sclerosing osteomyelitis in the lower right third molar extraction space in a 21-year-old female that was treated with extensive decortication. Cases of condylar osteomyelitis due to an ectopic third molar in a 35-year-old female4 and a lower left third molar in a 37-year-old male5 have also been reported; treatment was extraction, curettage, and drainage. Very similar to our case, Tong et al6 reported a case of chronic osteomyelitis with proliferative periostitis affecting the mandibular angle of a 12-year-old male patient secondary to an un-erupted lower third molar.…”
Section: Discussionmentioning
confidence: 99%
“…This disorder mainly involves the mandible which is rarely attributed to the bisphosphonates therapy or radiotherapy or from bacterial infection from odontogenic origin. Other disease conditions which predispose to osteomyelitis are malignancy, osteoporosis and Paget's disease [8,9].…”
Section: Introductionmentioning
confidence: 99%