Osteomyelitis of the Jaws: Definition and Classification

Baltensperger, M.; Eyrich, Gerold

doi:10.1007/978-3-540-28766-7_2

Cited by 46 publications

(86 citation statements)

References 95 publications

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“…In clinical settings, osteomyelitis more commonly affects the mandible, seldom manifesting in the maxilla (Suma et al, 2007). The reasons for this disparity are not fully established, but are believed to be due to the richness of blood supply and thinner cortical bone present in the maxilla (Baltensperger and Eyrich, 2009). Whether maxillary lesions were equally rare in the past, particularly in periods where oral hygiene appears to have been poorer, is less certain.…”

Section: Discussionmentioning

confidence: 99%

“…We can conservatively suggest that in addition to his existing dental issues, he would have suffered from the common symptoms of maxillary osteomyelitis: purulent discharges from the nose and mouth resulting in severe halitosis, facial swelling, pain, intermittent fever, and loss of appetite (Barry and Ryan, 2003;Baltensperger and Eyrich, 2009). In addition, the fractured remnants of the left orbital plate of the maxilla appear slightly convex, which may suggest that the lesion and its associated soft tissue created some degree of proptosis.…”

Section: Discussionmentioning

confidence: 99%

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An unusual exostotic lesion of the maxillary sinus from Roman Lincoln

Kendall

MacLeod

et al. 2015

International Journal of Paleopathology

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Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-pro t purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. AbstractThis report provides a differential diagnosis of an exostotic bony lesion within the left maxillary sinus of a Romano-British (3 rd to 4 th century AD) adult male from Newport, Lincoln. Macroscopic, radiographic, and cone beam computed tomography (CBCT) analyses suggest that the lesion is likely of odontogenic origin. The overall size of the lesion and areas of sclerosis and radiolucency, together with its hypothesised odontogenic origin, suggest that the lesion represents a chronic exostotic osteomyelitic reaction to the presence of odontogenic bacteria. While modern case studies of odontogenic maxillary sinus osteomyelitis are noteworthy, published cases of this condition are extremely rare in an archaeological context and may be underreported due to the enclosed nature of the sinuses. Such infections may have serious implications for individual and population health, and non-destructive investigation should be considered in cases where significant maxillary caries are present.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An unusual exostotic lesion of the maxillary sinus from Roman Lincoln

Kendall

MacLeod

et al. 2015

International Journal of Paleopathology

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“…It can be classified as acute, subacute or chronic, depending on the clinical presentation 1. The decline in prevalence can be attributed to the increased availability of antibiotics and the progressively higher standards of oral and dental health.…”

Section: Descriptionmentioning

confidence: 99%

Chronic non-suppurative osteomyelitis with proliferative periostitis or Garre's osteomyelitis

2013

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“…Chronic osteomyelitis may be suppurative with abscess or fistula formation and sequestration at some stage of disease. The symptoms and clinical presentation may be less severe than those of an acute form, but most patients still present jaw pain, swelling and suppuration (5). Usually the bone undergoes sequestra formation and demonstrates significant changes radiographically.…”

Section: Introductionmentioning

confidence: 99%

“…There are some conditions altering the vascularity of the bone and that predispose to osteomyelitis such as radiation, malignancy, osteoporosis, osteopetrosis, and Paget's disease. The differential diagnosis to diagnose chronic osteomyelitis includes benign (ossifying and non-ossifying fibroma, infection of the salivary glands and non-specific chronic lymphadenitis) and malignant (Ewing's sarcoma, osteosarcoma, chondrosarcoma, non-Hodgkin's lymphoma and metastatic disease) entities involving jaws by bone biopsy and culture (5,13). The jaws are different from other bones' body in that the presence of the teeth creates a direct pathway for infectious and inflammatory agents to invade bone by caries and periodontal disease.…”

Section: Figurementioning

confidence: 99%

A complicAtion following tooth extrAction: chronic suppurAtive osteomyelitis

Lorè

Gargari²,

Ventucci³

et al. 2013

ORL

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SUMMARYA 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.

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Osteomyelitis of the Jaws: Definition and Classification

Cited by 46 publications

References 95 publications

An unusual exostotic lesion of the maxillary sinus from Roman Lincoln

An unusual exostotic lesion of the maxillary sinus from Roman Lincoln

Chronic non-suppurative osteomyelitis with proliferative periostitis or Garre's osteomyelitis

A complicAtion following tooth extrAction: chronic suppurAtive osteomyelitis

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