Surgical management of chronic osteomyelitis with benign osteopetrosis: A case report

Raiteb, Mohamed; Elmrini, Sanaa; Slimani, Faiçal

doi:10.1016/j.amsu.2021.102296

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…However, it’s worth noting that osteomyelitis often recurs due to compromised bone blood flow, hindering antibiotic penetration into the affected tissue. Additionally, distinguishing between sclerotic and necrotic bone during sequestrum removal can pose challenges 14…”

Section: Discussionmentioning

confidence: 99%

Maxillary osteomyelitis in a young female with osteopetrosis: unveiling an uncommon connection

Chawla,

Yerragudi,

Arumulla

et al. 2023

BMJ Case Rep

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Osteopetrosis encompasses a spectrum of conditions marked by heightened bone density due to faulty osteoclast-mediated bone resorption, leading to an accumulation of immature bone and thickened cortical structures. This condition gives rise to bone fragility, blood cell irregularities, nerve entrapment and growth challenges, all stemming from disrupted bone remodelling. Craniofacial distinctiveness, encompassing anomalies in the skull and jaw, is a frequent occurrence. Osteopetrosis presents a range of clinical signs, including facial and dental anomalies. The diagnostic process involves thorough clinical and radiological assessments, often obviating the need for genetic testing. Interestingly, few prior reports have delved into the specifics of craniofacial and dental issues in osteopetrosis. The presented case showcases rare occurrence of maxillary osteomyelitis. The diagnosis was established through a combination of history, clinical, radiographic and laboratory findings. The patient declined surgical intervention, leading to the implementation of conservative management involving regular irrigation alongside systemic antibiotic therapy.

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Section: Discussionmentioning

confidence: 99%

Maxillary osteomyelitis in a young female with osteopetrosis: unveiling an uncommon connection

Chawla,

Yerragudi,

Arumulla

et al. 2023

BMJ Case Rep

View full text Add to dashboard Cite

show abstract

“…In patients with osteopetrosis, osteomyelitis remains unresolved indefinitely [ 21 ]. Even tooth eruption can result in serious infection [ 16 , 27 ]. Infection control in the jaw should be a priority for dentists and oral surgeons [ 5 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…Infection control in the jaw should be a priority for dentists and oral surgeons [ 5 , 16 ]. For pediatric dentists, the fundamental treatment of osteopetrosis involves frequent assessment of dental eruption and the maintenance of oral hygiene [ 8 , 23 , 24 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Osteomyelitis Possibly Caused by Exfoliation of Primary Teeth in a Patient with Osteopetrosis

et al. 2022

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Osteopetrosis is a rare inherited skeletal disease characterized by increased density in the bones and can be detected by radiographs. Sclerosis makes the jaw bones extremely susceptible to infections, osteomyelitis, and fractures. Here, we report a case of osteomyelitis possibly caused by spontaneous exfoliation of primary teeth in a patient with osteopetrosis. A 2 years and 9 months (2Y9M)-old boy with osteopetrosis was referred to our clinic for oral management. Only four primary central incisors had erupted, and they all exhibited hypoplasia. The mandibular right central primary incisor suddenly became exfoliated at 4 years and 1 month. The mandibular right lateral primary incisor also became exfoliated at 4 years and 3 months, soon after eruption, and the mandibular left central primary incisor became exfoliated at 4 years and 5 months. Subsequently, we confirmed the eruption of calcified tissue at 4 years and 9 months in the location where the mandibular right lateral primary incisor had become exfoliated. The patient was admitted to the pediatrics clinic for mandibular cellulitis at 5 years and 2 months, then referred to our clinic for the management of osteomyelitis. The patient’s acute inflammation was reduced by repeated irrigation and the administration of antibiotics; the inflammation gradually became chronic. When treating patients with osteopetrosis, dentists and oral surgeons should prioritize infection control in the jaw, periodic assessment of dental eruption, and the maintenance of oral hygiene.

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Surgical management of chronic osteomyelitis with benign osteopetrosis: A case report

Cited by 2 publications

References 13 publications

Maxillary osteomyelitis in a young female with osteopetrosis: unveiling an uncommon connection

Maxillary osteomyelitis in a young female with osteopetrosis: unveiling an uncommon connection

Osteomyelitis Possibly Caused by Exfoliation of Primary Teeth in a Patient with Osteopetrosis

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