Chronic Osteomyelitis of Mandible : Clinical features and Radiological features

March 25, 2012 | By | Reply More

Chronic Osteomyelitis of Mandible : Clinical features and Radiological features

Clinical features:
1. Site: Mandible
2. At early stage:

a. General constitutional symptoms:

• Intermittent fever
• Malaise
• Nausea, vomiting
• Anorexia

b. Pain:

• Deep seated
• Paresthesia of the lower lip
• Facial cellulitis
• Trismus
• Swelling

3. Established case of OML:

a. Deep pain
b. Loosening of involved teeth
c. Pain on percussion
d. Sensitivity
e. Purulent discharge of pus
f. Regional lymphadenopathy
g. Trismus

Radiological feature:
1. In early stage, there are no findings
2. The changing begins 4-6 weeks after infection
3. In late stage of Osteomyelitis, we find sequesterum, involucrum, scattered area, moth eaten appearance in conventional radiograph.
4. For specialized image, we do: CT scan, Radionucleido bone scan, Positron emission tomography.

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Category: Dental, Oral Pathology

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