ABSTRACT
Inflammation of bone is caused either by bacterial infection or occasionally by physical stimulus. Primary chronic osteomyelitis of mandibular bone is a chronic inflammation of an unknown cause. Pain, swelling, limited mouth opening, regional lymphadenopathy and hypaesthesia are clinical symptoms at initial presentation. Results of biopsy, computed tomography and scintigraphy reveal the diagnosis of a primary chronic osteomyelitis. Its management is long-term antibiotic therapy, hyperbaric oxygen and surgical therapy, even bisphophonate treatement may be a good option. The case report presents a primary progressive chronic osteomyelitis of the manibular bone of a ten year old boy. Clinical and radiological signs are discussed as well as diagnosis, management and follow-up.
Subject(s)
Bacterial Infections/diagnostic imaging , Bacterial Infections/therapy , Mandibular Diseases/diagnostic imaging , Mandibular Diseases/therapy , Osteomyelitis/diagnostic imaging , Osteomyelitis/therapy , Single Photon Emission Computed Tomography Computed Tomography , Amoxicillin-Potassium Clavulanate Combination/therapeutic use , Child , Chronic Disease , Combined Modality Therapy , Follow-Up Studies , Humans , Hyperbaric Oxygenation , MaleABSTRACT
The oral pulse granuloma represents a rare form of oral foreign body granulomas and results from encapsulation of particles of vegetable nutrition. Histologically, the oral pulse granuloma consists of multinucleated foreign body type giant cells, hyaline rings and chronic inflammation tissue. Intraosseous granulomas can be distinguished from extraosseous granulo- mas. Intraosseous granulomas are often asymptomatic, whereas the extraosseous type may be clinically apparent as an indolent swelling of the mucosa. Therapy consists of curettage or surgical excision. We report on the clinical, radiological and histopathological characteristics of an oral pulse granuloma in the mandible associated with an erupting tooth 46 of a seven-year-old boy, and the surgical management and follow-up.
