A case report of Ostoemyelitis which developed in a wide range of maxillary bone in a dialitic patient

• Published in: Journal of Japanese Society of Dentistry for Medically Compromised Patient Vol. 2; no. 1; pp. 47 - 52
• Main Authors: Ogasawara, Takefumi, Shirakawa, Masayori, Sakai, Nobuoki, Iwamoto, Masao, Nomura, Takeshi, Miyahara, Yasuo
• Format: Journal Article
• Language: English; Japanese
• Published: Japanese Society of Dentistry for Medically Compromised Patient 1993
• Subjects: dialitic patient; odontogenie infection; Osteomyelitis
• ISSN: 0918-8150; 1884-667X
• DOI: 10.11255/jjmcp1992.2.47

Incidence of severe infection and osteomyelitis in the oral surgical field have decreased in recent years owing to development of drugs and improvement of oral hygiene. However, chronic osteomyelitis is one of the diseases we confront frequently even under the existing circumstances when antibiotics have been developed and diffused. A report is made here on the summary regarding a case of osteomyelitis we experienced, which developed in a wide range in the maxilla and mandibular in the patient undergoing the prolonged renal dialysis. In general, patients undergoing dialyses are liable to contract infections due to undernutrition and immunological hypofunction, because of which they induce severe symptom in oral infection in many cases. Our case was a female aged 49 who had developed right molar abcess concurrently in addition to gingival abcess expanding in wide ranges in the maxilla and mandibular and has also developed a fistula. A periodontal infection was suspected most strongly from the facts that the patient had not much dental caries, that the lesion was limited to the alveolar bone and that the condition of the oral hygiene was extremely poor. As the therapeutic, it was cousidered from her roentogenographic findings that formations of sequesters were shallow and that the boundaries were clear. An operation for removing the sequesters under local anesthesia was performed accordingly. As a result, healing of the wound followed a favorable course without any systemic trouble developed postoperatively, and reduction of the fistula was observed. At present, a prosthetic treatment has been terminated, and the patient is leading a pleasant diet life without any hindrance in her daily life.