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Case Rep Dent. 2014;2014:930169. doi: 10.1155/2014/930169. Epub 2014 Dec 25.

Maxillary chronic osteomyelitis caused by domestic violence: a diagnostic challenge.

Author information

1
Section of Stomatology, Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Rua Gabriel Monteiro da Silva 700, 37130-000 Alfenas, MG, Brazil.
2
Section of Periodontology, Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, 37130-000 Alfenas, MG, Brazil.
3
Section of Pathology, Institute of Biomedical Sciences, Federal University of Alfenas, 37130-000 Alfenas, MG, Brazil.
4
Division of Periodontology, College of Dentistry, The Ohio State University, Columbus, OH 43210, USA.

Abstract

Maxillary osteomyelitis is a rare condition defined as inflammation of the bone primarily caused by odontogenic bacteria, with trauma being the second leading cause. The present report documents a rare case of maxillary osteomyelitis in a 38-year-old female who was the victim of domestic violence approximately a year prior to presentation. Intraoral examination revealed a lesion appearing as exposed bony sequestrum, with significant destruction of gingiva and alveolar mucosa in the maxillary right quadrant, accompanied by significant pain, local edema, and continued purulence. Teeth numbers 11, 12, 13, 14, and 15 were mobile, not responsive to percussion, and nonvital. Treatment included antibiotic therapy for seven days followed by total enucleation of the necrotic bone tissue and extraction of the involved teeth. Microscopic findings confirmed the clinical diagnosis of chronic suppurative osteomyelitis. Six months postoperatively, the treated area presented complete healing and there was no sign of recurrence of the lesion.

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