Volume 20, Number 4, December 2008
| | Chronic Refractory Osteomyelitis of the Mandible and Maxilla Related to Dental Implant Placement |
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Young-Kyun Kim,1 Ghee-Young Choe,2 Dal-Ho Lee,3 Pil-Young Yun1
1Department of Oral and Maxillofacial Surgery, Section of Dentistry and 2Department of Pathology, Seoul National University Bundang Hospital, Bundang, and 3Bangbae Boston Dental Private Office, Seoul, Korea
Abstract
A 68-year-old diabetic woman with chronic refractory osteomyelitis involving the mandible and maxilla following dental implant placement is presented. The inflammatory lesion showed actinomycotic findings histopathologically and refractory responses to several surgical and medical treatments for over 2 years. A periapical lesion on an adjacent tooth was overlooked as a possible source of infection. The lesion was cured after complete surgical debridement in combination with long-term antibiotic therapy.
Key words: Actinomycosis, Dental implants, Diabetes mellitus, Osteomyelitis
Asian J Oral Maxillofac Surg. 2008;20:189-192.
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