Clinical Management of Suppurative Osteomyelitis, Bisphosphonate-Related Osteonecrosis, and Osteoradionecrosis : Report of Three Cases and Review of the Literature

In the past, osteomyelitis was frequent and characterized by a prolonged course, treatment response uncertainty, and occasional disfigurement. Today, the disease is less common; it is believed that the decline in prevalence may be attributed to increased availability of antibiotics and improvement o...

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Bibliographic Details
Published in:Case reports in dentistry 2013-01, Vol.2013 (2013), p.1-5
Main Authors: Pedreira, Fernanda Rafaelly de Oliveira, de Carli, Marina Lara, Guimarães, Eduardo Pereira, Hanemann, João Adolfo Costa, Pereira, Alessandro Antônio Costa, Jham, Bruno Correia
Format: Article
Language:English
Subjects:
Antibiotics
Case Report
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Summary:In the past, osteomyelitis was frequent and characterized by a prolonged course, treatment response uncertainty, and occasional disfigurement. Today, the disease is less common; it is believed that the decline in prevalence may be attributed to increased availability of antibiotics and improvement of overall health patterns. Currently, more common osteomyelitis variants are seen, namely, osteoradionecrosis (ORN) and bisphosphonate-related osteonecrosis of the jaws (BRONJ). Osteomyelitis, ORN, and BRONJ can present with similar symptoms, signs, and radiographic findings. However, each condition is a separate entity, with different treatment approaches. Thus, accurate diagnosis is essential for adequate management and improved patient prognosis. The aim of this paper is to report three cases of inflammatory lesions of the jaws—osteomyelitis, ORN, and BRONJ—and to discuss their etiology, clinical aspects, radiographic findings, histopathological features, treatment options, and preventive measures.
ISSN:2090-6447
2090-6455
DOI:10.1155/2013/402096