Conservative Treatment of Chronic Osteomyelitis Associated with Florid Osseous Dysplasia
| Autor: | José Humberto Damante, Ana Lúcia Alvares Capelozza, Denise Tostes Oliveira, Wilson Gustavo Cral, Renato Yassutaka Faria Yaedú, Mariana Quirino Silveira Soares, Cássia Maria Fischer Rubira, Rosana Mara Adami Tucunduva |
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| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP International journal of odontostomatology v.13 n.3 2019 SciELO Chile CONICYT Chile instacron:CONICYT |
| ISSN: | 0718-381X |
| DOI: | 10.4067/s0718-381x2019000200198 |
| Popis: | Florid osseous dysplasia (FOD) is an extensive form of osseous dysplasia where normal trabecular bone is substituted by fibrous connective tissue and amorphous mineralized tissue. Usually, the lesions are mainly asymptomatic and the patients should be followed with clinical and imaging examination, requiring no intervention. Nevertheless, due to the poor vascularization of the lesion and local trauma, secondary infections and osteomyelitis may occur. Patients may present with pain, mucosal ulceration, and lesion exposure in the oral cavity, fistula and swelling. In such cases, correct diagnosis and management of the lesion is decisive to reestablish patient’s health and quality of life. The aim of this article is to present a case of complicating secondary chronic osteomyelitis treated successfully with conservative intervention. A 68-year-old black female patient reported a “swelling of the gums” that was present for eleven years, with episodes of periodic pain and swelling. On physical examination, a papule with suppuration in the alveolar mucosa in the right side of the mandible was observed. Panoramic radiography and CBCT showed a mixed lesion surrounded by sclerotic bone. The patient was diagnosed with chronic osteomyelitis in association with FOD and treated with antibiotic therapy together with surgical curettage. The incidence, etiophatology, differential diagnosis, treatment and prevention of secondary osteomyelitis associated with FOD are discussed in the light of literature. This information might assist the dentists while choosing the best treatment options for similar cases. |
| Databáze: | OpenAIRE |
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