Mandibular osteomyelitis

Overview mandibular osteomyelitis can be divided into suppurative, specificity, and several other radioactive. Clinical jaw with suppurative osteomyelitis the most common. Cause pathogenesis of mandibular osteomyelitis main source of the infection in three ways, namely Odontogenic, injury and blood-borne. Firearms injury mandibular osteomyelitis in maxillofacial injury chapter describes. Hematogenous osteomyelitis jaw rare, occurring mainly in children. Odontogenic mandibular osteomyelitis see most, about mandibular osteomyelitis 90%. Chinese medicine as conditions improve, the incidence rate has dropped significantly. Odontogenic mandibular osteomyelitis disappearing with the mandibular cortical bone density, muscle hypertrophy around a dense and fascia attachment, IBM is not easy to break the accumulation of purulent drainage, and other factors. Clinical manifestations (1) the incidence of acute osteomyelitis sharp jaw, systemic symptoms. Local flu disease first tooth pain, and the rapid extension of adjacent teeth, resulting in pain throughout the ipsilateral temporal and diffuse to the Ministry. The corresponding parts of facial swelling, gingival and vestibular irritation, with a number of loose teeth. Since periodontal Pott often overflow. Mandibular osteomyelitis, masticatory muscle involvement, often with varying degrees of Trismus. Inferior alveolar nerve involvement, it may be ipsilateral lower lip numbness. Maxillary osteomyelitis more common in newborns, babies, as infection is often blood-borne. Local performance of its infraorbtal obvious irritation, and often extended eye to eye was difficult to open one week. Be late, canthus, nasal and oral broke through septic overflow. (2) chronic maxillary mandibular osteomyelitis acute osteomyelitis who fail to complete treatment, to be chronic. Common causes of drug use is simply conservative treatment, to break the Pott, poor drainage. Chronic mandibular osteomyelitis, the most acute symptoms dissipated, the systemic symptoms are not obvious, the pain is significantly reduced. Local fibrous tissue hyperplasia, swelling, the hardware. Fistula often overflow pus, and even small discharges sequestrum. At various diseases loose teeth, gums gap septic overflow. When the lower body resistance or obstruction, may acute. If drag on for a long time can cause weight loss, anemia, frail. Mandibular osteomyelitis diagnosis of X-ray examination, early no change. After 2-3 weeks, the show has gradually diffuse sparse areas. Visibility irregular shape after the sequestrum. Sequestrum who has completely separated it surrounded by black shadow enveloping. Timely treatment for treating periodontitis, a sharp rheumatoid weeks odontogenic infections, the prevention of mandibular osteomyelitis have positive significance. As has become osteomyelitis, in the acute phase should be complete treatment to avoid chronic. Acute osteomyelitis of the jaw and jaw systemic treatment of cellulitis same week, mainly to strengthen the human immune system and drug control infection. Local focus is timely treatment and surgery, tooth extraction source. Chronic mandibular osteomyelitis should be efforts to improve the situation of the sick body and maintain drainage and the removal of dental disease, Completely remove lesions, scaling or extraction sequestrum.