Jawbone Osteomyelitis

Osteomyelitis of the Jaw Bones: Test and Diagnosis

Laboratory parameters 1st order Small blood count Inflammatory parameters – CRP (C-reactive protein). Biopsies/tissue samples (histology) – Histologic (fine tissue) examination of bone samples does not provide a definitive diagnosis of osteomyelitis, but it does provide information on possible differential diagnoses, such as malignancies (cancer) complicated by infection. Microbiology (smears or punctates from the area … Osteomyelitis of the Jaw Bones: Test and Diagnosis

Osteomyelitis of the Jaw Bones: Drug Therapy

Therapeutic target Elimination of the pathogens Avoidance of complications and a chronification Therapy recommendations Symptomatic therapy: analgesia/pain elimination according to WHO staging scheme: Non-opioid analgesic (paracetamol, first-line agent). Low-potency opioid analgesic (e.g., tramadol) + non-opioid analgesic. High-potency opioid analgesic (eg, morphine) + non-opioid analgesic. If necessary, anti-inflammatory drugs (anti-inflammatory drugs; non-steroidal anti-inflammatory drugs, NSAIDs), eg … Osteomyelitis of the Jaw Bones: Drug Therapy

Osteomyelitis of the Jaw Bones: Diagnostic Tests

Obligatory medical device diagnostics. Radiographs: Panoramic radiograph, Clementschitsch mandibular radiograph [see below “Radiological features of osteomyelitis“]. Optional medical device diagnostics. Dental digital volume tomography (DVT) – radiological imaging technique that provides three-dimensional representation of the anatomy of the teeth, jaws and facial skull, which can make a significant contribution to preoperative and post-traumatic diagnostics.Indications: For … Osteomyelitis of the Jaw Bones: Diagnostic Tests

Osteomyelitis of the Jaw Bones: Surgical Therapy

Oral and maxillofacial surgery. Acute and secondary chronic osteomyelitis. Osteomyelitis therapy is composed of eradication (germ elimination) of the focus in combination with pathogen-specific antibiosis (antibiotic therapy). However, surgical bone removal is not yet recommended in the acute stage. Local foci remediation by ablation of infected and necrotic bone. Sequestrectomy – removal of necrotic (dead), … Osteomyelitis of the Jaw Bones: Surgical Therapy

Osteomyelitis of the Jaw Bones: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate osteomyelitis of the jaw bones (osteomyelitis of the jaw bones): The leading symptoms are nonspecific pain and swelling. Depending on the subtype of osteomyelitis, different courses are shown. Pathognomonic (indicative of disease): Sequester formation (dead tissue demarked from healthy tissue) [secondary chronic osteomyelitis]. Characteristic but not pathognomonic: Absence … Osteomyelitis of the Jaw Bones: Symptoms, Complaints, Signs

Osteomyelitis of the Jaw Bones: Complications

The most important diseases or complications that can be caused by osteomyelitis of the jaw bones (osteomyelitis of the jaw bones) are: Skin and subcutaneous (L00-L99). Extraoral fistula Infectious and parasitic diseases (A00-B99). Sepsis (blood poisoning) Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Spread of osteomyelitis Chronification Gingivitis (inflammation of the gums) Partial … Osteomyelitis of the Jaw Bones: Complications

Osteomyelitis of the Jaw Bones: Classification

A variety of classification systems exist for the classification of osteomyelitis, some of which are inconsistent with each other. Zurich classification: Osteomyelitis acute (17%) → 4 weeks → secondary chronic (70%). Neonatal (“pertaining to the newborn”)/associated with dental germs Trauma (injury)/fracture (broken bone) Odontogenic (tooth-related) Induced by foreign body/transplant/implant Associated with bony pathology and/or systemic … Osteomyelitis of the Jaw Bones: Classification

Osteomyelitis of the Jaw Bones: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic and therapeutic steps. Extraoral examination Inspection Facial asymmetries Soft tissue swelling Fistulas Skin florescences Injuries Skin circulation Abnormal findings on the eye Palpation Bimanual (symmetry comparison) Pressure pain (localization) Upper and lower jaw (step formation or abnormal mobility). Lymph nodes [lymphadenopathy periodic in primary … Osteomyelitis of the Jaw Bones: Examination

Osteomyelitis of the Jaw Bones: Medical History

Medical history represents an important component in the diagnosis of osteomyelitis of the jaw bones (osteomyelitis of the jaw bones). Family history Are there any common diseases in your family? Social history What is your profession? Current medical history / systemic history (somatic and psychological complaints). What complaints do you have? Where is the pain … Osteomyelitis of the Jaw Bones: Medical History

Osteomyelitis of the Jaw Bones: Or something else? Differential Diagnosis

Blood, blood-forming organs – immune system (D50-D90). Maxillary hemangioma – benign vascular neoplasm in the jawbone. Blood formation foci Skin and subcutaneous (L00-L99) Cutaneous fistula Infectious and parasitic diseases (A00-B99). Bacterial infection Viral infection Mycosis (fungal disease) Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93). Diseases of the pulp (dental pulp)and periapical (“around the root … Osteomyelitis of the Jaw Bones: Or something else? Differential Diagnosis

Osteomyelitis of the Jaw Bones: Causes

Pathogenesis (disease development) In addition to confirmed bacterial infection, some subtypes of osteomyelitis of the jawbone have unconfirmed hypotheses regarding pathogenesis. Primary chronic osteomyelitis This form of the disease is characterized by unknown etiology and the absence of pus (pus), fistula and sequestrum formation (dead tissue demarcated from healthy tissue). An initiating event cannot be … Osteomyelitis of the Jaw Bones: Causes