| Series | ［Series］Case Report | |
|---|---|---|
| Title | Osteomyelitis of the mandible in the patient maintained by hemodialysis therapy ; Report of a case | |
| Publish Date | 2008/07 | |
| Author | Haruyuki Shinohara | Oral and Maxillofacial Surgery, The Nippon Dental University Niigata Hospital |
| Author | Akira Tanaka | Oral and Maxillofacial Surgery, The Nippon Dental University Niigata Hospital |
| Author | Yasukatu Horikawa | Department of Oral and Maxillofacial Surgery, Murakami General Hospital |
| Author | Izumi Mataga | Department of Oral and Maxillofacial Surgery 2, The Nippon Dental University School of Life Dentistry at Niigata |
| [ Summary ] | Osteomyelitis of the mandible remains difficult to treat even with the development of chemotherapy along with new antibiotics. Recently, diagnosis of osteomyelitis of the mandible has become more difficult why systemic and local condition has remarkably changed because number of compromised host and geriatric generation are increased. This is also due to resident bacteria against antibiotics and pseudomonas. A 61 years old male patient, who had been receiving hemodialysis since 1978 and who was affected by chronic glomerulonephritis was observed. The patient complained of dryness in the mouth and discomfort in the mandible. Radiographic imaging indicated bone destructive change was observed and clinically diagnosis of chronic osteomyelitis in the molar area of the mandible. The mandibular molar tooth was extracted in 1996. The maxillary molar tooth was extracted in 2005 due to destructive dental caries. Post surgical condition was poor due to delayed healing after both extractions. Curretage and post surgical medication with antibiotics were the only effective treatments for this condition. |
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