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Chronic Suppurative Osteomyelitis after Exodontia

Darklilson Pereira-Santos1* and Brenda Castro Rodrigues Ferraz2
1Department of Odontology, State University of Piauí (UESPI), Brazil
2Department of Odontology, State University of Piauí (UESPI), Brazil


*Corresponding author: Darklilson Pereira Santos, Department of Odontology, State University of Piauí (UESPI), Av. Sao Sebastiao 6100–Zip Code 64204-035 Parnaiba-Piaui, Brazil


Published: 27 Sep, 2017
Cite this article as: Pereira-Santos D, Ferraz BCR. Chronic Suppurative Osteomyelitis after Exodontia. Clin Surg. 2017; 2: 1642.

Clinical Image

Patient MBM, 79-years-old, female, attended to the appointment complaining about lack of healing after exodontia procedure performed six months ago. At the local physical examination, it was observed the presence of an intra-oral fistula corresponding to the element 46. A Cone Beam computed tomography was executed where was observed a compatible isodense image with chronic suppurative osteomyelitis. For the treatment was planned a surgical intervention with the procedures of fistulectomy, debrideme and curettage of the dense non-vital bone areas (Figure 1). At the end of the procedure it was verified the cleaning of the necrotic areas and the bone vascularization for its repair (Figure 2). As drug therapy, antibiotic therapy was prescribed with amoxicillin 875 mg and potassium clavulanate 125 mg for ten days. The patient has been monitored with no painful symptomatology and volume increase in the regi.

Figure 1

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Figure 1

Figure 2

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Figure 2