Extensive Swelling and Fistula in the Anterior Mandible: An Unresolved Case of Osteomyelitis

#oralhealth #Osteomyelitis #Cellulitis #BoneInfection #StaphInfection

Extensive Swelling and Fistula in the Anterior Mandible: An Unresolved Case of Osteomyelitis

Author(s): Dental News

A 58-year-old Caucasian female presented with chin swelling and a fistula approximately 6mm in diameter, following root scaling a month prior. Osteomyelitis with swelling and fistula in the mandible was suspected. Initial treatment with anti-biotherapy failed to resolve the swelling and fistula, prompting a referral to radiology. Clinical examination showed no signs of dental caries or periodontal disease, though swelling and purulent exudate were observed. Radiographic imaging revealed no dental issues but extensive new bone formation and sequestra in the anterior mandible, indicating osteomyelitis. The infection’s etiology appeared non-dental, likely originating from the skin, despite the absence of typical cellulitis symptoms such as fever. The proposed diagnosis was cellulitis leading to mandibular osteomyelitis. The patient was referred for an antibiogram and appropriate anti biotherapy, though the infection’s origin remained unresolved—read more.

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Extensive Swelling and Fistula in the Anterior Mandible: An Unresolved Case of Osteomyelitis

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