title: Severe osteomyelitis following immediate placement of a dental implant.
abstract: Risk factors and complications in immediate implant placement are widely discussed. The present report describes a case of severe osteomyelitis as a serious complication after the immediate placement of a dental implant into an extraction socket of a 61-year-old woman. The course leads from initial treatment of recurrent perimandibular abscesses with surgical drainage and high-dose intravenous antibiotics to a refractory osteomyelitis. Hemimandibulectomy and partial mandibular reconstruction with a free fibular flap followed.
authors.affiliation: Department of Oral and Maxillofacial Plastic Surgery, Ruhr-University of Bochum, Germany. marco.kesting@ruhr-uni-bochum.de
authors.forename: Marco Rainer
authors.initials: MR
authors.lastname: Kesting
authors.forename: Petra
authors.initials: P
authors.lastname: Thurmüller
authors.forename: Michael
authors.initials: M
authors.lastname: Ebsen
authors.forename: Klaus-Dietrich
authors.initials: KD
authors.lastname: Wolff
mesh_terms: D016025:Bone Transplantation / Q000379:methods; D003758:Dental Implantation, Endosseous / Q000009:adverse effects*; D005260:Female; D005360:Fibula / Q000637:transplantation; D006801:Humans; D008334:Mandible / Q000601:surgery*; D008336:Mandibular Diseases / Q000209:etiology* / Q000628:therapy; D008875:Middle Aged; D010019:Osteomyelitis / Q000209:etiology* / Q000628:therapy; D010508:Periodontal Abscess / Q000209:etiology* / Q000628:therapy; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D012720:Severity of Illness Index; D014081:Tooth Extraction; D020390:Tooth Socket / Q000601:surgery; D016896:Treatment Outcome