Osteomyelitis of the mandible following third molar surgery: a regrettable consequence in a healthy patient.
This clinical case describes mandibular osteomyelitis in a healthy 31-year-old man as a severe complication following third molar removal. Recurrent abscess formations were treated with intensive therapy involving antibiotics, surgical debridement of the affected region, and hyperbaric oxygen. In the follow-up, despite microbiologic study to determine the indicated treatment approach, a severe osteomyelitis was present, clinically and radiographically. Finally, a partial resection of the mandible, including exarticulation, was indicated to manage this severe complication.
Schoen
Ralf
R
Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Albert-Ludwigs-University, Freiburg, Germany. ralf.schoen@uniklinik-freiburg.de
Suarez-Cunqueiro
Maria M
MM
Metzger
Marc C
MC
Schmelzeisen
Rainer
R
D000328:Adult; D006801:Humans; D008297:Male; D008336:Mandibular Diseases / Q000209:etiology*; D008964:Molar, Third / Q000601:surgery; D010019:Osteomyelitis / Q000209:etiology*; D014081:Tooth Extraction / Q000009:adverse effects*