title: A Pathological Fracture of the Mandible due to Osteomyelitis following a Full Dental Clearance.
abstract: Orofacial infections following dental extractions are a common referral to an oral and maxillofacial department as an emergency, especially when combined with swelling and limited mouth opening. The case presented demonstrates a rare complication of chronic suppurative osteomyelitis with bilateral pathological fractures of the mandible, which occurred following a staged dental clearance. CPD/Clinical Relevance: Dental extractions are one of the most common treatments carried out by oral surgeons and general dental practitioners. This case highlights a rare but encountered complication of routine oral surgery and demonstrates when it is necessary to make an immediate referral to the local oral and maxillofacial surgery unit.
authors.forename: Preeti
authors.initials: P
authors.lastname: Jauhar
authors.forename: Thomas
authors.initials: T
authors.lastname: Handley
authors.forename: Nicholas
authors.initials: N
authors.lastname: Hammersley
mesh_terms: D001860:Bone Plates; D017577:Cutaneous Fistula / Q000209:etiology; D003646:Debridement / Q000379:methods; D003751:Dental Fistula / Q000209:etiology; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods; D005598:Fractures, Spontaneous / Q000209:etiology*; D006801:Humans; D008336:Mandibular Diseases / Q000382:microbiology*; D008337:Mandibular Fractures / Q000209:etiology*; D008875:Middle Aged; D010019:Osteomyelitis / Q000150:complications*; D013290:Streptococcal Infections / Q000175:diagnosis; D034364:Streptococcus milleri Group / Q000302:isolation & purification; D014081:Tooth Extraction / Q000009:adverse effects*