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https://doi.org/10.15644/asc51/1/9

Mandibular Osteonecrosis due to the Pulpal-Periodontal Syndrome: a Case Report and Review of the Literature

Dragana Gabrić orcid id orcid.org/0000-0003-0213-1170 ; Zavod za oralnu kirurgiju Stomatološkog fakulteta Sveučilišta u Zagrebu – Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Sven Seiwerth ; Zavod za patologiju Medicinskog fakulteta Sveučilišta u Zagrebu – Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Anja Baraba ; Zavod za endodonciju i restorativnu stomatologiju Stomatološkog fakultet Sveučilišta u Zagrebu, Hrvatska
Vanja Vučićević Boras ; Zavod za oralnu medicinu Stomatološkog fakulteta Sveučilišta u Zagrebu – Klinički bolnički centar Zagreb, Hrvatska


Puni tekst: hrvatski pdf 1.458 Kb

str. 65-71

preuzimanja: 567

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Puni tekst: engleski pdf 1.458 Kb

str. 65-71

preuzimanja: 689

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Sažetak

Objective: Ishemic bone disease has multifactorial etiologies. Cronic dental infections should be eliminated to prevent osteonecrosis of the jaw. Case report: We report an unusual case of osteonecrosis due to the pulpal-peridontal syndrome and subsequent pulp necrosis. A case of 38 year old woman who presented with exposed bone, 8 mm in diameter, in the lingual area of the right lower third molar. The patient was otherwise healthy and was not taking any medications. A detailed medical history showed no previous diseases. Patient denied any type of local trauma. A complete blood count showed no abnormalities. The panoramic radiograph revealed a deep periodontal pocket between
teeth 47 and 48. The CBCT revealed a deep periodontal pocket between molars and bone sequestrum of the lingual plate. Topical treatment consisted of adhesive periodontal dressing based on the cellulose and betamethasone oitnment together with orabase, without improvement. Therefore, peroral amoxycillin was prescribed for a week. Since there was no improvement, the third molar was removed as well as necrotic bone; the alveolar bone was remodelled and utures were placed. After suturing, the whole area was covered using intraoral resorbable bandage. Microbial swab of the wound aspirate did not reveal polymorphonuclears or the presence of icroorganisms. Microbial swab of the biopsy specimen of the necrotic bone particle and sequestrum showed a large amount of gram-positive coccae, however, polymorphonuclears were not found. Histopathological analysis revealed acute chronic inflammation. One week after the surgery, the area healed completely. Conclusion: This case highlights the fact that in some patients bone exposure might develop due to the
pulpal-peridontal syndrome i.e. pulp necrosis.

Ključne riječi

Mandible, Osteonecrosis, Dental Pulp Necrosis, Gram-Positive Cocci

Hrčak ID:

177499

URI

https://hrcak.srce.hr/177499

Podaci na drugim jezicima: hrvatski

Posjeta: 1.888 *