Osteomyelitis of the jaws
Osteomyelitis of the jaws is an infectious inflammatory process that affects all elements of the jawbone. Distinguish between osteomyelitis hematogenous, traumatic and odontogenic (the most common variety).
The etiology of odontogenic osteomyelitis is the microflora of the root canals of the teeth and dentogingival pockets (streptococci, staphylococcus, anaerobes).
Pathogenesis is associated with the spread of the inflammatory process on bone tissue. Infection penetrates from the periodontal lymphatic vessels and bone ducts. Important role of the previous microbial sensitization of the body.
Symptoms, course. In acute osteomyelitis:
Spontaneous pulsating pain in the jaw, headache, chills, fever up to 40 "C. An affected tooth with necrotic pulp (possibly with a seal) is found, it and the adjacent teeth are sharply painful and moveable.Patemporal asymmetric face.The transitional fold is hyperemic and smoothed. The lymph nodes are enlarged, painful, Osteomyelitis is often complicated by abscess, phlegmon, neutrophilic leukocytosis in the blood, increased ESR, general condition of varying severity.
Surgical treatment - removal of the so-called causative tooth, dissection of the subperiosteal abscess, phlegmon. Antibiotics of a wide spectrum of action. Vitamin C up to 1 g / day, antihistamines, analgesics, detoxification.
The prognosis depends on timely active treatment and the state of resistance of the body. Often the process takes a chronic course. Symptoms of chronic osteomyelitis-fistula with purulent discharge and granulation on the mucous membrane of the alveolar process and the skin of the face and neck, the teeth are mobile and painful, the asymmetry of the face. Radiographically - bone sequesters. The course is long-months, years; Frequent exacerbations. On the upper jaw can be complicated by sinusitis, thrombophlebitis of the facial veins. A pathological fracture of the lower jaw is possible.
Treatment. Removal of affected teeth and small sequesters through fistulous passages, with the delimitation of large sequesters-sequestrosis. Immunomodulating drugs. With the threat of a pathological fracture - splinting.
- Diseases of the teeth and oral cavity
- Abscess of paranasal
- Alveolitis
- Ankylosis of the temporomandibular joint
- Temporomandibular arthritis
- Aphthous stomatitis
- Dislocation of temporomandibular joint
- Dislocation of a tooth
- Generalized gingivitis
- Generalized periodontitis
- Hyperestension of teeth
- Enamel hypoplasmia
- Glossalgia
- Glossitis
- Fungal stomatitis
- Defects in the dentition
- Toothstone
- Dental caries
- Cysts of the jaw
- Bleeding after a tooth extraction operation
- Xerostomia
- Leukoplakia
- Localized gingivitis
- Localized periodontitis
- Acute toothache
- Periodontitis
- Periodontal disease
- Fracture of the tooth
- Fractures of the jaws
- Pericoronaritis
- Periodontitis apical
- Pulpitis
- Stomatogenic infection chronic
- Phlegmon peremaxel
- Heilith
- Chronic recurrent stomatitis
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