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Quintessence International



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Quintessence Int 40 (2009), No. 5     7. Apr. 2009
Quintessence Int 40 (2009), No. 5  (07.04.2009)

Page 351-354, PubMed:19582237

Osteomyelitis of the mandible following third molar surgery: A regrettable consequence in a healthy patient
Schoen, Ralf/Suarez-Cunqueiro, Maria M./Metzger, Marc C./Schmelzeisen, Rainer
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.

Keywords: facial swelling, healthy man, hyperbaric oxygen, mandible, osteomyelitis, paramandibular abscess, third molar