Pathological fracture of the jaw due to osteomyelitis after a third molar extraction

  • Thais Pimentel Department of Surgery and Integrated Clinic, São Paulo State University (UNESP), School of Dentistry, Araçatuba
  • Henrique Hadad Department of Surgery and Integrated Clinic, São Paulo State University (UNESP), School of Dentistry, Araçatuba
  • Laís Kawamata Jesus Department of Surgery and Integrated Clinic, São Paulo State University (UNESP), School of Dentistry, Araçatuba
  • Luara Teixiera Colombo Department of Surgery and Integrated Clinic, São Paulo State University (UNESP), School of Dentistry, Araçatuba
  • Albertino Gomes Alcantara Department of Surgery, Rio de Janeiro State University (UERJ), Rio de Janeiro, RJ, Brazil
  • Francisley Ávila Souza Department of Surgery and Integrated Clinic, São Paulo State University (UNESP), School of Dentistry, Araçatuba
  • Idelmo Rangel Gárcia-Júnior
Palavras-chave: Doença Crônica, Osteomielite, Mandíbula

Resumo

The osteomyelitis is an inflammatory process in bone tissue caused by an infection, commonly related to anaerobic pathogens, frequently Staphylococcus aureus and Streptococcus sp. Several causes have been related such as dentoalveolar infection, trauma, radiation and genetic condition, but it is not common after surgery for third molar extractions, especially in healthy patients. The symptoms of chronic osteomyelitis usually include signs and symptoms such as pain, edema, suppuration, areas of bone sequestration, and limited mouth opening. Among the complications associated with this condition, pathological fracture may occur due to local bone fragility. This paper aimed to report a rare case of pathological mandible fracture due to osteomyelitis after third molar extraction in a healthy male patient treated by a surgical procedure. The procedure consisted of decortication and resection of the sclerotic bone followed by reduce and fixation of mandibular fracture with one 2.4 reconstructive plate and one 2.0 plate with standard screws.

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Publicado
2021-04-07
Como Citar
Pimentel, T., Hadad, H., Jesus, L. K., Colombo, L. T., Alcantara, A. G., Souza, F. Ávila, & Gárcia-Júnior, I. R. (2021). Pathological fracture of the jaw due to osteomyelitis after a third molar extraction. ARCHIVES OF HEALTH INVESTIGATION, 10(4), 637-640. https://doi.org/10.21270/archi.v10i4.4942
Seção
Original Articles