The importance of CBCT imaging to determine the characteristics of a bone sequestrum in a case of chronic osteomyelitis
Abstract
Chronic osteomyelitis may show a suppurative course with abscess or fistula formation and sequestration at some stages, and persist for a variable period up to many years with intermittent exacerbation. The importance of imaging in osteomyelitis is threefold: to localize the condition, to find out its extent, and to assess the response after treatment. Conventional multislice computed tomography is a useful method of preoperative assessment, but it is not considered as the initial choice for imaging in osteomyelitis because of its reported lack of sensitivity in bone marrow disease. The Cone Beam Computed Tomography (CBCT) is used in dentistry to image high-contrast objects such as teeth and bone and it is particularly important for several applications including treatment planning for dental implants and evaluating dental and osseous diseases in the jaws and temporomandibular joints. However, CBCT provides a lower dose, lower cost alternative to conventional CT that promises to improve the practice of oral and maxillofacial radiology. In this case report the management of a patient with persistent suppurative osteomyelitis and its treatment assisted by Cone Beam Computed Tomography (CBCT) are presented.
Keywords
References
- Farman AG, Nortjé CJ, Wood R. Oral and maxillofacial diagnostic imaging. St. Louis: Mosby; 1993.
- Ronai A, Olasz L, Muhl D. [Lethal complication of an odontogenic infection developing after tooth extraction in a patient with untreated diabetes. Case report]. Fogorv Sz 2001;94:27-31.
- Theologie-Lygidakis N, Schoinohoriti O, Iatrou I. Surgical management of primary chronic osteomyelitis of the jaws in children: a prospective analysis of five cases and review of the literature. Oral Maxillofac Surg 2011;15:41-50.
- Koorbusch GF, Fotos P, Goll KT. Retrospective assessment of osteomyelitis. Etiology, demographics, risk factors, and management in 35 cases. Oral Surg Oral Med Oral Pathol 1992;74:14915
- Ertas U, Tozoglu S, Gursan N. Chronic osteomyelitis: 20 years after mandible fracture. Dent Traumatol 2004;20:106-108.
- Fullmer JM, Scarfe WC, Kushner GM, Alpert B, Farman AG. Cone beam computed tomographic findings in refractory chronic suppurative osteomyelitis of the mandible. Br J Oral Maxillofac Surg 2007;45:36437 Rajkumar GC, Hemalatha M, Shashikala R, Kumar DV. Recurrent chronic suppurative osteomyelitis of the mandible. Indian J Dent Res 2010;21:606-608.
- Cunha BA. Osteomyelitis in elderly patients. Clin Infect Dis 2002;35:28729
- Nakagawa Y, Kobayashi K, Ishii H, et al. Preoperative application of limited cone beam computerized tomography as an assessment tool before minor oral surgery. Int J Oral Maxillofac Surg 2002;31:322-326.
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
May 1, 2013
Submission Date
February 27, 2012
Acceptance Date
-
Published in Issue
Year 1970 Volume: 16 Number: 2