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.
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.
- Hintze H, Wiese M, Wenzel A. Cone beam CT and conventional tomography for the detection of morphological temporomandibular joint changes. Dentomaxillofac Radiol 2007;36:192-197.
- Kim SG, Jang HS. Treatment of chronic osteomyelitis in Korea. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;92:394-398.
- Taher AA. Osteomyelitis of the mandible in Tehran, Iran. Analysis of 88 cases. Oral Surg Oral Med Oral Pathol 1993;76:28-31.
- Ludlow JB, Davies-Ludlow LE, Brooks SL, Howerton WB. Dosimetry of 3 CBCT devices for oral and maxillofacial radiology: CB Mercuray, NewTom 3G and i-CAT.
Abstract
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.
- Hintze H, Wiese M, Wenzel A. Cone beam CT and conventional tomography for the detection of morphological temporomandibular joint changes. Dentomaxillofac Radiol 2007;36:192-197.
- Kim SG, Jang HS. Treatment of chronic osteomyelitis in Korea. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;92:394-398.
- Taher AA. Osteomyelitis of the mandible in Tehran, Iran. Analysis of 88 cases. Oral Surg Oral Med Oral Pathol 1993;76:28-31.
- Ludlow JB, Davies-Ludlow LE, Brooks SL, Howerton WB. Dosimetry of 3 CBCT devices for oral and maxillofacial radiology: CB Mercuray, NewTom 3G and i-CAT.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | May 1, 2013 |
| Submission Date | February 27, 2012 |
| Published in Issue | Year 2013 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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