1991 Volume 37 Issue 2 Pages 419-426
We experienced a case of pycnodysostosis in 55-year-old woman complicated with chronic osteomyelitis in the both maxillae. Pycnodysostosis is a genetic disorder of bone characterized by osteosclerosis. In the jaws of our patient hone sclerosis was found around the remaining teeth rachographycally. We thought this increased bone density resulted from combination of the essential sclerosis with the infectious irritation.
Exposure of the sequester and pus discharge were also seen at the left second premolar region of the mandible and the left first premolar region of the maxilla.
Although a protracted course was encountered for the sclerosing osteomyelitis, the patient was successfully treated by antibiotic therapy and removal of sequester and pathologic bone showing abnormal sclerosis without wide resection of bone such as decortication or saucerization.
We discussed the treatment of the chronic sclerosing osteomyelitis including the osteomyelitis in the patient of pycnodysostosis.
