下顎骨骨髄炎治癒後にデンタルインプラントを用いて包括的治療を行った1症例

抄録

Mandibular osteomyelitis is one of the most difficult diseases to treat, because the patient sometimes suffers from severe pain or functional disturbance, and it takes a long time to heal.
This paper describes a comprehensive treatment including dental implant after the healing of mandibular osteomyelitis.
The patient was a 41-year-old female. Her chief complaint was a pain in the left mandibular premolar region. X-ray showed radiolucency in the left canine and premolar apical region of the mandible.
After initial anti-inflammatory treatment, extraction of the left mandibular canine and first premolar teeth was carried out. Histopathological diagnosis was acute suppurative osteomyelitis.
Fourteen months after the anti-inflammatory treatment, a chin bone graft was performed to the 34 region, then implants were placed 7 months later. At the same time, orthodontic treatment was performed and those implants were used as absolute anchors. After the orthodontic treatment, the superstructure was fabricated.
Three years have passed since implant placement, and there are no signs of recurrence of mandibular osteomyelitis.