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Clinics in Surgery

2017 | Volume 2 | Article 16421

Chronic Suppurative Osteomyelitis after Exodontia

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*Correspondence:Darklilson Pereira Santos, Department

of Odontology, State University of Piauí (UESPI), Av. Sao Sebastiao 6100–Zip

Code 64204-035 Parnaiba-Piaui, Brazil, Tel: +55 (86) 99944-5000,

E-mail: contato@darklilsonsantos.com.br

Received Date: 28 Aug 2016Accepted Date: 21 Sep 2017Published Date: 27 Sep 2017

Citation: Pereira-Santos D, Ferraz BCR. Chronic

Suppurative Osteomyelitis after Exodontia. Clin Surg. 2017; 2: 1642.

Copyright © 2017 Darklilson Pereira-Santos. This is an open access

article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution,

and reproduction in any medium, provided the original work is properly

cited.

Clinical ImagePublished: 27 Sep, 2017

Darklilson Pereira-Santos1* and Brenda Castro Rodrigues Ferraz2

1Department of Odontology, State University of Piauí (UESPI), Brazil

2Department of Odontology, State University of Piauí (UESPI), Brazil

Clinical ImagePatient MBM, 79-years-old, female, attended to the appointment complaining about lack of

healing after exodontia procedure performed six months ago. At the local physical examination, it was observed the presence of an intra-oral fistula corresponding to the element 46. A Cone Beam computed tomography was executed where was observed a compatible isodense image with chronic suppurative osteomyelitis. For the treatment was planned a surgical intervention with the procedures of fistulectomy, debrideme and curettage of the dense non-vital bone areas (Figure 1). At the end of the procedure it was verified the cleaning of the necrotic areas and the bone vascularization for its repair (Figure 2). As drug therapy, antibiotic therapy was prescribed with amoxicillin 875 mg and potassium clavulanate 125 mg for ten days. The patient has been monitored with no painful symptomatology and volume increase in the regi.

Figure 1:

Figure 2: