Mucormycosis of maxilla following tooth extraction in immunocompetent patients: Reports and review

Abstract

Mucormycosis is a rare, fulminant, rapidly spreading fungal infection, which usually affects patient with underlying immune deficiency. If not managed promptly, the disease is characterized by progressive necrosis and is often fatal. A review of English literature shows that only fourteen cases of mucormycosis have been reported after tooth extraction. This paper highlights two cases of mucormycosis subsequent to tooth extraction in healthy adult patients. This first patient presented with an oroantral fistula and extensive maxillary necrosis. Whereas the second case was localized and presented as non-healing extraction socket with alveolar necrosis. This adds two more cases of this rare and serious complication of tooth extraction, to the present literature. Key words:Fungal, infection, zygomycosis, exodontia, complication, jaw, necrosis.

Mucormycosis Following Tooth Extraction in a Diabetic Patient: A Case Report

“…Evolution depends essentially on the early onset of the assumption of responsibility for favorable recovery [12]. Despite timely actions, cases of death and unfavorable sequelae such as hemiparesis or palatal fistula have also been reported [13][14].…”

“…Evolution depends essentially on the early onset of the assumption of responsibility for favorable recovery [ 12 ]. Despite timely actions, cases of death and unfavorable sequelae such as hemiparesis or palatal fistula have also been reported [ 13 - 14 ]. In routine maxillofacial practice, intra-oral exposed bone is diagnosed clinically as osteomyelitis but leads to a different picture based on microbiological and histopathological examination.…”

Interventions for treating oro-antral communications and fistulae due to dental procedures

“…It can also be caused as a complication due to infection of the antral filling used to stabilise zygomatic complex fracture (Goodger 2004). Various pathological lesions of the maxillary sinus like mucormycosis (Nilesh 2018), periodontal infections and trauma can also result in the formation of an OAC (Franco-Carro 2011).…”

Clinical and radiological characteristics of oro‐antral communications/fistulae due to implant dentistry procedures: A cross‐sectional retrospective study

“…When the communication becomes epithelialized it is defined as oro‐antral fistula 3,4 . Oro‐antral communications (OAC) may occur during posterior maxillary tooth extraction, 5,6 surgical removal of cysts, 7‐9 following zygomatic complex fracture 10 debridement of fungal infection, 11 maxillary sinus surgery and periodontal disease 12 . Implant dentistry became another etiology to OACs/OAFs during the last decades 13,14 …”