Necessity of antibiotics in the management of surgically treated mandibular osteomyelitis: A systematic review

Johnston, Darin T.; Phero, James A.; Hechler, Benjamin

doi:10.1016/j.oooo.2022.05.001

Cited by 6 publications

(5 citation statements)

References 75 publications

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“…Bacterial infections resulting in multiple ulcerations of the mucosa are more common. They include gingival erythema and ulcers secondary to mandibular osteomyelitis 20,21 and actinomycosis. Acute necrotizing ulcerative gingivitis or "trench mouth" is a severe crater-like or blunt ulceration of the interdental gingival papilla due to Fusospirochete infections.…”

Section: Erosions and Ulcersmentioning

confidence: 99%

Canine oral lesions: a decision-tree approach to ulcers, leukoplakia, and pigmented lesions

Anderson

2023

javma

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Lesions in the oral cavity of dogs can be erythematous, leukoplakic, or pigmented in coloration. The diagnosis of oral erosions, ulcers, and white lesions in contrast to pigmented lesions in veterinary practice can be challenging. The most benign-looking oral ulcers can be associated with local malignant or systemic disease. Many factors are important in the evaluation and correct diagnosis of oral lesions, including medical and drug history, description of the lesion, number of lesions, depth of the lesion, biopsy technique, and correct histologic interpretation. The goal of this paper is to create a decision tree to guide the classification and proper diagnosis of canine oral mucosal lesions.

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Section: Erosions and Ulcersmentioning

confidence: 99%

Canine oral lesions: a decision-tree approach to ulcers, leukoplakia, and pigmented lesions

Anderson

2023

javma

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“…Por outro lado, uma revisão sistemática da literatura, apontou para que a ressecção pode ter melhores DISCUSSÃO taxas de sucesso do que outras formas de intervenção cirúrgica, independentemente da antibioticoterapia. Esta revisão sistemática questionou a necessidade percebida de antibioticoterapia de médio ou longo prazo no tratamento da osteomielite mandibular após a ressecção cirúrgica 17 .…”

Section: Introdução Revisão De Literaturaunclassified

Algumas limitações da técnica All-on-Four

Paes

2024

J Multidiscip Dent

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A perda dentária no Brasil é um problema de saúde pública com alta prevalência e impactos negativos na vida dos indivíduos. A saúde bucal é uma questão de saúde pública, pois determina diversos aspectos da qualidade de vida das pessoas, superando inclusive a questão estética. O objetivo deste artigo foi discutir algumas limitações da reabilitação oral através da técnica All-on-Four, mediante a metodologia de revisão de literatura. Essa técnica conhecida como ‘carga imediata’, é executada colocando-se uma prótese fixada sobre dois implantes anteriores e dois posteriores, em posições mesializadas e distalmente inclinadas, a fim de receber as cargas mastigatórias. Apesar da segurança e vantagens da técnica, alguns fatores podem levar a possíveis complicações como, por exemplo, infecção óssea prévia, infecção do implante após sua instalação, denominada peri-implantite, fratura ou quebra do implante, falha na osseointegração, bem como interferências advindas de doenças sistêmicas não controladas. A realização do curso de pós-graduação específico em implantodontia faz com que o cirurgião dentista execute um melhor diagnóstico e planejamento para execução da técnica, com o mínimo de intercorrências possível.

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“…OMJ is a complex entity with various clinical or radiological features, etiology, and pathogenesis, resulting in several terminologies and classification systems [5][6][7][8]. The most commonly used is the Zurich classification system, which divides the disease into three distinct entities: acute osteomyelitis, secondary chronic osteomyelitis (SCO), and primary chronic osteomyelitis (PCO) [2,7].…”

Section: Introductionmentioning

confidence: 99%

“…The treatment of acute and chronic osteomyelitis usually involves a surgical approach combined with long-term broad-spectrum antibiotic therapy, as well as nonsteroidal antiinflammatory drugs to control symptoms [4,[8][9][10][11]. The surgical debridement of infected tissue depends on the extent of the lesion and varies from conservative treatment (i.e., removal of affected teeth or implants, sequestrectomy, local curettage or decortication) to more aggressive surgical procedures (i.e., marginal or segmental resection) [2,[11][12][13].…”

Section: Introductionmentioning

confidence: 99%

“…The surgical debridement of infected tissue depends on the extent of the lesion and varies from conservative treatment (i.e., removal of affected teeth or implants, sequestrectomy, local curettage or decortication) to more aggressive surgical procedures (i.e., marginal or segmental resection) [2,[11][12][13]. Standard antibiotic protocols to treat osteomyelitis usually involve 6 weeks of post-operative intravenous and/or oral administration [8,14].…”

Section: Introductionmentioning

confidence: 99%

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Identifying Risk Factors Associated with Major Complications and Refractory Course in Patients with Osteomyelitis of the Jaw: A Retrospective Study

Fenelon,

Gernandt,

Aymon

et al. 2023

JCM

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Despite improved knowledge regarding the diagnosis and treatment of osteomyelitis of the jaw (OMJ), it remains a clinical challenge for oral and maxillofacial surgeons. This study aimed to identify risk factors associated with severe forms of OMJ, i.e., related to the occurrence of major complications or the refractory course of the disease. A retrospective study was performed based on the medical records of all patients diagnosed with OMJ from the past 20 years. Collected data included demographic information, medical and dental history, clinical, radiological, and bacterial findings as well as treatment modalities. The main outcome variables were the onset of major complications and treatment results. Fifty-four patients were included. Our results showed that alcohol and smoking habits, as well as malnutrition, were significantly associated with the occurrence of major complications. We also established that dental implant-induced OMJ should be considered an aggressive subtype of OMJ. Finally, clinical bone exposure was significantly associated with unfavorable outcomes, whereas dental causes or radiological evidence of periosteal reaction were predictive of successful outcomes. Identifying such factors could be useful in preventing serious complications and informing patients about the refractory course of the disease based on the presence of these factors.

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Necessity of antibiotics in the management of surgically treated mandibular osteomyelitis: A systematic review

Cited by 6 publications

References 75 publications

Canine oral lesions: a decision-tree approach to ulcers, leukoplakia, and pigmented lesions

Canine oral lesions: a decision-tree approach to ulcers, leukoplakia, and pigmented lesions

Algumas limitações da técnica All-on-Four

Identifying Risk Factors Associated with Major Complications and Refractory Course in Patients with Osteomyelitis of the Jaw: A Retrospective Study

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