Tubercular osteomyelitis of the jaw - 2 case report

Abstract

Tubercular osteomyelitis of the maxilla & mandible was earlier considered as a rare disease but the incidence is on the rise with isolated presentation in the jaws. The rarity of the disease in the jaws usually has clinical doubt especially when the positive history of systemic infection was present. Early diagnosis of tubercular osteomyelitis will certainly reduce the morbidity of disease condition. Hereby we report two cases of tubercular osteomyelitis of maxilla & mandible. Case 1: A male patient of 19 year old of tubercular osteomyelitis was referred for medical management & 2 nd male patient of 58 year old who presented with a non-healing socket since 1 month. He was treated with surgical intervention & anti-tubercular drugs.

From Chronic Pain to Function: A Case Report of Successful Surgical Management of Chronic Osteomyelitis of Jaw.

“…Other risk factors include poor oral hygiene, dental trauma or injury, compromised immune system, and certain systemic conditions like diabetes, tuberculosis. 5 Probable cause of disease in our case was odontogenic periodontal infection in relation to right lower posterior teeth.…”

“…3 The medications linked to osteomyelitis are steroids, chemotherapeutic agents, bisphosphonates and other toxic therapeutic agents 4 Osteomyelitis development is also in uenced by host defences. Systemic illnesses like AIDS, diabetes mellitus, tuberculosis 5 , autoimmune disorders, cancer, and malnutrition have all been linked to osteomyelitis. Steroids, chemotherapeutic drugs, and bisphosphonates are among the medications with potential effects on osteomyelitis.…”

Primary Mandibular Tuberculous Osteomyelitis Mimicking Ameloblastoma: A Case Report and Literature Review of Mandibular Tuberculous Osteomyelitis

“…12 Oral TB may manifest as swelling, pain, loosening of teeth, displacement of tooth buds, ulcers, granulomas, involvement of salivary glands and temporomandibular joint, and tuberculous lymphadenitis. 13 The lesions of primary orofacial TB could be the only presentation of the disease. 14 Primary TB of the mandible is an uncommon entity which represents less than 2% of all skeletal TB.…”