European journal of oral implantology · 2015
Dramatic course of osteomyelitis in a patient treated with immediately placed dental implants suffering from uncontrolled diabetes: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Doll Christian, Hartwig Stefan, Nack Claudia, Nahles Susanne, Nelson Katja, Raguse Jan-Dirk
Аннотация
PURPOSE: To report a rare and dramatic complication following immediate dental implant placement in a heavy smoker, who had a delayed diagnosis of uncontrolled diabetes.
MATERIALS AND METHODS: In this case report we present the dramatic course of a 64-year old female patient treated with five immediate post-extractive dental implants in the mandible, who developed osteomyelitis, which manifested initially as local peri-implant inflammation and progressed into a spontaneous jaw fracture, despite repeated surgical interventions and antibiotic courses over a 3-year period, until diabetes was diagnosed.
RESULTS: A symptom-free status could be achieved only after partial mandibulectomy, treatment of diabetes and reconstruction with a microvascular fibula free flap.
CONCLUSION: In the presence of mandibular osteomyelitis refractory to therapy, yet undiagnosed underlying pathologies, such as diabetes, should be investigated and treated urgently.
MATERIALS AND METHODS: In this case report we present the dramatic course of a 64-year old female patient treated with five immediate post-extractive dental implants in the mandible, who developed osteomyelitis, which manifested initially as local peri-implant inflammation and progressed into a spontaneous jaw fracture, despite repeated surgical interventions and antibiotic courses over a 3-year period, until diabetes was diagnosed.
RESULTS: A symptom-free status could be achieved only after partial mandibulectomy, treatment of diabetes and reconstruction with a microvascular fibula free flap.
CONCLUSION: In the presence of mandibular osteomyelitis refractory to therapy, yet undiagnosed underlying pathologies, such as diabetes, should be investigated and treated urgently.
Предметные рубрики MeSH
AbscessAlveolar Ridge AugmentationAnti-Bacterial AgentsBone TransplantationCutaneous FistulaDelayed DiagnosisDental ImplantsDiabetes Mellitus, Type 2Disease ProgressionFemaleFollow-Up StudiesFractures, SpontaneousHumansImmediate Dental Implant LoadingMandibular DiseasesMandibular FracturesMandibular ReconstructionMiddle AgedOsteomyelitisPeri-ImplantitisRecurrenceSmokingStreptococcal InfectionsStreptococcus intermedius