A complication after tooth extraction: chronic suppurative o
This article, published in the journal Oral & Implantology presents a case report about the surgical treatment of chronic suppurative osteomyelitis following a tooth extraction.

CBCT (Cone beam computed tomography) revealed a sequestrum bone formation that required the sequestrectomy and the debridement of the involved area. The prescription of oral penicillin and metronidazole were necessary after and before the surgery. Also 20 sessions of hyperbaric oxygen therapy were important for the healing of the marrow space.

The histologic test confirmed the diagnosis of “Chronic suppurative osteomyelitis”. Clinically the post-operative course showed no complications but a good healing of the bone tissue. Culture reports revealed two microorganisms, streptococcus viridans and staphylococcus, that are sensitive to penicillin.

Clinical results confirmed the validity of the sequestrectomy and the debridement of the involved area for the treatment of chronic suppurative osteomyelitis. Such approach has always to be preferred because it guarantees the healing of bone tissue.

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