Affiliation:
1. Department of Oral and Maxillofacial Surgery, Rural Dental College, Loni, Maharashtra, India
Abstract
Osteomyelitis is inflammation of the medullary cavities, Haversian system, and adjacent cortex of the bone. It is pernicious to patients when aggressive and invasive. Maxillary osteomyelitis mostly affects individuals with immunocompromised conditions such as uncontrolled diabetes, human immunodeficiency virus infections, and immunosuppressive/chemotherapy, and has potentially fatal outcomes. In diabetic patients, strict glycemic control routinely as well as pre-, intra-, and postoperatively is paramount to prevent as well as cure diabetic maxillary osteomyelitis. We report a case of maxillary osteomyelitis in a female patient with poorly controlled type 2 diabetes mellitus. She complained of multiple mobile teeth and exposed bone in the upper left back tooth region. Clinical, radiographic, and histopathological findings were confirmative of chronic suppurative maxillary osteomyelitis. Sequestrectomy, curettage, and debridement were performed after broad-spectrum empirical antibiotic therapy and correction of raised blood glucose levels within normal limits. At regular follow-ups, there was no evidence of any recurrence or re-infection.