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Alveolar osteitis and osteomyelitis of the jaws
Authors:Krakowiak Peter A
Affiliation:aOral and Maxillofacial Surgery, Herman Ostrow School of Dentistry, University of Southern California, 925 West 34th Street, Room Den 146, Los Angeles, CA 90089, USA;bPrivate Practice, 265 San Jacinto River Road, Suite 101, Lake Elsinore, CA 92587, USA;cPrivate Practice, 5256 South Mission Road Suite, Bonsall, CA 92003, USA
Abstract:Postoperative bone healing after oral surgical procedures occurs uneventfully in most cases. However, in certain patients, the normal process of healing can be delayed and, in some cases, often because of multiple coexisting factors, the sites can become infected, with extension of the infection into medullary bone. This process is termed osteomyelitis. This article outlines the pathogenesis, microbiology, and surgical and medical therapies of this condition and specifically addresses osteomyelitis cases related to patients with no documented history of radiation or bisphosphonate exposure and in whom the principal factor in the development of the condition is infection by pyogenic microorganisms.
Keywords:Osteomyelitis   Delayed healing   Marrow infection   Actinomyces   Dry socket   Immune compromised
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