Article: Volume 46 Number 11 Page 1062 - December 2019

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  Dent Update 2019; 46: 1062-1066

Oral Pathology:  Diagnosis and Management of Chronic Osteomyelitis and Cemento-Osseous Dysplasia of the Mandible

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Abstract: Chronic osteomyelitis is a severe and persistent infection of the bone including the bone marrow. Cemento-osseous dysplasias are a group of conditions arising from the periodontal ligament tissue and are categorized into peri-apical, focal and florid. A case of a patient with buccal and submandibular swelling associated with a discharging sinus between LR45 was presented. History, examination and investigations confirmed a diagnosis of chronic osteomyelitis and an incidental finding of florid cemento-osseous dysplasia of the mandible. The patient’s treatment is discussed within the context of important clinical considerations required in managing these patients.

Clinical relevance: It is pertinent for a general practitioner to be aware of signs and symptoms associated with chronic osteomyelitis and understand the management options.

Author notes: Arifa Akram, BDS, MFDS RCPS(Glas), SHO, Oral and Maxillofacial Surgery (email:, Tajinder Lidhar, MBBS, BSc, SHO, Oral and Maxillofacial Surgery, Katy Marie Valentine, BM FRCPath, Histopathology and Roger Webb, BDS, MBBS(Hons), FDS RCS(EnMRCS(Eng) FRC), Oral and Maxillofacial Consultant, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.

Objective: To understand the signs, symptoms and management of chronic osteomyelitis and the presentation of cemento-osseous dysplasia.

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