Article: Volume 43 Number 2 Page 168 - March 2016

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  Dent Update 2016; 43: 168-175

Oral and Maxillofacial Surgery:  A Pathological Fracture of the Mandible due to Osteomyelitis following a Full Dental Clearance

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Abstract: Orofacial infections following dental extractions are a common referral to an oral and maxillofacial department as an emergency, especially when combined with swelling and limited mouth opening. The case presented demonstrates a rare complication of chronic suppurative osteomyelitis with bilateral pathological fractures of the mandible, which occurred following a staged dental clearance.

Clinical relevance: Dental extractions are one of the most common treatments carried out by oral surgeons and general dental practitioners. This case highlights a rare but encountered complication of routine oral surgery and demonstrates when it is necessary to make an immediate referral to the local oral and maxillofacial surgery unit.

Author notes: Preeti Jauhar, BDS, MFDS RCPS(Glasg), Thomas Handley, MBChB(Hons), BDS(Hons), MRCS(Glasg), MFDS RCPS(Glasg) and Nicholas Hammersley, BDS, MBBS, FDS RCS(Eng), FDS RCPS(Glasg), FRCS(Ed), Monklands Hospital, Airdrie, Lanarkshire, Scotland, UK.

Objective: To demonstrate the importance of rapid specialty referral for non-healing oral facial infections once the obvious dental cause has been removed.