4. CLINICAL FEATURES
• MORE COMMON IN ADULTS WITH MANDIBULAR INFECTIONS
• OSTEOMYELITIS OF MAXILLA MORE COMMON IN NEONATES
• THROBBING PAIN, DEEPLY SITED PAIN
• SWELLING,MALAISE AND PYREXIA
• GINGIVA RED SWOLLEN AND TENDER
• INVOLVED TEETH TENDER AND MOBILE
• INTRA AND EXTRA ORAL PUS DISCHARGE
• REGIONAL LYMPH NODES ENLARGEMENT
• PARESTHESIA OF LOWER LIP
• TRISMUS
5. RADIOGRAPHIC FEATURES
• NORMAL IN EARLY STAGES
• IN 10- 14 DAYS, SUFFICIENT BONE
RESPORPTION OCCUR TO PRODUCE IRREGULAR
MOTH EATEN( MULTIPLE LYTICS LESIONS )
AREAS OF RADIOLUCENCY
• SEQUESTRA (ISLANDS OF NON VITAL BONE)
6. HISTO PATHOLOGY
• NECTROTIC OSTEOCYTES ARE DISTINCT
FEATURES
• SURROUNDING GRANULATION TISSUE
WITH INFILTRATE OF
PMNL,LYMPHOCYTES AND PLASMA CELLS
