Stomatology

1. BY:- KESHAV KUMAR
MONIRUJJAMAN
KAIUM
GROUP:- LA2 201(1)

2. What is periostitis?
Periostitis is a condition that results in
inflammation of the band of tissue that surrounds
your bones known as the periosteum.
This condition typically affects people who
repetitively:
jump
run
lift heavy weights

3. Acute
Proliferative ossification
Resorption with following
replacement osseous tissue
on fibrous tissue
Acute Dentoalveolar Abscess

4. What are the symptoms of periostitis?
Acute periostitis symptoms can include:
intense pain
difficulty bearing weight on the affected limb
pus formation
fever
chills
swelling of the tissue surrounding the bone.
Chronic periostitis symptoms:
Chronic periostitis, or even temporary bouts of shin
splints and similar injuries, also causes swelling and
inflammation

6. What are the causes of periostitis?
Causes of acute periostitis
Acute periostitis can develop from a variety of infections
in other parts of your body.
For example, a urinary tract infection (UTI) or a sexually
transmitted infection (STI), such as syphilis, could lead
to periostitis
Certain autoimmune diseases can lead to acute
periostitis. Leukemia and various cancers and blood
disorders are all potential conditions that can lead to
serious bone infections.
Proliferative periostitis, or osteomyelitis, is one type of
bone infection. Staphylococcus and other similar
bacteria are usually the cause.

7. Risk factors for acute periostitis
systemic infection, especially bloodstream
infections
joint replacement surgery or another type of
orthopedic surgery
poor circulation, which can be due to
atherosclerosis, diabetes, or pressure sores or ulcers
an open fracture, which is a fracture of the bone that
pierces the skin and exposes the bone to the germs
of the skin and surrounding environment

8. DIAGNOSIS
an X-ray, which may reveal fractures or signs of
damage due to infection
an MRI scan, which can provide a detailed look at
the bone and the surrounding soft tissue
bone scans to determine if an infection is present
a complete blood count to determine your white
blood cell count and look for evidence of infection

10. The treatment of acute periostitis is complex
and consists of surgical procedure and medical
treatment. The focus of inflammation ought to be
dissected for pus evacuation and drained. teeth
that cannot be treated in conservative way are to be
extracted. Permanent teeth with one root should be
preserved.
After surgery the following treatment is administered:
diet, bed-side care, abundant liquid consuming, mouth
rinsing with antiseptic herbs (salvia, camomille, etc.).
Supplementary drugs should be indicated considering the
child's condition, age and additional pathologic condition.
Antibiotics should be given to children under 5 years of
age in case of severe general condition. Detoxication,
desensibilization, symthomatic treatment is essential.

11. Treatment of chronic periostitis :
Temporary teeth and multiple-rooted permanent teeth
should be extracted. the usual period of treatment is
10-14 days. It includes antibacterial therapy and
hyposensibilization. Physiotherapy is significant art of
treatment (lidaza, Potassium Iodidum electrophoresis,
ultrasound, laser therapy).
If the treatment fails the surgical procedure
considering bone remodeling and elimination of
excessive bone should be applied.

12.  Physiotherapy (in
some cases);
 Tooth extraction;
 Local anesthesia
(sometimes intravenous
sedation);
 Horizontal or
semilunar incision;
 Removal of all struck
tissues;
 Local anesthesia (sometimes
intravenous sedation);
 Horizontal or semilunar
incision directly over the
abscess;
 Drainage (a piece of rubber
dam or iodophor gauze);
 Tooth extraction;
 Appointments for definitive
treatment.