1. In both maxilla and mandible but
remain localize in maxilla
2. Not so common in era of antibiotics.
3. all inflammatory signs .
1. Paresthesia of lip.
2. Teeth involved are sore and
Disease cant be diagnosed until 10 to 15 days.
Bone tuberculae become fuzzy and indistinct…
After that begin to appear radiolucent areas…
As its acute so there are chiefly PMNLs.
Bone tuberculae undergo resorption.
Rarely occur due to complication of
All signs are same like in acute but little
Acute exacerbations may occur any
Suppuration may perforate through
bone forming a fistula.
Also called condensing osteomyelitis.
Usually reaction of bone to any infection.
Through carious tooth
Tissue react as by proliferation rather
destruction, as infection acts as stimulus
rather than irritant.
In young adults and children.
Mostly affected are mandibular 1st molar.
No such signs and symptoms just mild pain
with infected pulp.
Well circumscribed radiopaque mass of
Lamina dura intact
Periodontal space widened (NB feature).
Dense mass of bony tuberculae with little
Osteocytes appear empty.
Lines gives pagetoid appearance.
Fibrotic soft tissue if present.
This is from the diffuse periodontal disease.
In older patients
Mostly in edentulous mandible areas
Unpleasant taste with mild suppuration.
Usually pain is subside due to drainage of suppuration
through the fistula formation in mucosa.
cotton-wool appearance in sclerosis of bone.
Usually mimic the diseases ; Paget's disease,
Soft tissue fibrous in trabeculae of bone.
PMNLs and chronic inflammatory cells
Also called Garre’s syndrome, periostitis ossificans.
Types of chronic OM in which focal gross thickening
Reactive bone formation resulting from mild irritation
In young individuals often < 25 years.
Often results from cellulitis or any soft
Odontalgia, and pain in jaw.
Bony hard swelling on outer surface of jaw.
Occlusal radiograph shows the focal
overgrowth of the bone.
The mass is smooth and rather well
calcified, which may show thin cortical layer
of its own.
Osteoblasts bordering the tuberculae in a
C.T between is fibrous which may show
diffuse patchy sprinkling of lymphocytes
and plasma cells.
In periosteal reaction; carious tooth causes
perforation of cortical plate.
DONE by parsad and kishore and co-workers.
PURPOSE: To analyze the behavior to osteomyelitis in
head and neck and its management.
84 cases in 10 years