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[Lingual mandibular osteonecrosis].

J G A M de Visscher1, D P Dietvorst, E H van der Meij

  • 1Medisch Centrum Leeuwarden. j.de.visscher@znb.nl

Nederlands Tijdschrift Voor Tandheelkunde
|May 10, 2013
PubMed
Summary

Lingual mandibular osteonecrosis is a painful condition causing exposed bone in the jaw. Treatment involves surgical intervention or awaiting natural bone separation for healing.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Pathology

Background:

  • Osteonecrosis of the jaw is a serious condition.
  • Lingual mandibular osteonecrosis specifically affects the lower jaw's tongue side.

Observation:

  • A 47-year-old male presented with a painful ulcer and exposed bone near teeth 47 and 48.
  • The lesion was located on the lingual aspect of the mandible.

Findings:

  • The condition was diagnosed as lingual mandibular osteonecrosis.
  • Key characteristics include exposed bone and sequestration in the mandibular molar region.
  • It can arise spontaneously or after mucosal trauma.

Implications:

  • Treatment strategies include surgical smoothing of bone, debridement of necrotic bone, or conservative management awaiting sequestration.
  • Early diagnosis and appropriate management are crucial for patient outcomes.

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