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Robust Ligature-Induced Model of Murine Periodontitis for the Evaluation of Oral Neutrophils
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Tuberculous osteomyelitis affecting periodontium: A rare case report
Gaurav Bakutra1, Balaji Manohar2, Lalit Mathur3
1Department of Periodontology and Implantology, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India.
Journal of Indian Society of Periodontology
|December 9, 2015
Summary
Tuberculous osteomyelitis of the mandible is a rare condition affecting the periodontium. Effective treatment involves antitubercular chemotherapy combined with surgical removal of affected bone.
Area of Science:
- Oral Medicine
- Periodontology
- Infectious Diseases
Background:
- Tuberculous lesions of the oral cavity are rare, especially those affecting the periodontium.
- Periodontal involvement in tuberculosis (TB) is seldom reported in recent literature due to effective drug therapy.
Observation:
- A rare case of tuberculous osteomyelitis of the mandible affecting the periodontium is presented.
- The patient, a 42-year-old female, exhibited gingival recession and mandibular bone exposure in the premolar region.
- Diagnosis involved a comprehensive approach including medical/dental history, bacterial culture, clinical/radiographic findings, blood tests, immunologic assays, and histopathology.
Findings:
- The patient was undergoing antitubercular chemotherapy.
- Surgical interventions included sequestrectomy and decortication to remove necrotic bone.
- The patient experienced uneventful healing with no recurrence after 1.5 years of follow-up.
Implications:
- Antitubercular chemotherapy combined with surgical debridement is the recommended treatment for tuberculous osteomyelitis impacting the periodontium.
- This case highlights the importance of considering rare infections in periodontal disease diagnosis.
- Early diagnosis and comprehensive management are crucial for successful outcomes in such rare conditions.
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