Download - Chronic Osteomyelitis
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Case Report
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Chronic osteomyelitis
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•A 67-year-old female patient
• Complains of swelling in the lower teeth region
•Duration-13 years
Chief Complaint
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History of Presenting Illness
•She consulted a hospital 11 years back. Biopsy was done and was diagnosed as osteoma.
•Noticed pus from the front teeth region on pressing 4 months back.
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Clinical Examination
Extraoral
No abnormality detected.
Intraoral
Swelling of size 2 x 3 cms present on lingual aspect of 31, 32, 41, and 42 covered by normal mucosa.
On palpation it is firm, non mobile and non-tender.
Pus discharge from swelling
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Provisional diagnosis:
•Osteoma• Florid cemento-osseous dysplasia• Late stage fibrous dysplasia•Osteoblastoma• Chronic osteomyelitis
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Investigations OPG
Reveals multiple RCT done and missing teeth and bridges.Mixed radiolucent and radioopacity at apex irt 31, 32, 41, and
42.
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Occlusal radiograph
Shows mixed radiolucency which is well circumscribed by radiolucency overlapping irt 31 and 32.
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Histopathology
Ulcerated epithelium(10x)
Superficial stratified squamous epithelium
(10x)
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Histopathology
Sheets of plasmacytoid cells in the connective tissue
10X 40X
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Histopathology
Cellular and nuclear pleomorphism
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HISTOPATHOLOGY
Vesiculated and hyperchromatic nuclei
peripheral chromatin condensation
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HISTOPATHOLOGY
Binucleate plasma cells
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Chronic diffuse sclerosing osteomyelitis