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CAUSATIVE
MICROORGANISMS
•REGIONAL LYMPHADENOPATHY
•HALITOSIS
TYPES:
1.CHRONIC FOCAL SCLEROSING
OSTEOMYELITIS
2.CHRONIC DIFFUSE SCLEROTIC
OSTEOMYELITIS
GARRE’S OSTEOMYELITIS
CHRONIC FOCAL SCLEROSING CHRONIC DIFFUSE SCLEROTIC
OSTEOMYELITIS OSTEOMYELITIS
TENDER ON PERCUSSION
LYMPHADENOPATHY, SLIGHT
PYREXIA MAY BE PRESENT BUT ESR
IS NORMAL
RADIOGRAPHIC FEATURES
PRESENT AS A CENTRAL JAW LESION WIH
PREDOMINANTLY RADIOLUCENT APPAERANCE
HAVING FEW RADIOOPAQUE FOCI.
TREATMENT
EXTRACTION OF
CARIOUS INFECTED ANTIBIOTIC
TOOTH THERAPY
HYPERBARIC OXYGEN
THERAPY
IT IS AN ADJUNCTIVE
THERAPY AND SHOULD
BE USED ALONG WITH
ANTIBIOTICS AND
SURGICAL
DEBRIDEMENT
HELPS IN
STRENGTHENING OF
BONE CELLS—
REABSORB DEAD BONE—
REMOVE BONY DEBRIS
ENHANCES FUNCTION
OF IMMUNE SYSTEM
HELPS BODY TO
CREATE NEW BLODD
CELLS CALLED
CAPILLARIES
PROCEDURE OF HBOT
Oxygen is important in wound healing.
When the environment of the fibroblast cell has an oxygen
tension of less than 10mmHg, the cell can divide, but it can
no longer make collagen.
It also cannot migrate to where it is needed for healing.
When the oxygen tension is increased, the fibroblast can
again carry out these wound healing functions.
The collagen produced by these cells forms a fibrous
matrix, and new capillaries grow into this.
Wound healing is a dynamic process and an adequate
oxygen tension is mandatory for this process to proceed to
healing.
HBOT provides oxygen to promote collagen production,
angiogenesis (new vessel growth) and wound healing in the
ischemic or infected wound
Adequate supply of oxygen is key in the treatment of
osteomyelitis
AYESHA MUSHTAQ
FINAL B.D.S