Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Dentistry
Volume 2013, Article ID 402096, 5 pages
http://dx.doi.org/10.1155/2013/402096
Case Report

Clinical Management of Suppurative Osteomyelitis, Bisphosphonate-Related Osteonecrosis, and Osteoradionecrosis: Report of Three Cases and Review of the Literature

1Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, 37130-000 Alfenas, MG, Brazil
2Oral Pathology, College of Dental Medicine-Illinois, Midwestern University, Downers Grove, IL 60515, USA
3Oral Pathology, Department of Biomedical Sciences, Federal University of Alfenas, 37130-000 Alfenas, MG, Brazil
4Stomatology, Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, 37130-000 Alfenas, MG, Brazil

Received 26 August 2013; Accepted 23 September 2013

Academic Editors: N. H. Rohleder and C.-H. Wu

Copyright © 2013 Eduardo Pereira Guimarães et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In the past, osteomyelitis was frequent and characterized by a prolonged course, treatment response uncertainty, and occasional disfigurement. Today, the disease is less common; it is believed that the decline in prevalence may be attributed to increased availability of antibiotics and improvement of overall health patterns. Currently, more common osteomyelitis variants are seen, namely, osteoradionecrosis (ORN) and bisphosphonate-related osteonecrosis of the jaws (BRONJ). Osteomyelitis, ORN, and BRONJ can present with similar symptoms, signs, and radiographic findings. However, each condition is a separate entity, with different treatment approaches. Thus, accurate diagnosis is essential for adequate management and improved patient prognosis. The aim of this paper is to report three cases of inflammatory lesions of the jaws—osteomyelitis, ORN, and BRONJ—and to discuss their etiology, clinical aspects, radiographic findings, histopathological features, treatment options, and preventive measures.