de Visscher J G A M, Dietvorst D P, van der Meij E H
Medisch Centrum Leeuwarden.
Ned Tijdschr Tandheelkd. 2013 Apr;120(4):189-93. doi: 10.5177/ntvt.2013.04.12239.
A 47-year-old man was referred to an oral and maxillofacial surgeon by his dentist because ofa painful ulcer with exposed bone at the lingual side of teeth 47 and 48. The lesion was diagnosed as lingual mandibular osteonecrosis. Characteristics of lingual mandibular osteonecrosis are exposed bone in the molar area and sequestration. The disorder can appear spontaneously or following damage to the mucous membrane. Treatment options are surgical smoothening of exposed bone, surgical removal of necrotic bone and awaiting spontaneous sequestration.
一名47岁男性因47和48号牙舌侧出现疼痛性溃疡且有骨质暴露,被其牙医转诊至口腔颌面外科医生处。该病变被诊断为下颌骨舌侧骨坏死。下颌骨舌侧骨坏死的特征是磨牙区骨质暴露和死骨形成。这种疾病可自发出现或在黏膜受损后发生。治疗选择包括对暴露骨质进行手术磨平、手术切除坏死骨以及等待死骨自发分离。