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免疫功能正常患者种植牙后下颌骨骨髓炎

Osteomyelitis of the Mandible after Dental Implants in an Immunocompetent Patient.

作者信息

Balanger Matthieu, Hinet Margaux, Vacher Christian, Bellaiche Norbert, Charrier Jean-Luc, Millot Sarah

机构信息

Department of Oral Surgery, Charles Foix Hospital, Paris Descartes University, Paris, France.

Department of Prosthetic Dentistry, Charles Foix Hospital, Paris Descartes University, Paris, France.

出版信息

Case Rep Dent. 2017;2017:9525893. doi: 10.1155/2017/9525893. Epub 2017 Apr 2.

DOI:10.1155/2017/9525893
PMID:28469945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5392388/
Abstract

Dental implants are now broadly used to replace missing teeth, and the presence of infectious complications is rising. Dental implant therapy as a local risk factor for the onset of osteomyelitis and its management have not been widely explored. Here, we report an unusual case of mandibular suppurative osteomyelitis caused by in a healthy and immunocompetent patient secondary to mandibular implants. We describe how surgery combined with systemic application of antibiotics allowed conservation of the dental implants in the mandibular bone, discuss the probable source of contamination, and present the follow-up of the osteomyelitis.

摘要

牙种植体目前广泛用于替代缺失牙，且感染性并发症的发生率正在上升。牙种植治疗作为骨髓炎发病的局部危险因素及其管理尚未得到广泛研究。在此，我们报告一例健康且免疫功能正常的患者因下颌种植体继发下颌化脓性骨髓炎的罕见病例。我们描述了手术联合全身应用抗生素如何使下颌骨中的牙种植体得以保留，讨论了可能的污染来源，并介绍了骨髓炎的随访情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a442/5392388/964d3ef709c0/CRID2017-9525893.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a442/5392388/7f6523a3556f/CRID2017-9525893.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a442/5392388/549e5f7c65b5/CRID2017-9525893.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a442/5392388/bbb323b9a0d8/CRID2017-9525893.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a442/5392388/b96ce9bb09a9/CRID2017-9525893.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a442/5392388/964d3ef709c0/CRID2017-9525893.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a442/5392388/7f6523a3556f/CRID2017-9525893.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a442/5392388/549e5f7c65b5/CRID2017-9525893.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a442/5392388/bbb323b9a0d8/CRID2017-9525893.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a442/5392388/b96ce9bb09a9/CRID2017-9525893.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a442/5392388/964d3ef709c0/CRID2017-9525893.005.jpg

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本文引用的文献

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Use of Vancomycin-Impregnated Calcium Sulfate in the Treatment of Osteomyelitis of the Jaw.万古霉素浸渍硫酸钙在颌骨骨髓炎治疗中的应用。
J Oral Maxillofac Surg. 2017 Jan;75(1):119-128. doi: 10.1016/j.joms.2016.06.178. Epub 2016 Jun 27.
2
Postoperative Infections After Dental Implant Placement: Prevalence, Clinical Features, and Treatment.牙种植术后的术后感染：患病率、临床特征及治疗
Implant Dent. 2015 Dec;24(6):713-9. doi: 10.1097/ID.0000000000000325.
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Mandibular Osteomyelitis Caused by Periodontal Treatment in HIV Patient.
用于改善骨科疾病治疗的纳米材料的最新进展。
Front Bioeng Biotechnol. 2023 Aug 9;11:1221365. doi: 10.3389/fbioe.2023.1221365. eCollection 2023.
HIV患者牙周治疗引发的下颌骨骨髓炎
J Craniofac Surg. 2015 Sep;26(6):e553-4. doi: 10.1097/SCS.0000000000001991.
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Chronic suppurative osteomyelitis of posterior maxilla: A rare presentation.上颌骨后部慢性化脓性骨髓炎：一种罕见的表现。
J Oral Maxillofac Pathol. 2014 Sep-Dec;18(3):481. doi: 10.4103/0973-029X.151364.
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Dental implants and osteomyelitis in a patient with osteopetrosis.一名石骨症患者的牙种植体与骨髓炎
Quintessence Int. 2014 Oct;45(9):765-8. doi: 10.3290/j.qi.a32443.
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Histopathological spectrum of bone lesions associated with dental implant failure: osteomyelitis and beyond.与牙种植体失败相关的骨病变的组织病理学谱：骨髓炎及其他。
Head Neck Pathol. 2015 Mar;9(1):140-6. doi: 10.1007/s12105-014-0538-4. Epub 2014 Apr 1.
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Risk factors of recurrence and life-threatening complications for patients hospitalized with chronic suppurative osteomyelitis of the jaw.颌骨慢性化脓性骨髓炎住院患者复发和危及生命并发症的危险因素。
BMC Infect Dis. 2013 Jul 11;13:313. doi: 10.1186/1471-2334-13-313.
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Immediate placement of implants into infected sites: a systematic review.将种植体即刻植入感染部位：一项系统评价
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[Where are we in the treatment of chronic osteomyelitis?].[在慢性骨髓炎的治疗方面我们处于什么阶段？]
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