Agarwal Padmanidhi, Chug Ashi, Kumar Shailesh, Jain Kanav
Department of Dentistry, All India Institute of Medical Sciences, Rishikesh, India.
Spec Care Dentist. 2019 May;39(3):319-323. doi: 10.1111/scd.12371. Epub 2019 Feb 28.
This article aims to highlight palatal actinomycosis osteomyelitis as an unseen complication of maxillary tooth impactions. A middle aged male with uncontrolled diabetes reported with a complaint of nasal regurgitation of fluids. After clinical and radiographic evaluation, he was diagnosed with actinomycosis osteomyelitis of the hard palate as a sequelae of a long-standing palatally impacted tooth. He was treated by a combination of medical and surgical therapy. Palatal actinomycosis should be considered a differential in nonhealing lesions of the hard palate and a possibility before leaving maxillary impactions untreated, especially in immunocompromised individuals. Adequate follow-up is mandatory to note for any radiographic changes and if diagnosed, treatment should be started promptly to prevent grave complications.
本文旨在强调腭放线菌性骨髓炎是上颌牙阻生的一种罕见并发症。一名患有未控制糖尿病的中年男性因液体经鼻反流前来就诊。经过临床和影像学评估，他被诊断为硬腭放线菌性骨髓炎，这是一颗长期腭侧阻生牙的后遗症。他接受了药物和手术联合治疗。腭放线菌病应被视为硬腭不愈合病变的鉴别诊断之一，并且在不治疗上颌牙阻生尤其是免疫功能低下个体的上颌牙阻生时应考虑到这种可能性。必须进行充分的随访以留意任何影像学变化，一旦确诊，应立即开始治疗以防止严重并发症。
