American Journal of Oral Medicine and Radiology

A RESEARCH STUDY OF MANDIBULAR OSTEONECROSIS RELATED TO THE PULPAL-PERIODONTAL SYNDROME

Gnananandar G and Jaikumar S

jaipharma2007@gmail.com

Mandibular Osteonecrosis, Pulpal-Periodontal Syndrome, Case study

The creation of sequestrum, a segment of avital bone detached from adjacent sound bone as a result of local bone necrosis, is a symptom of osteonecrosis of the jaw is frequently linked to ischemia. In the majority of cases, known jaw osteonecrosis is linked to both local and systemic causes are already present. Systemic osteonecrosis of the jaws is a possibility is induced i.e. As a result of radiation treatment for head and neck cancers, or as a result of bisphosphonate therapy (either for osteoporosis or for other reasons or the treatment of cancers such multiple myeloma, etc.) As a result of corticosteroid medication, cocaine misuse, coagulation disorders, and medication intake that affects clotting systems. Diabetes, leukemia, Paget's disease of the bones, fibrous dysplasia, malnutrition, and heavy metal poisoning are all possible causes. Local causes of jaw necrosis include past trauma from dental treatment (extraction of third molars, rubber dam implantation, or injuries due to sports) to the use of chemicals in dentistry, etc. The patient in this case report signed an informed consent form that was authorized by the Ethics Committee of the University of Delhi's School of Dental Medicine, India. A 38-year-old woman arrived with an 8-mm diameter exposed necrotic bone region on the lingual side of her right lower third molar. The patient appeared to be in good health and was not on any drugs. Local trauma, recent dental treatments, bulimia, or self-inflicted reasons of the lesion were all denied by the patient. The patient had never been given any bisphosphonates or corticosteroids, and had never been irradiated. This example demonstrates how pulp necrosis, a type of pulpal-periodontal syndrome, can cause bone exposure in some patients. The extraction of the diseased tooth, excision of the necrotic bone and granulation tissue, and bone remodeling are all necessary treatments for osteonecrosis caused by the pulpal-periodontal condition.