Abstract
A 7-year-old male patient was referred to an oral medicine service for assessment of mandibular osteomyelitis after deciduous molars extraction. In the anamnesis, infantile osteopetrosis was reported. Intraoral examination revealed an exposed bone area with the presence of suppuration located in the region of previous extraction. Panoramic radiography showed changes in the pattern of eruption and a poorly delimited radiolucent area in left mandibular alveolar region, suggestive of chronic osteomyelitis. A bone debridement was performed which resulted in healing of the alveolar mucosa. However, 9 months later, the patient returned with recurrence of the infectious process and the presence of extraoral fistulas on the left side. As a treatment for mandibular osteomyelitis secondary to osteopetrosis, the patient underwent surgical procedures first for bone debridement in the left mandible and then, for marginal segmental resection of the mandible and placement of a titanium plate. The patient shows no signs of recurrence of the infectious process. Support: FAPEMIG.
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