Abstract
Tuberculosis (TB) is a frequent health problem in developing nations. It has two forms pulmonary and secondary causing other kinds of TB, collectively denoted extra pulmonary tuberculosis. The prevalence of extra pulmonary TB has increased in the last couple of years. Maxillofacial manifestations of tuberculosis form nearly 10% of all extra pulmonary manifestations of the disease. Extra pulmonary TB involving maxillofacial region is our prime concern. Very few cases of TB of the temporomandibular joint (TMJ) and mandible have been reported in literature. The clinical appearance of TB infection of the TMJ has been described as unspecific, resembling arthritis, osteomyelitis, cancer or any kind of chronic joint diseases. This article describes two cases where the bone, namely TMJ and angle of mandible are affected by tuberculosis. In addition to conventional radiographs we used Cone Beam Computed tomography (CBCT) to explore the third dimension of the lesion. Key words:Tuberculosis, bone, osteomyelitis, CBCT.
Highlights
The impact of tuberculosis (TB) falls mainly on developing nations
This article describes two cases where the bone, namely temporomandibular joint (TMJ) and angle of mandible are affected by tuberculosis
Tuberculosis of bone is an uncommon form of chronic osteomyelitis, occurring more often in young individuals and usually in late stages of the disease
Summary
The impact of tuberculosis (TB) falls mainly on developing nations. In most industrialized countries, the annual numbers of cases and deaths caused by TB have steadily declined over the past century up to the mid-1980s. Case report 1 An 18 year old female patient was reported to the department of Oral Medicine and Radiology in Nair Hospital and Dental College; with complain of swelling on left side of face in the preauricular region. She had a history of swelling since 8 months which was slowly increasing in size. Case report 2 A 45 year old male patient came to Oral Medicine and Radiology in Nair Hospital Dental College; with complain of swelling on right side at the angle of the jaw since 2 months. CBCT taken 4 months after starting treatment showed reduction in the bony defect with progressive bone deposition (Fig 2- D)
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call