International Science and Technology Journal

Osteomyelitis (OM) is an inflammatory disease within the medullary and cortical bone, most commonly affecting is the mandible within the maxillofacial skeleton. OM of the jaws is usually a polymicrobial infection. Its etiology is multifactorial whose odontogenic infections are the most common causes. Failure of treatment of the odontogenic infection, may cause acute Osteomyelitis (AOM)to become chronic Osteomyelitis (COM). COM presents clinically with pain and swelling associated with chronic suppuration and pus discharge through an intraoral or extra oral sinuses. Diagnosis of COM is based on clinical and radiograghic findings and completed with a Computer topography scan. The treatment usually consists of corticotomy, sequestrectomy and removal of the infected tissues, followed by antibiotic therapy. We present a case of chronic suppurative Osteomyelitis associated with an intraoral fistula which was successfully treated with surgical decorticaion, sequestrectomy and oral antibiotics.