Osteomyelitis following extraction of lower third molar during pregnancy

임신 중 하악 제3대구치 발거후 발생한 골수염

  • Lee, Sang-Bin (Department of Oral and Maxillofacial Radiology, and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Huh, Kyung-Hoe (Department of Oral and Maxillofacial Radiology, and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Yi, Won-Jin (Department of Oral and Maxillofacial Radiology, and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Kim, Mi-Ja (Department of Dentistry, Hangang Sacred Heart Hospital, Hallym University) ;
  • Lee, Sam-Sun (Department of Oral and Maxillofacial Radiology, and Dental Research Institute, School of Dentistry, Seoul National University)
  • 이상빈 (서울대학교 치과대학 구강악안면방사선학교실 및 치학연구소) ;
  • 허경회 (서울대학교 치과대학 구강악안면방사선학교실 및 치학연구소) ;
  • 이원진 (서울대학교 치과대학 구강악안면방사선학교실 및 치학연구소) ;
  • 김미자 (한림대학교 한강성심병원 치과학교실) ;
  • 이삼선 (서울대학교 치과대학 구강악안면방사선학교실 및 치학연구소)
  • Published : 2008.09.30

Abstract

A 27-year-old female was referred to our hospital postpartum due to rapid aggravation of facial swelling. She was diagnosed with osteomyelitis on clinical, radiological, and histopathological examinations, but the possibility of malignancy was not excluded. Clinical signs and symptoms such as facial swelling and discomfort were improved with four months of antibiotics treatment. This is as case of an osteomyelitis progressed from infected extraction socket in a woman with physiological changes of pregnancy. Decreased immunological response, increased sex hormone and calcium regulatory hormones regulate the response of the bone infection. We report this case for helping the diagnosis of unusual from of osteomyelities in pregnancy and postpartum.

Keywords