Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Filters applied. Clear all
Case Reports
, 9 (5), ZD35-8

Multidisciplinary Management of An Unusual Isolated Alveolar Bone Infection- A Rare Case Report

Affiliations
Case Reports

Multidisciplinary Management of An Unusual Isolated Alveolar Bone Infection- A Rare Case Report

Pimpale Sandeep K et al. J Clin Diagn Res.

Abstract

Restoration of proximal defect of tooth is of paramount importance as its improper restoration usually results in fracture of the restoration or deteriorated periodontal health. The article reports a case with a discreet mass of alveolar bone necrosis closed to the overhanged amalgam restoration in the proximal box of the maxillary molar. As a result of this improper proximal restoration it led to deep periodontal pocket and subsequent alveolar bone necrosis which was managed successfully with combined Endodontic-Periodontic treatment. This article highlights the unfortunate sequelae of bone necrosis as a consequence of an incorrect or overlooked dental treatment and its comprehensive management.

Keywords: Amalgam restoration; Endodontic-periodontic lesion; Osteonecrosis; Periodontal regeneration.

Figures

[Table/Fig-1]:
[Table/Fig-1]:
Maxillary left first molar (tooth #26) shows Class II amalgam restoration with 11 mm pocket depth
[Table/Fig-2a,b]:
[Table/Fig-2a,b]:
(a) Radiograph before removal of the faulty amalgam restoration (b) Radiograph After removal of the faulty amalgam restoration
[Table/Fig-3a,b]:
[Table/Fig-3a,b]:
a) Removal of necrosed interdental bone (sequestrum) which was brownish in colour at first surgery (b) Flap was sutured with Black silk sutures (3-0)
[Table/Fig-4]:
[Table/Fig-4]:
Probing pocket depth present at 45 days recall
[Table/Fig-5a,b]:
[Table/Fig-5a,b]:
a) Full thickness mucoperiosteal periodontal flap reflected at second surgery b) DFDBA (Bone Allograft) & PERIOCOL GTR Regenerative Membrane (Resorbable)
[Table/Fig-6a,b]:
[Table/Fig-6a,b]:
a) Placement of Bone graft & Periodontal regenerative membrane at second surgery b) Periodontal membrane secured with VICRYL resorbable sutures (3-0)
[Table/Fig-7a,b]:
[Table/Fig-7a,b]:
a) Recall re-evaluation after 6 months (b) Recall re-evaluation after 11 months
[Table/Fig-8]:
[Table/Fig-8]:
Postoperative radiograph
[Table/Fig-9]:
[Table/Fig-9]:
Histopathological confirmation of Bone Necrosis showing empty lacunae (green arrow)

Similar articles

See all similar articles

Publication types

LinkOut - more resources

Feedback