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Austin J Dent. 2016; 3(5): 1051.
Osteoradionecrosis: Radiation Complication
Muneer N*, Rao P, Kashyap RR, Kini R and Bhandarkar G
Department of Oral Medicine and Radiology, Rajiv Gandhi University, India
*Corresponding author: Neena Muneer, Department of Oral Medicine and Radiology, A J Institute of Dental Science, Rajiv Gandhi University, kuntikana, Mangalore – 575004, Karnataka, India
Received: October 27, 2016; Accepted: November 12, 2016; Published: November 14, 2016
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A 56 year old male patient reported with a chief complaint of pus discharge on lower right and left back teeth region in the oral cavity. Past medical history revealed that the patient underwent radiotherapy before six year for malignancy of tongue. Past dental history and personal history were non contributory. Intra oral examination revealed missing of 35, 36, 37, 44, 45. Ulceration with bony exposure it to the missing teeth with pus discharge and mild bleeding. On palpation the respective areas were tender and ulcer was indurated. A provisional diagnosis of Osteoradionecrosis was given. CBCT report revealed a large well defined radiolucency seen along left body of mandible with varying radiodensities extending from 38 to 33 measuring 47x27 mm and another well defined radiolucency seen over 44 to 45 measuring 13x17 mm. Inferior alveolar canal was disrupted in the third quandrant. Thinning of buccal and lingual cortical plate at multiple areas of third quandrant and over 44, 45 region. Thinning of lower border of mandible noted on third quadrant. Final diagnosis of Osteoradionecrosis was confirmed and patient was referred to department of oral surgery for further treatments.
Figure 1: A&B shows exposed bone on left and right posterior region of
mandibular arch. C shows loss of bone structure in axial section. D shows
moth eaten appearance in CBCT. E shows bone destruction.
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