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Osteomyelitis of the Mandible after Dental Implants in an Immunocompetent Patient

Identifieur interne : 000000 ( France/Analysis ); suivant : 000001

Osteomyelitis of the Mandible after Dental Implants in an Immunocompetent Patient

Auteurs : Matthieu Balanger [France] ; Margaux Hinet [France] ; Christian Vacher [France] ; Norbert Bellaiche [France] ; Jean-Luc Charrier [France] ; Sarah Millot [France]

Source :

RBID : PMC:5392388

Abstract

Dental implants are now broadly used to replace missing teeth, and the presence of infectious complications is rising. Dental implant therapy as a local risk factor for the onset of osteomyelitis and its management have not been widely explored. Here, we report an unusual case of mandibular suppurative osteomyelitis caused by Streptococcus intermedius in a healthy and immunocompetent patient secondary to mandibular implants. We describe how surgery combined with systemic application of antibiotics allowed conservation of the dental implants in the mandibular bone, discuss the probable source of contamination, and present the follow-up of the osteomyelitis.


Url:
DOI: 10.1155/2017/9525893
PubMed: 28469945
PubMed Central: 5392388


Affiliations:


Links toward previous steps (curation, corpus...)


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PMC:5392388

Le document en format XML

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<analytic>
<author>
<name sortKey="Suei, Y" uniqKey="Suei Y">Y. Suei</name>
</author>
<author>
<name sortKey="Taguchi, A" uniqKey="Taguchi A">A. Taguchi</name>
</author>
<author>
<name sortKey="Tanimoto, K" uniqKey="Tanimoto K">K. Tanimoto</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Pincus, D" uniqKey="Pincus D">D. Pincus</name>
</author>
<author>
<name sortKey="Armstrong, M" uniqKey="Armstrong M">M. Armstrong</name>
</author>
<author>
<name sortKey="Thaller, S" uniqKey="Thaller S">S. Thaller</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Celik, H" uniqKey="Celik H">H. Çelik</name>
</author>
<author>
<name sortKey="Schibler, M" uniqKey="Schibler M">M. Schibler</name>
</author>
<author>
<name sortKey="Suva, D" uniqKey="Suva D">D. Suvà</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Chen, L" uniqKey="Chen L">L. Chen</name>
</author>
<author>
<name sortKey="Li, T" uniqKey="Li T">T. Li</name>
</author>
<author>
<name sortKey="Jing, W" uniqKey="Jing W">W. Jing</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Yadav, S" uniqKey="Yadav S">S. Yadav</name>
</author>
<author>
<name sortKey="Malik, S" uniqKey="Malik S">S. Malik</name>
</author>
<author>
<name sortKey="Mittal, H C" uniqKey="Mittal H">H. C. Mittal</name>
</author>
<author>
<name sortKey="Puri, P" uniqKey="Puri P">P. Puri</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Zanella, T A" uniqKey="Zanella T">T. A. Zanella</name>
</author>
<author>
<name sortKey="Casagrande, L C O" uniqKey="Casagrande L">L. C. O. Casagrande</name>
</author>
<author>
<name sortKey="De Barros Berthold, R C" uniqKey="De Barros Berthold R">R. C. De Barros Berthold</name>
</author>
<author>
<name sortKey="Conci, R A" uniqKey="Conci R">R. A. Conci</name>
</author>
<author>
<name sortKey="Heitz, C" uniqKey="Heitz C">C. Heitz</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Kesting, M R" uniqKey="Kesting M">M. R. Kesting</name>
</author>
<author>
<name sortKey="Thurmuller, P" uniqKey="Thurmuller P">P. Thurmüller</name>
</author>
<author>
<name sortKey="Ebsen, M" uniqKey="Ebsen M">M. Ebsen</name>
</author>
<author>
<name sortKey="Wolff, K D" uniqKey="Wolff K">K.-D. Wolff</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Rokadiya, S" uniqKey="Rokadiya S">S. Rokadiya</name>
</author>
<author>
<name sortKey="Malden, N J" uniqKey="Malden N">N. J. Malden</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Shnaiderman Shapiro, A" uniqKey="Shnaiderman Shapiro A">A. Shnaiderman-Shapiro</name>
</author>
<author>
<name sortKey="Dayan, D" uniqKey="Dayan D">D. Dayan</name>
</author>
<author>
<name sortKey="Buchner, A" uniqKey="Buchner A">A. Buchner</name>
</author>
<author>
<name sortKey="Schwartz, I" uniqKey="Schwartz I">I. Schwartz</name>
</author>
<author>
<name sortKey="Yahalom, R" uniqKey="Yahalom R">R. Yahalom</name>
</author>
<author>
<name sortKey="Vered, M" uniqKey="Vered M">M. Vered</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Naval, L" uniqKey="Naval L">L. Naval</name>
</author>
<author>
<name sortKey="Molini, M S A" uniqKey="Molini M">M. S. A. Molini</name>
</author>
<author>
<name sortKey="Herrera, G" uniqKey="Herrera G">G. Herrera</name>
</author>
<author>
<name sortKey="Naval, B" uniqKey="Naval B">B. Naval</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Lew, D P" uniqKey="Lew D">D. P. Lew</name>
</author>
<author>
<name sortKey="Waldvogel, F A" uniqKey="Waldvogel F">F. A. Waldvogel</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Tran, M P" uniqKey="Tran M">M. P. Tran</name>
</author>
<author>
<name sortKey="Caldwell Mcmillan, M" uniqKey="Caldwell Mcmillan M">M. Caldwell-McMillan</name>
</author>
<author>
<name sortKey="Khalife, W" uniqKey="Khalife W">W. Khalife</name>
</author>
<author>
<name sortKey="Young, V B" uniqKey="Young V">V. B. Young</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Griffin, A T" uniqKey="Griffin A">A. T. Griffin</name>
</author>
<author>
<name sortKey="Timbrook, T" uniqKey="Timbrook T">T. Timbrook</name>
</author>
<author>
<name sortKey="Harting, J" uniqKey="Harting J">J. Harting</name>
</author>
<author>
<name sortKey="Christensen, D" uniqKey="Christensen D">D. Christensen</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Sun, H" uniqKey="Sun H">H. Sun</name>
</author>
<author>
<name sortKey="Xue, L" uniqKey="Xue L">L. Xue</name>
</author>
<author>
<name sortKey="Wu, C" uniqKey="Wu C">C. Wu</name>
</author>
<author>
<name sortKey="Zhou, Q" uniqKey="Zhou Q">Q. Zhou</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Pe Arrocha Diago, M" uniqKey="Pe Arrocha Diago M">M. Peñarrocha-Diago</name>
</author>
<author>
<name sortKey="Maestre Ferrin, L" uniqKey="Maestre Ferrin L">L. Maestre-Ferrín</name>
</author>
<author>
<name sortKey="Cervera Ballester, J" uniqKey="Cervera Ballester J">J. Cervera-Ballester</name>
</author>
<author>
<name sortKey="Pe Arrocha Oltra, D" uniqKey="Pe Arrocha Oltra D">D. Peñarrocha-Oltra</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Camps Font, O" uniqKey="Camps Font O">O. Camps-Font</name>
</author>
<author>
<name sortKey="Figueiredo, R" uniqKey="Figueiredo R">R. Figueiredo</name>
</author>
<author>
<name sortKey="Valmaseda Castell N, E" uniqKey="Valmaseda Castell N E">E. Valmaseda-Castellón</name>
</author>
<author>
<name sortKey="Gay Escoda, C" uniqKey="Gay Escoda C">C. Gay-Escoda</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Novaes, A B" uniqKey="Novaes A">A. B. Novaes</name>
</author>
<author>
<name sortKey="Novaes, A B" uniqKey="Novaes A">A. B. Novaes</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Chrcanovic, B R" uniqKey="Chrcanovic B">B. R. Chrcanovic</name>
</author>
<author>
<name sortKey="Martins, M D" uniqKey="Martins M">M. D. Martins</name>
</author>
<author>
<name sortKey="Wennerberg, A" uniqKey="Wennerberg A">A. Wennerberg</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Esposito, M" uniqKey="Esposito M">M. Esposito</name>
</author>
<author>
<name sortKey="Grusovin, M G" uniqKey="Grusovin M">M. G. Grusovin</name>
</author>
<author>
<name sortKey="Maghaireh, H" uniqKey="Maghaireh H">H. Maghaireh</name>
</author>
<author>
<name sortKey="Worthington, H V" uniqKey="Worthington H">H. V. Worthington</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Polizzi, G" uniqKey="Polizzi G">G. Polizzi</name>
</author>
<author>
<name sortKey="Grunder, U" uniqKey="Grunder U">U. Grunder</name>
</author>
<author>
<name sortKey="Goene, R" uniqKey="Goene R">R. Goené</name>
</author>
</analytic>
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HfdIndexSelect -h $EXPLOR_AREA/Data/France/Analysis/RBID.i   -Sk "pubmed:28469945" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/France/Analysis/biblio.hfd   \
       | NlmPubMed2Wicri -a EdenteV2 

Wicri

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Data generation: Thu Nov 30 15:26:48 2017. Site generation: Tue Mar 8 16:36:20 2022