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Abstract
Introduction. Osteitis of the jaws ais an inflammatory disease of the bony tissues of the maxilla and mandible. This osteitis is often of dental origin. The aim of our study was to describe the epidemiological, clinical and therapeutic aspects of osteitis of the jaws of dental origin. Methodology. This was a descriptive study, with a retrospective data collection, conducted in the odontostomatology departments of the Yaounde Central Hospital (YCH) and of the Yaounde University Teaching Hospital (YUTH), Cameroon. Data were collected from January 2018 to December 2022. All patients presenting for a consultation or referred for osteitis of the jaws were included. The parameters studied were socio-demographic profile, history, clinical paraclinical aspects, treatments carried out and their evolution. Results. Of 2351 cases, 54 were included, representing a global hospital prevalence of osteitis of 2.3%. Only 41 of the 54 cases were retained. Males were more affected (56.1%), with a sex ratio of 1.28. The average age was 40.5 ± 10.8 years. The main reason for consultation was pain in 68.2% of cases. Osteitis often followed dental avulsion (48.8%). Osteomyelitis was more common in our study (63.4%). All patients underwent medical and surgical treatment. Conclusion. Dental osteitis of the jaws is a serious condition. Early, specialised and even multidisciplinary management is important.
Introduction. L’ostéite des mâchoires est une affection inflammatoire des tissus osseux du maxillaire et de la mandibule. Ces ostéites sont souvent d’origine dentaire. L’objectif de l’étude était de décrire les aspects épidémiologiques, cliniques et thérapeutiques des ostéites des mâchoires d’origine dentaire. Méthodologie. Il s’agissait d’une étude descriptive, à collecte de données rétrospective, réalisée dans les services d’odontostomatologie de l’hôpital centrale de Yaoundé et du Centre Hospitalier Universitaire de Yaoundé (Cameroun). La collecte de données a été faite sur des dossiers de janvier 2018 au décembre 2022. Etaient inclus tous les dossiers de patients venus en consultation ou référé pour ostéite des mâchoires. Les paramètres étudiés étaient le profil sociodémographique, les antécédents, les aspects cliniques paracliniques, les traitements effectués et leur évolution. Résultats. Des 2351 dossiers, 54 dossiers étaient inclus, soit une prévalence hospitalière d’ostéites de 2,3%. Seuls 41 sur 54 dossiers ont été retenus. Le genre masculin était plus affecté (56,1%), sex-ratio de 1,28. La moyenne d’âge était de 40,5 ± 10,8 ans. Le principal motif de consultation était la douleur dans 68,2% des cas. L’ostéite faisait souvent suite à une avulsion dentaire (48,8%). Les ostéomyélites étaient plus retrouvées dans notre étude à 63,4%. Un traitement médico-chirurgical a été effectué chez tous les patients. Conclusion. L’ostéite des mâchoires d’origine dentaire est une pathologie grave. Une prise en charge précoce, spécialisée voir multidisciplinaire, est importante.
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References
- Maes JM, Raoul G, Omezzine M, Ferri J. Ostéites des os de la face. EMC-Stomatologie 2005 ; 1(3) :208-30.
- Andre CV, Khonsari RH, Ernenwein D, Goudot P, Ruhin B. Osteomyelitis of the jaws: a retrospective series of 40 patients. J Stomatol Oral Maxillofac Surg 2017 ; 118 :261–4.
- Ouedraogo A, Ouaba K, Ouedraogo A, Dao MO, Kabre M, Ouedraogo R. Les ostéites des maxillaires. Notre expérience : à propos de 25 observations au CHU de Ouagadougou. Médecine d’Afrique Noire 1999 ; 46 (2) :107-10.
- Peravali RK, Jayade B, Joshi A, Shirganvi M, Bhasker Rao C, Gopalkrishnan K. Osteomyelitis of maxilla in poorly controlled diabetics in a rural Indian population. J Maxillofac Oral Surg 2012 ;11 :57–66.
- Bengondo C, Bitha, Ngoa S, Fewou A, Bengono G. ostéite nécrosante de l’angle mandibulaire avec asymétrie faciale secondaire à une extraction dentaire. A propos d’un cas. Odonto-Stomatologie Tropicale 2001 ; 96 :30-4.
- Ntep Ntep DB, Bola Siafa A, Kenna Ernest, Zilefac Brian, Gimel Stephane, Bengondo Messanga Charles. Ostéomyélitis of the face: clinicopathological study of a 15-year-old database at the university hospital of yaounde. Advances in Oral and Maxillofacial Surgery. elsevier. 2021; 3, p.10009.
- Ory OADM, Harding-Kaba MB, Koffi KM, Amenou D, Djémi M. Les ostéites de la mandibule d’origine dentaire : aspects épidémiologiques, diagnostiques et thérapeutiques. Rev Col Odonto-Stomatol Afr Chir Maxillo-fac, Mars 2020 ; 27 (1) : 38-42.
- Julien Saint Amand M, Sigaux N, Gleizal A, et al. Chronic osteomyelitis of the mandible: A comparative study of 10 cases with primary chronic osteomyelitis and 12 cases with secondary chronic osteomyelitis. J Stomatol Oral Maxillofac Surg 2017 ;118 :342–8.
- Koorbusch GF, Fotos P, Goll KT. Retrospective assessment of osteomyelitis.Etiology, demographics, risk factors, and management in 35 cases. Oral Surg Oral Med Oral Pathol 1992 ;74 :149–54.
- Baltensperger M, Gratz K, Bruder E, et al. Is primary chronic osteomyelitis a uniform disease? Proposal of a classification based on a retrospective analysis of patients treated in the past 30 years. J Craniomaxillofac Surg 2004 ;32 :43–50.
- Baur DA, Altay MA, Flores-Hidalgo A, Ort Y, Quereshy FA. Chronic osteomyelitis of the mandible: diagnosis and management—An institution’s experience over 7 years. J Oral Maxillofac Surg 2015 ;73 :655–65.
- Haeffs TH, Scott CA, Campbell TH, Chen Y, August M, Acute and Chronic Suppurative Osteomyelitis of the Jaws: A 10-year review and assessment of treatment outcome, Journal of Oral and Maxillofacial Surgery 2018 ; 76 (12) : 2551-2558.
- Aka GK, Ka FY, Ouattara B, Harding B, Kon-Sem T, Angoh YJ, Gadegbeku SA. Intérêt de la séquestrectomie précoce dans le traitement des ostéites maxillaires. Rev col Odonto-stomatol Afr Chir Maxillo fac 2001 ; 8 (2) :15-9.
- Prasad K, Prasad S, Mouli N, Agarwal S. Osteomyelitis in the head and neck. Acta Oto-Laryngologica. 2007 ;127(2) :194-205.
- Suei Y, Taguchi A, Tanimoto K. Diagnosis and classification of mandibular osteomyelitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005 ;100 : 207-214.
- Krakowiak PA. Alveolar osteitis and osteomyelitis of the jaws. Oral Maxillofac Surg Clin N Am 2011 ;23 :401–13.
- Gaetti-Jardim EJR, Ciesielski FIN, Possagno R, Castro AL, Marqueti AC, Gaetti-Jardim EC. Chronic osteomyelitis of the maxilla and mandible: microbiological and clinical aspects. Int J Odontostomat 2010 ; 4 (2) :197-202.
- Beck-Broichsitter BE, Smeets R, Heiland M. Current concepts in pathogenesis of acute and chronic osteomyelitis. Curr Opin Infect Dis 2015 ; 28(3) : 240-245.
- Scolozzi P, Lombardi T, Edney T and Jaques B. Enteric bacteria in mandibular osteomyelitis. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod 2005 ; 99 : 42-6.
- Zuluaga A F, Galvis W, Saldarriaga J G, Agudelo M, Salazar B E and Vesga O. Etiologic diagnosis of chronic osteomyelitis. Arch. Intern. Med 2006 ; 166 : 95-100.
- Brook I. Microbiology and management of joint and bone infections due to anaerobic bacteria. J Orthop Sci 2008 ; 13 :160-9.
- Chen L, Li T, Jing W, Tang W, Tian W, Li C and Liu L. Risk factors of recurrence and life-threatening complications for patients hospitalized with chronic suppurative osteomyelitis of the jaw BMC Infectious Diseases 2013 ; 13 :313
- Lima AL, Oliveira PR, Carvalho VC, Cimerman S, Savio E. Recommendations for the treatment of osteomyelitis. Brazilian J Infectious Dis 2014 ; 18 (5) :526-34.
- Barajas-Perez VH, Recendez-Santillan NJ, Vega-Memije ME, Garcia-Calderon AG, Cuevas-Gonzalez JC. Chronic Suppurative Osteomyelitis of the Mandible Treated with Antibiotics Complemented with Surgical Treatment: A Case Report. Int J Odontostomat 2017 ; 11 (3) : 261-265.
References
Maes JM, Raoul G, Omezzine M, Ferri J. Ostéites des os de la face. EMC-Stomatologie 2005 ; 1(3) :208-30.
Andre CV, Khonsari RH, Ernenwein D, Goudot P, Ruhin B. Osteomyelitis of the jaws: a retrospective series of 40 patients. J Stomatol Oral Maxillofac Surg 2017 ; 118 :261–4.
Ouedraogo A, Ouaba K, Ouedraogo A, Dao MO, Kabre M, Ouedraogo R. Les ostéites des maxillaires. Notre expérience : à propos de 25 observations au CHU de Ouagadougou. Médecine d’Afrique Noire 1999 ; 46 (2) :107-10.
Peravali RK, Jayade B, Joshi A, Shirganvi M, Bhasker Rao C, Gopalkrishnan K. Osteomyelitis of maxilla in poorly controlled diabetics in a rural Indian population. J Maxillofac Oral Surg 2012 ;11 :57–66.
Bengondo C, Bitha, Ngoa S, Fewou A, Bengono G. ostéite nécrosante de l’angle mandibulaire avec asymétrie faciale secondaire à une extraction dentaire. A propos d’un cas. Odonto-Stomatologie Tropicale 2001 ; 96 :30-4.
Ntep Ntep DB, Bola Siafa A, Kenna Ernest, Zilefac Brian, Gimel Stephane, Bengondo Messanga Charles. Ostéomyélitis of the face: clinicopathological study of a 15-year-old database at the university hospital of yaounde. Advances in Oral and Maxillofacial Surgery. elsevier. 2021; 3, p.10009.
Ory OADM, Harding-Kaba MB, Koffi KM, Amenou D, Djémi M. Les ostéites de la mandibule d’origine dentaire : aspects épidémiologiques, diagnostiques et thérapeutiques. Rev Col Odonto-Stomatol Afr Chir Maxillo-fac, Mars 2020 ; 27 (1) : 38-42.
Julien Saint Amand M, Sigaux N, Gleizal A, et al. Chronic osteomyelitis of the mandible: A comparative study of 10 cases with primary chronic osteomyelitis and 12 cases with secondary chronic osteomyelitis. J Stomatol Oral Maxillofac Surg 2017 ;118 :342–8.
Koorbusch GF, Fotos P, Goll KT. Retrospective assessment of osteomyelitis.Etiology, demographics, risk factors, and management in 35 cases. Oral Surg Oral Med Oral Pathol 1992 ;74 :149–54.
Baltensperger M, Gratz K, Bruder E, et al. Is primary chronic osteomyelitis a uniform disease? Proposal of a classification based on a retrospective analysis of patients treated in the past 30 years. J Craniomaxillofac Surg 2004 ;32 :43–50.
Baur DA, Altay MA, Flores-Hidalgo A, Ort Y, Quereshy FA. Chronic osteomyelitis of the mandible: diagnosis and management—An institution’s experience over 7 years. J Oral Maxillofac Surg 2015 ;73 :655–65.
Haeffs TH, Scott CA, Campbell TH, Chen Y, August M, Acute and Chronic Suppurative Osteomyelitis of the Jaws: A 10-year review and assessment of treatment outcome, Journal of Oral and Maxillofacial Surgery 2018 ; 76 (12) : 2551-2558.
Aka GK, Ka FY, Ouattara B, Harding B, Kon-Sem T, Angoh YJ, Gadegbeku SA. Intérêt de la séquestrectomie précoce dans le traitement des ostéites maxillaires. Rev col Odonto-stomatol Afr Chir Maxillo fac 2001 ; 8 (2) :15-9.
Prasad K, Prasad S, Mouli N, Agarwal S. Osteomyelitis in the head and neck. Acta Oto-Laryngologica. 2007 ;127(2) :194-205.
Suei Y, Taguchi A, Tanimoto K. Diagnosis and classification of mandibular osteomyelitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005 ;100 : 207-214.
Krakowiak PA. Alveolar osteitis and osteomyelitis of the jaws. Oral Maxillofac Surg Clin N Am 2011 ;23 :401–13.
Gaetti-Jardim EJR, Ciesielski FIN, Possagno R, Castro AL, Marqueti AC, Gaetti-Jardim EC. Chronic osteomyelitis of the maxilla and mandible: microbiological and clinical aspects. Int J Odontostomat 2010 ; 4 (2) :197-202.
Beck-Broichsitter BE, Smeets R, Heiland M. Current concepts in pathogenesis of acute and chronic osteomyelitis. Curr Opin Infect Dis 2015 ; 28(3) : 240-245.
Scolozzi P, Lombardi T, Edney T and Jaques B. Enteric bacteria in mandibular osteomyelitis. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod 2005 ; 99 : 42-6.
Zuluaga A F, Galvis W, Saldarriaga J G, Agudelo M, Salazar B E and Vesga O. Etiologic diagnosis of chronic osteomyelitis. Arch. Intern. Med 2006 ; 166 : 95-100.
Brook I. Microbiology and management of joint and bone infections due to anaerobic bacteria. J Orthop Sci 2008 ; 13 :160-9.
Chen L, Li T, Jing W, Tang W, Tian W, Li C and Liu L. Risk factors of recurrence and life-threatening complications for patients hospitalized with chronic suppurative osteomyelitis of the jaw BMC Infectious Diseases 2013 ; 13 :313
Lima AL, Oliveira PR, Carvalho VC, Cimerman S, Savio E. Recommendations for the treatment of osteomyelitis. Brazilian J Infectious Dis 2014 ; 18 (5) :526-34.
Barajas-Perez VH, Recendez-Santillan NJ, Vega-Memije ME, Garcia-Calderon AG, Cuevas-Gonzalez JC. Chronic Suppurative Osteomyelitis of the Mandible Treated with Antibiotics Complemented with Surgical Treatment: A Case Report. Int J Odontostomat 2017 ; 11 (3) : 261-265.