Osteomyelitis (ill defined) .

  • It is an inflammatory process of the jaws which involves the bone marrow, the cortex and the periosteum. Dental infection is the most common etiologic factor.
  • The acute phase of the suppurative osteomyelitis is rapid and shows no radiographic signs in the first 8-10 days.
  • Without treatment, acute osteomyelitis may progress into a chronic phase with bone destruction.
  • As the lesion progresses, an ill defined or moth-eaten radiolucency is observed.
  • In some cases scattered radiopacities within the lytic lesion become apparent due to bone sequestra.
  • CT and CBCT scans show perforations of the cortical plates and sometimes sub periosteal bone reaction.

Case 1

Osteomyelitis

Case 2

Osteomyelitis: The second panoramic was taken six months later.

Case 3

Osteomyelitis: Different cases