During the acute stage of osteomyelitis, you'll have increasing, constant jaw pain and sinus pressure that is not affected by movement of the jaw. If you have chronic osteomyelitis, you may have jaw and neck stiffness, and difficulty with eating and talking.
Symptoms of a jaw bone infection or dental abscess include:
- Pain in the mouth or jaw.
- Redness or swelling.
- Drainage of pus from the area.
There may be bone pain, swelling, redness and tenderness of the affected area. A discharge of pus from an opening to the infected bone is often the first symptom. There may also be destruction of the bone with pieces of the infected bone separating from the healthy bone.
At present, diagnosis of osteomyelitis is primarily performed through panoramic radiography, oral cavity photography, and clinical diagnostic examination . Among these, this study pays particular attention to the role of panoramic radiography.
Fever. Swelling, warmth and redness over the area of the infection. Pain in the area of the infection. Fatigue.
Diagnosis of Osteomyelitis
For example, doctors may suspect osteomyelitis in a person who has persistent pain in part of a bone, who may or may not have a fever, and who feels tired much of the time.
12 Back pain is the primary presenting symptom. Clinical symptoms of osteomyelitis can be nonspecific and difficult to recognize. They include chronic pain, persistent sinus tract or wound drainage, poor wound healing, malaise, and sometimes fever.
Osteomyelitis of the jaws is a rare condition, which has been associated with multiple systemic diseases including diabetes, autoimmune states, malignancies, malnutrition, and acquired immunodeficiency syndrome. The medications linked to osteomyelitis are steroids, chemotherapeutic agents, and bisphosphonates.
Outlook (Prognosis) With treatment, the outcome for acute osteomyelitis is often good. The outlook is worse for those with long-term (chronic) osteomyelitis. Symptoms may come and go for years, even with surgery.
X-rays. X-rays can reveal damage to your bone. However, damage may not be visible until osteomyelitis has been present for several weeks. More-detailed imaging tests may be necessary if your osteomyelitis has developed more recently.
Osteomyelitis is a painful bone infection. It usually goes away if treated early with antibiotics. If not, it can cause permanent damage.
Jaw necrosis (osteomyelitis)
Osteomyelitis is a common sequel of chronic periapical infection and may also be caused by pathologies that obstruct blood supply, causing ischemia. This leads to bone death and necrosis.
Summary. Primary chronic osteomyelitis of the jaw is an uncommon non-suppurative, chronic inflammatory disease of unknown origin. It can manifest as early or adult onset and is characterised by lack of pus formation, fistula or bony sequestra formation.
A bone infection can take a long time to heal. The infection may clear up faster if you start treatment within three to five days of first noticing symptoms. Treatments include: Antibiotics: Antibiotics kill infection-causing bacteria.
Triple-phase bone scans have high sensitivity for detecting osteomyelitis in non-violated bone, even in the early stages of infection. However, their specificity is lower when bone has been violated—for instance in trauma, malignancy or previous surgery.
In a recent literature review by Spellberg et al. it was concluded that oral and parenteral antibiotic therapy have similar cure rates for the treatment of chronic osteomyelitis. Oral antibiotic therapy is associated with a lower risk to the patient due to avoiding the need of a central IV line.
A blood test or imaging test such as an x-ray can tell if you have a bone infection. Treatment includes antibiotics and often surgery.
Bone pain usually feels deeper, sharper, and more intense than muscle pain. Muscle pain also feels more generalized throughout the body and tends to ease within a day or two, while bone pain is more focused and lasts longer. Bone pain is also less common than joint or muscle pain, and should always be taken seriously.
Acute osteomyelitis develops rapidly over a period of seven to 10 days. The symptoms for acute and chronic osteomyelitis are very similar and include: Fever, irritability, fatigue. Nausea.
Plain radiographic findings in acute or subacute osteomyelitis are deep soft tissue swelling, a periosteal reaction, cortical irregularity, and demineralization.