Summary
The clinical case of a 50-year-old patient is presented, who comes to the consultation due to moderately intense painful symptoms of 2 days’ duration located in the right posterior mandibular area, accompanied by mild swelling of the mandibular angle and lymphadenopathy in the ipsilateral area. Intraoral examination revealed a partially erupted tooth 4.8 with erythema and presence of purulent discharge on the distal mucosa. Additionally, tooth 3.8 with similar clinical characteristics was identified. Imaging analysis showed osteolysis and root resorption of teeth 4.8 and 3.8, as well as lingual cortical perforation in both teeth and vestibular cortical involvement related to tooth 3.8. The initial diagnosis was chronic suppurative osteomyelitis, which was treated by excision of both lesions and associated teeth along with one week of antibiotic therapy. Histopathological analysis indicated the presence of Actinomyces clusters, thus confirming the definitive diagnosis of Actinomyces osteomyelitis. Consequently, the therapeutic approach with antibiotic therapy was extended for 1 month.
KEY WORDS: Osteomyelitis, Cervicofacial Actinomycosis, Actinomyces.
How to cite this article
POLANCO, A.; GONZÁLEZ-QUINTANILLA, D. & FUENTES, V. Osteomielitis actinomicótica bilateral asociada a terceros molares mandibulares impactados: Revisión de la literatura y reporte de un caso. Int. J. Odontostomat., 19(1):22-27, 2025.
