Osteomyelitis, peri-implantitis and mandibular root vertical fracture in a patient with fibromyalgia: case report

Abstract

Introduction: Mandibular osteomyelitis is considered a rare pathological process. Most of the cases presented involve patients with osteoradionecrosis and those patients with intake of some antiresorptive drugs. The objective of this report is to report an unusual case of a patient with osteomyelitis, peri-implantitis and vertical root fracture with a history of fibromyalgia. Case presentation: a 70-year-old female patient, non-smoker or alcohol consumer, who presented with lower left postero-pain of one year's evolution. She presented a probing depth greater than 12 mm in dental organ (OD) # 37, bleeding on palpation, pain and grade II mobility. At the level of D.O. # 36, the clinical exposure of the upper third of the dental implant was notorious, without mobility, with a depth of 4 mm. The treatment consisted of an atraumatic extraction of D.O. 37, where a vertical root fracture was identified. Discussion: In the surgical intervention area, a bone graft was used accompanied by detoxification with tetracycline. The established therapy ostensibly reduced the morbidity of the involved dental implant and regeneration of the intervened area.