口腔医学 ›› 2025, Vol. 45 ›› Issue (9): 687-690.doi: 10.13591/j.cnki.kqyx.2025.09.008

• 病案分析 • 上一篇    下一篇

牙种植术致严重下颌骨骨髓炎1例及文献回顾

陈虹瑜1, 曲竹丽2, 崔艾璇3, 王昭领1()   

  1. 1 山东大学齐鲁医学院口腔医学院·口腔医院综合科,山东省口腔组织再生重点实验室,口腔生物材料与组织再生山东省工程研究中心,山东省口腔疾病临床医学研究中心,山东济南(250012)
    2 山东医学高等专科学校口腔系,山东济南(250002)
    3 山东大学齐鲁医学院口腔医学院,山东省口腔组织再生重点实验室,口腔生物材料与组织再生山东省工程研究中心,山东省口腔疾病临床医学研究中心,山东济南(250012)
  • 收稿日期:2024-11-28 出版日期:2025-09-28 发布日期:2025-09-11
  • 通讯作者: 王昭领 Tel:(0531)88381185 E-mail: zhaolingw@163.com

Severe mandibular osteomyelitis following dental implant surgery: A case report and literature review

CHEN Hongyu1, QU Zhuli2, CUI Aixuan3, WANG Zhaoling1()   

  1. Department of General Dentistry, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, Jinan 250012, China
  • Received:2024-11-28 Online:2025-09-28 Published:2025-09-11

摘要:

牙种植术广泛应用于牙列缺损患者,技术成熟,术后并发颌骨骨髓炎者极为罕见。颌骨骨髓炎是由细菌感染或者其他理化因素造成的颌骨炎性改变,累及包括骨膜以及髓腔内血管、神经等整个骨组织。病情迁延,治疗较为复杂,如不及时处理后果严重。该文报告1例罕见的因牙种植术导致的严重下颌骨骨髓炎,并结合相关文献对其特点及处理进行分析,以期提高对该并发症的认识,并为临床预防及诊治提供参考。

关键词: 下颌骨骨髓炎, 牙种植, 感染, 并发症

Abstract:

Dental implant surgery, an established practice, has been widely used in patients with dentition defect. Dental implantation-induced osteomyelitis of the jaw is a rare complication. Osteomyelitis of the jaw is an inflammatory change of the jaw caused by bacterial infection or other physical and chemical factors involving the whole bone tissue, such as periosteum, blood vessels and nerves in the medullary cavity, etc. Due to protracted course and complicated treatment of the disease, the consequences will be serious if not swiftly managed. Here, an unusual case of severe mandibular osteomyelitis following mandibular implant surgery is reported. Also, related literature is reviewed to elucidate the clinical characteristics and management as to highlight the understanding of this complication and provide reference for clinical prevention, diagnosis and treatment.

Key words: mandibular osteomyelitis, dental implant, infection, complication

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