How can we prevent a fracture of an atrophic mandible in an elderly patient who has progressive osteomyelitis?

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hello

hi from turkey,i'm a research assistant at Gazi University Medical School

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Fabien Bornert

I think we can't avoid this kind of complication. Antibiotics and HOT seem to be the best way with regular follow up. It is a palliative therapy. We have a similar problems with patients affected by ONJ in association with bisphosphonates drug.

Richard J P R van Merkesteyn

treat the osteomyelitis according to the existing protocols. Sequestrectomy and IV-antibiotics will give good results. in suppurative osteomyelitits no benefits are to be expected from HBO. stabilize a possible pathologic fracture with non-invasive means whenever possible.

Mouetaz Kheirallah

It is thought that osteomyelitis is decreasing in prevalence due to broad-spectrum antibiotic treatment; however, it still remains a challenging clinical entity in developing countries. I think stabilization with non-invasive means is a good way.