Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Vol 9 No 1 (2025): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)

Mandibular osteomyelitis on panoramic radiographs: a case series

Thala, Ifa Ariefah Hs (Unknown)
Wulansari, Dwi Putri (Unknown)
Rasul, Muhammad Irfan (Unknown)



Article Info

Publish Date
09 Jun 2025

Abstract

Objectives: This series of cases aims to see an extension of a lesion using panoramic radiographs to help establish a diagnosis in three cases in the mandible. Osteomyelitis occurs more often in the mandible than in the maxilla because the maxilla has a better blood supply than the mandible, with relatively thinner cortical and fewer medullary cavities. Case Report: Three female patients presented with nearly identical complaints, including frequent pus discharge, unpleasant odor, and swelling. Only two of the patients had a history of tooth extraction. All three were referred to the university dental hospital (RSGM) for further management. Panoramic radiographs revealed similar findings among the three cases, including mixed radiopaque-radiolucent images with irregular shapes and diffuse borders. In two patients, sequestra were visible in the right and left corpus regions of the mandible. In contrast, the third patient showed a slightly different presentation: a well-defined, irregular radiopaque mass protruding from the top of the alveolar bone, localized at the crest of the ridge. One of the patients had a history of systemic diseases, specifically hypertension which was under control. Conclusion: In these three cases, a panoramic X-ray examination was the only support for identifying the characteristics of lesion expansion and was considered sufficient as a reference for patient management. However, a definitive diagnosis still requires a histopathological examination.

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Journal Info

Abbrev

jrdi

Publisher

Subject

Dentistry Energy Health Professions Medicine & Pharmacology Physics

Description

JRDI is designated as a publication platform of scientific knowledge, mainly publishing research articles, case reports, literature reviews and accepting any other kind of evidence-based submissions: systematic reviews, meta-analysis, etc. JRDI receives manuscripts particularly in the area of ...