CLINICAL CASE: Osteomyelitis of maxilla - Dr. Pragati Garg

Maxillary osteomyelitis is rare compared to mandiblar osteomyelitis because extensive blood supply & strut like bone of the maxilla make it less prone to chronic infection.

A 65 year old female presented to us with pain and oro antral communication from left maxilla following dental extraction with offensive odour.

Examination revealed a necrotic maxilla on the left side with oro antral communication. 

A cone beam computed tomography (CBCT) scan was suggestive of osteomyelitis of left Maxilla. Patient underwent surgical excision of the lesion. 

Satisfactory results were obtained with appropriate antibiotics. Adult Osteomyelitis remains one of the most difficult-to-treat infectious diseases, with considerable morbidity and costs to the health care system.

Osteomyelitis is now such a rare entity that when presented, the possibility of underlying pathology should be considered and appropriately investigated for. 


A 65 year old female reported to the out-patient of Department of Oral and Maxillofacial surgery, Dental College and Hospital, Pune with a chief complain of pain and pus discharge from upper left back region since 4 months. 

She presented with history of pain in the upper left back tooth since 4 months following which her symptomatic teeth were extracted under local anesthesia somewhere in her locality. 

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