What is Osteomyelitis?

    The term Osteomyelitis refers to inflammation of the bone which prevents normal healing after an injury or indirect trauma. It can be caused in almost any part of the body including the jaws.  Osteomyelitis is a rare condition which is seen in patients that are suffering from a pre-existing condition or are immunocompromised.

    Some of the common diseases that increase the likelihood of the occurrence of osteomyelitis include diabetes, HIV, cancer, autoimmune diseases, and the presence of severe malnutrition. The normal bone metabolism can also be affected by a number of therapeutic agents which once again increase the chances of a non-healing bone injury.

    The use of chemotherapeutic agents, radiation therapy, and bisphosphonates affects bone metabolism has the aforementioned effect of altering bone metabolism.

    Treatment of osteomyelitis

    The treatment of osteomyelitis can fall under non-surgical and surgical methods.

    Surgical treatment

    A patient suffering osteomyelitis is often treated surgically because it has been found to be the most effective method available. An oral surgeon will anesthetize the area and then attempt to remove the necrotized portions of the bone. The idea os to leave behind the healthy bone with an improved blood supply.

    If there are any infected teeth present which are causing osteomyelitis then these will have to be removed as well.

    Non Surgical treatment

    Antibiotics

    The first line of treatment will be the use of antibiotics. The currently recommended protocol for the treatment of osteomyelitis suggests that antibiotics should be started even before the diagnosis has been confirmed.

    While the exact choice of antibiotic will depend on the clinical situation, any history of allergies, resistance etc., the use of amoxicillin is considered to be the best option to start with. The drug may be delivered via injection at first and then continued for two weeks by the oral route.

    Some case reports have reported a positive result with the use of local drug delivery agents and newer synthetic antibiotics.

    NSAIDS

    These nonsteroidal anti-inflammatory drugs are very useful in the treatment of osteomyelitis since they are designed to counter the mediators if inflammation in the body. Care should be taken to alert the doctor of any allergies or pre-existing kidney/liver condition which could affect the choice of drug being used.

    Steroids

    Steroids are another effective option for fighting the inflammatory process that takes place in osteomyelitis. The drawback with the use of osteomyelitis is that it may actually increase the susceptibility of the body to infection, something that is very dangerous in immunocompromised individuals.

    Hyperbaric Oxygen

    The use of extremely high concentrations of oxygen to try and increase the blood supply in the necrotized bone has been proven to be very effective in the treatment of osteomyelitis. There are several opinions on the number of ‘dives’ needed in a hyperbaric chamber but that is a decision that will be left to the attending surgeon.

    Conclusion

    The treatment of osteomyelitis is quite complex and often requires the use of concurrent therapies. Surgery remains the most effective and by some accounts the quickest way to treat the conditions. It should be remembered that osteomyelitis can actually become life-threatening if it is not controlled in time.  

    Will amoxicillin treat a jaw infection?
    As the Mayo Clinic notes, your dentist may prescribe an antibiotic such as amoxicillin for abscessed tooth treatment to keep the infection from spreading to nearby teeth, your jaw or other facial structures. more
    Does amoxicillin treat sepsis?
    Penicillin-type antibiotics are also used to treat blood infections (sepsis), meningitis, endocarditis, and other serious infections. Brand names of amoxicillin include Moxatag and Amoxil. more
    Can amoxicillin treat sepsis?
    Penicillin-type antibiotics are also used to treat blood infections (sepsis), meningitis, endocarditis, and other serious infections. Brand names of amoxicillin include Moxatag and Amoxil. more
    Does amoxicillin treat dry socket?
    The most common antibiotic used to prevent dry socket is amoxicillin, but dentists may also prescribe azithromycin before a tooth extraction or apply topical clindamycin or lincomycin to the socket after a tooth extraction. more
    Can amoxicillin treat prostatitis?
    After treatment with either amoxicillin-clavulanate or clindamycin hydrochloride for 3 to 6 weeks, all patients had a decrease or total elimination of symptoms, and no anaerobic bacteria were detected in prostatic secretions. more
    Does amoxicillin treat gum abscess?
    In general, amoxicillin is a commonly prescribed, safe antibiotic used for treating various different infections, including an abscessed tooth. more
    Will amoxicillin treat sepsis?
    Penicillin-type antibiotics are also used to treat blood infections (sepsis), meningitis, endocarditis, and other serious infections. Brand names of amoxicillin include Moxatag and Amoxil. more
    Can amoxicillin treat wound infection?
    Both amoxicillin and doxycycline fulfil these roles as broad-spectrum and bactericidal antibiotics that help prevent bacterial growth and help ulcers and wounds heal within a short period. more
    Will amoxicillin treat Salmonella?
    It is concluded that ampicillin or amoxicillin therapy provides no benefit to patients with uncomplicated Salmonella gastroenteritis and substantially increases the risk of bacteriologic and symptomatic relapse. more
    Will amoxicillin treat tooth infection?
    Penicillin antibiotics, such as penicillin or amoxicillin, are most commonly used to treat tooth infections. more
    Can amoxicillin treat brucellosis?
    Twenty-eight cases of acute brucellosis were diagnosed and confirmed by positive blood culture. They were treated with amoxycillin in a daily dosage of two capsules of 375 mg every eight hours. Treatment lasted for one month of which the first 15 days were spent in hospital. more

    Source: www.steadyhealth.com

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