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What are the probabilites of chronic osteomylitis from a dental bridge that contains a steel post? Within 10 years .I've had 2 bridges, root canals, appecectomies and surgical procedures to remove inflammation at the jaw bone line. I was only told these were caused by a chronic abcess but the abcess occurs where their is no tooth, no root system. What diagnostic tests could be performed to rule out chronic osteo?

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Any trauma to the teeth, gum and jaw bone as a result of dental surgery has the potential of introducing harmful bacteria to the trauma sites, and greatly increases the probability of chronic osteomyelitis. Osteomyelitis of the mandible is often a silent disease showing no symptoms until or unless the infection becomes systemic. The chronic abscess that you described where there was no tooth is in itself a sign of chronic osteomyelitis. Chronic osteomyelitis of the mandible can be diagnosed using 1. Technetium-99m MDP and Gallium-67 citrate scintigraphy 2. magnetic resonance imaging (MRI) 3. cone-beam computed tomography (CBCT). Results are confirmed by open biopsy.
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