![]() It is unlikely that the fixation plate and screws would need to be removed or replaced. The bone infection was eradicated within a month, and a bony union was achieved within 18 months of the fixation. A six week course of daily IV antibiotics was initiated on that date. Accordingly, on November 5, the defendant undertook a fixation of the pathologic fracture via bone plate reconstruction. A biopsy confirmed osteomyelitis.ĭespite the institution of high dose oral antibiotics for three additional weeks, an associated pathologic jaw fracture was identified on an October 30 follow up CT. During the October 12 debridement, a significant loss of buccal bone from osteomyelitic resorption was visualized. The defendant obtained the recommendations of an infectious disease specialist on October 12 and additionally performed a second debridement of the site on that date with IV antibiotic coverage. A CT on that date revealed an aggressive osteomyelitis along with adjacent extensive soft tissue swelling, and a probable abscess with associated enlarged lymph nodes. Oral antibiotics were re-started.īy October 10, an increase in swelling was noted along with continued tenderness, increased fatigue and difficulty swallowing. A panorex taken on that date revealed some bone resorption below the extraction socket suggestive of osteomyelitis. However, a return appointment on October 1 reflected some worsened swelling and tenderness at the site. A follow up appointment six days later revealed reduced swelling and pain. The defendant oral surgeon debrided the socket of the tooth fragment and chronic granulomatous material on September 11. In early September, the plaintiff’s general dentist identified a tooth or bone fragment in the extraction socket which appeared to be associated with additional pain and swelling. The extraction resulted in numbness to the distribution of the inferior alveolar nerve. ![]() Before the August 9 extraction, the plaintiff was told of the standard risks of infection and rare potential for fracture of the jaw along with the increased risk of inferior alveolar nerve injury from third molar extraction. The plaintiff, a 64 year-old woman, was referred by her general dentist to the defendant oral and maxillofacial surgeon, for extraction of an impacted third molar due to advancing periodontitis in the area. Alleged Failure to Timely Diagnose Osteomyelitis After Wisdom Tooth Extraction - Defense Verdict ![]()
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