Treatment of oral and maxillomandibular osteomyelitis

The treatment of oral and maxillary osteomyelitis requires a comprehensive plan based on the severity of the disease, usually including anti-infective drug treatment, surgical operation and necessary supportive treatment to eliminate inflammation and prevent the disease from worsening. Early detection and treatment can significantly improve the treatment effect and avoid serious complications.

1) Drug treatment: This is the basic treatment for oral and maxillary osteomyelitis, which aims to control infection and relieve symptoms. Antibiotics that are sensitive to pathogens are usually preferred, such as penicillins (such as amoxicillin combined with clavulanate potassium), cephalosporins (such as ceftriaxone) or broader-spectrum antibiotics (such as metronidazole combined with macrolides). The doctor will adjust the medication according to the results of pathogen culture and drug sensitivity test. If the patient has obvious pain, non-steroidal anti-inflammatory drugs (such as ibuprofen) can be prescribed to relieve symptoms as appropriate.

2) Surgical treatment: When the condition worsens or drug treatment is ineffective, surgery is usually necessary. Common surgeries include debridement of inflammatory lesions to remove necrotic bone, infected tissue, etc.; drainage to drain pus; severe cases may require partial bone tissue resection or reconstruction surgery to restore the function and structure of the oral and jaw bones. The surgical method is determined by the specialist based on the specific situation.

3) Supportive treatment and care: Good nutrition and physical recovery are the key to treatment. Patients need to pay attention to their diet and eat more foods rich in protein and vitamins, such as fish, eggs, and fresh vegetables, to enhance immunity and promote wound healing. At the same time, you can rinse your mouth with warm salt water or use antibacterial mouthwash, such as chlorhexidine-containing mouthwash, to keep your mouth clean and prevent the spread of infection.

4) Prevent recurrence and regular check-ups: After taking the correct treatment, patients still need to pay attention to regular check-ups to avoid recurrence. Maintaining good oral hygiene and promptly treating odontogenic diseases (such as caries and pulpitis) are important measures to prevent the disease from recurring.

The treatment of oral and maxillomandibular osteomyelitis requires standardized management and continuous monitoring. Once symptoms are found, you should seek medical attention in time and do not delay to avoid serious consequences. If you experience persistent facial swelling, severe pain, or oral pus exudation, please seek the help of a specialist as soon as possible to develop a suitable treatment plan and actively implement it.