Treatment Of Chronic Osteomyelitis Of Mandible With Vancomycin Impregnated Polymethamethacrylate Beads And Recording Early Bone Changes: A Case Report

An elderly female patient presented with non healing extracted tooth socket, pain and intra oral diffuse swelling with 36, 37 regions since one year. Based on clinical, radiographic features and histopathology report diagnosis of chronic osteomyelitis was made. Patient was started with intravenous antimicrobial antibiotics. Squestrectromy, decortication were done followed by placement of vancomycin impregnated polymethamethacralyte (PMMA) beads. On radiovisiography (RVG) bone formation was seen in the affected area as early as 5 weeks