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O-sixty six Clinical Overview Infammatory Jaw Lesions Disease Clinical Features Radiographic Appearance Other Features Acute osteomyelitis Any age; mandible favored Little radiographic change Pain or paresthesia could also be early; after 1-2 weeks, a dif current; pus producing if fuse radiolucency seems because of Staphylococcus an infection; unusual in extreme type; most regularly brought on by extension of peri apical infection Chronic osteomyelitis Any age; mandible favored Focal or diffuse; lucent with Usually asymptomatic however may sclerotic foci described as be painful; most cases moth-eaten sample; focal associated to chronic infamma sclerotic type: nicely-defned tion in bone of dental origin; opacifcation; diffuse scle many cases not treated; rotic kind: diffuse opacifca nonvital enamel ought to be tion; Garre�s type: onion extracted or root canals pores and skin periosteum flled; frequent; Garre�s sort handled by endodontics or extraction of offending tooth Clinical Overview O-67 � Figure 97 Chronic osteomyelitis in radiated mandible. 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