A case of Paget's disease of bone with bacterial infection in both maxillary and mandibular bone

• UEHARA Shinobu

  Department of Dentistry and Oral Surgery, Shinshu University School of Medicine

• KURITA Hiroshi

  Department of Dentistry and Oral Surgery, Shinshu University School of Medicine

• MIYAZAWA Hideki

  Department of Dentistry and Oral Surgery, Shinshu University School of Medicine

• KAMATA Takahiro

  Department of Dentistry and Oral Surgery, Shinshu University School of Medicine

• SAKAI Hironori

  Department of Dentistry and Oral Surgery, Shinshu University School of Medicine

• KURASHINA Kenji

  Department of Dentistry and Oral Surgery, Shinshu University School of Medicine

Bibliographic Information

Other Title

• 上下顎骨に発生し感染を伴った骨Ｐａｇｅｔ病の１例
• ショウレイ ホウコク ジョウ カガクコツ ニ ハッセイ シ カンセン オ トモナッタ コツ Pagetビョウ ノ 1レイ

Abstract

Paget's disease of bone is characterized by excessive bone resorption in focal areas, followed by new bone formation. The etiology of the disease is not well understood. We report a case of Paget's disease of bone with bacterial infection in both maxillary and mandibular bone. A 48-year-old woman visited our hospital because of pain in the left side of the mandible in November 1991. We removed an impacted supernumerary tooth and sequestrum from the premolar region. She returned to our hospital because of pus discharge from the inferior border of the left side of the mandible in April 2000. Orthopantomography revealed a cotton-wool appearance and sequestra in both maxillary and mandibular bone. The sequestra were surgically removed. The patient returned again because of pain and swelling of the right upper alveolar gingiva in September 2004. Orthopantomography revealed a cotton-wool appearance and sequestra in the right side of the maxilla. We removed the sequestra and performed a biopsy of the bone around the sequestra. A histological diagnosis of Paget's disease of bone was made on the basis of a mosaic pattern with osteogenic and osteoclastic reactions.

Journal

• Japanese Journal of Oral and Maxillofacial Surgery

  Japanese Journal of Oral and Maxillofacial Surgery 52 (6), 350-353, 2006

  Japanese Society of Oral and Maxillofacial Surgeons

Keywords

• Paget's disease of bone
• cotton-wool appearance
• mosaic pattern

Details

• CRID: 1390282681507940224
• NII Article ID: 10018859764
• NII Book ID: AN00189163
• DOI: 10.5794/jjoms.52.350
• ISSN: 21861579
• ISSN: 00215163
• NDL BIB ID: 8009500
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I8009500
• Web Site: https://search.jamas.or.jp/link/ui/2006268796
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed