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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 may be early; after 1-2 weeks, a dif present; pus producing if fuse radiolucency seems because of Staphylococcus infection; unusual in severe type; most regularly caused by extension of peri apical an infection Chronic osteomyelitis Any age; mandible favored Focal or diffuse; lucent with Usually asymptomatic but could sclerotic foci described as be painful; most instances moth-eaten pattern; focal related to chronic infamma sclerotic type: properly-defned tion in bone of dental origin; opacifcation; diffuse scle many circumstances not handled; rotic kind: diffuse opacifca nonvital enamel ought to be tion; Garre�s type: onion extracted or root canals skin periosteum flled; common; Garre�s sort handled by endodontics or extraction of offending tooth Clinical Overview O-sixty seven � Figure ninety seven Chronic osteomyelitis in radiated mandible. 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