Osteoradionecrosis of mandible: Case report with review of literature
A 65-year-old male patient reported to the dental out-patient department with a chief complaint of sharp bony projection in the mouth. The patient gave a history of exposed bony fragments since 7 months and history of pus discharge from the right side of check 2 months back. The patient finds difficulty in talking and eating since 1 week. He gives a history of a non-healing ulcer on right buccal mucosa diagnosed as squamous cell carcinoms 4 years back and had undergone surgery and radio therapy.\nOn extra oral examination, skin on lower right side of cheek showed scar of a healed sinus []. Intra oral examination was difficult due to limited mouth opening. There was depapillation of tongue and generalized mucositis. Exposed necrotic bone found from right lower retromolar area extending toward midline []. Provisional diagnosis of ORN was made and patient instituted conservative measures of antibiotics and the sequestrectomy was undertaken.