We have treated First time in India, 2 cases of Osteoradio Necrosis of Mandible due to post irradiation. By this this treatment we have totally avoided segmental resection or hemi mandibulectomy. A 47-year-old male reported to our department with the complaints of pus discharge on the left side cheek for 1 year The history revealed post-surgical radiotherapy and chemotherapy for squamous cell carcinoma in left tonsillar region. Clinical examination showed nonhealing wound in the 36, 37 region and multiple grossly decayed teeth in the left mandibular quadrant with pus discharge communicating extraorally through a sinus.
Orthopantomogram revealed mixed radiolucency and multiple dental caries in left side body of the mandible . Eventually, the condition was diagnosed as ORN of mandible. Initially, the patient was treated with a broad spectrum antibiotics and clindamycin. Patient was also…
