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Year : 2020  |  Volume : 7  |  Issue : 1  |  Page : 21-23

Alveolar osteitis in a patient with common variable immunodeficiency

Department of Oral and Maxillofacial Surgery, ITS Dental College and Research Centre, Greater Noida, Uttar Pradesh, India

Correspondence Address:
Preksha Dubey
Department of Oral and Maxillofacial Surgery, ITS Dental College and Research Centre, Greater Noida - 201 308, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jdrr.jdrr_70_19

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Patients with primary immunodeficiency disorders are prone to dental problems, and a lack of proper communication with surgeon may create complications following invasive dental procedure. We present the case of a patient with common variable immunodeficiency disorder (CVID) who underwent a dental extraction and later on, developed alveolar osteitis. A 26-year-old male reported to the outpatient department, with a complaint of severe pain in his left lower jaw following the extraction of mandibular molar 1 week ago. The clinical picture was suggestive of suppurative alveolitis. The fact that he was a diagnosed case of CVID was not revealed to the operating surgeon. He was undergoing treatment for the past 6 years at another center that included intravenous immunoglobulin G (IgG) administration. Serum IgG level performed about 10 months back was 6.1 g/L. The patient recovered fully after a week of treatment with zinc oxide pack and oral metronidazole. CVID is a known risk factor for the development of alveolar osteitis. Proper communication is vital for avoiding complications in such cases.

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