Intractable bimaxillary osteomyelitissecondary to pyknodysostosis

Abstract

Pyknodysostosis is a rare, sclerosing bone disorder with an autosomal dominant trait. The syndrome as such is not recognized easily and given the diffuse osteosclerosis prevalent, complications such as osteomyelitis and pathological fracture are not uncommon. However, given the diversity and aggressiveness of the oral microbiota, maxillofacial infections pose a much larger and imminent threat. We present a case of intractable bimaxillary osteomyelitis in a38 year old male patient- misdiagnosed as osteopetrotic and review the clinical and radiographic findings.