Chronic Suppurative Osteomyelitis of the Mandible: A Case Report

Background: Chronic suppurative osteomyelitis (CSO) is a persistent inflammatory disease of the jawbone characterized by pus discharge and sequestrum formation. It commonly follows dental infections or trauma, especially in patients with systemic comorbidities. Case Report: A 52-year-old male with a history of diabetes and chronic tobacco use presented with pain, swelling, and pus discharge in the right mandibular posterior region after a tooth extraction. Clinical, radiographic (IOPA, OPG, CBCT), and cytological findings confirmed CSO involving 43–47. Management included surgical debridement and antibiotic therapy. Conclusion: Early diagnosis, risk factor control, and an integrated surgical-medical approach are essential for managing CSO. Adjunctive therapies such as hyperbaric oxygen can improve outcomes in high-risk patients.