Eosinophilic granuloma jaws

According to the character of the clinical course and localization of pathological process there are three forms eosinophilic granuloma jaws, each with different morphological features: 1) focal eosinophilic granuloma (Fig. 2) occurs and is developing into one of the sites of the branches and bodies of the jaw, not grasping the alveolar process; 2) diffuse eosinophilic granuloma (Fig. 3), beginning in the alveolar ridge in the future is diffuse, and spread to the body of the jaw bones, and on the lower jaw and the branch; 3) the generalized eosinophilic granuloma characterized by lesions not only of the jaws, and other bones.
With focal eosinophilic the granuloma patients complained of availability are little painful swelling of the jaw if no pathology of oral cavity and teeth. On radiographs are determined outlined pockets of rarefaction of bone in the form of a perforated defects.
In the diffuse eosinophilic the granuloma in the initial period, patients are suffering itching, and then persistent pain in the area perfectly healthy teeth, bleeding gums, putrid breath; gradually loosened teeth and bare their roots (Fig. 4). More often eosinophilic granuloma is localized in the lower jaw in the field premolars and molars, sometimes simultaneously on the upper and lower jaws. Marked abundant deposits on the teeth supragingival and subgingival Tartar, loosening and swelling of the gums, loose teeth, exposition of roots, gradual destruction of the interdental papillae. In such cases, often mistakenly diagnosed with periodontal disease. Radiographically marked osteolytic lesions in interdental partitions with distinct horizontal boundary. In the further process extends to the body of the jaw. When removing a mobile teeth wounds not healing or healing is very slow. Touching the hole sharply painful. X-ray picture in the second period presented or in the form of limited foci of osteolysis in different parts of the alveolar process and body jaw, or in the form of diffuse rarefaction alveolar bone and body jaw.
Changes in the jaws in generalized form more likely to have the character diffuse lesions, but not impossible duration of the process by type of focal forms. May develop ulcero-necrotic processes of mucous membrane of the alveolar process accordingly to the defeat of the jaw. For all forms of eosinophilic granuloma jaw crucial in the diagnosis has histological examination.
Treatment: with focal form needs surgery - scraping of lesions; in diffuse - a combination of surgery followed by radiotherapy (up to 1000 R totally at home defeat).

Fig. 2. Focal eosinophilic granuloma.
Fig. 3. Diffuse eosinophilic granuloma: 1 - with extensive involvement of the jaw; 2 - with limited home defeat of the lower jaw.
Fig. 4. The initial period of eosinophilic granuloma.