Osteomyelitis of the maxilla is extremely rare because of its rich blood supply and thin cortical bone and because antibacterial therapy is usually effective.1-4 It has no age or sex predilection.5 Typically, osteomyelitis arises from periodontal trauma in premolar and molar regions, with slight variance depending on its chronicity but typically causing localized pain, swelling, and purulence.3-5