Primary mandibular mucormycosis without para nasal sinus involvement following SARS CoV-2 infection – a series of four cases and review of literature

The increased incidence of mucormycosis in post covid-19 is due to steroid induced diabetes mellitus. commonest presentation acute invasive fungal sinusitis involving maxillary sinus most commonly followed by invasion local soft tissues and bone structures. It also involves orbit brain extending from sinuses. Mandible has no direct communication with any the para nasal sinuses involvement extremely rare seldom reported. We came across four such cases during epidemic. Poor dentitions, ulcerated mucosa, inoculation dental procedures are proposed mode entry fungi into mandible.