Evolution assessment of head and neck infections in diabetic patients – A case control study

The value of early intraoral incisions in patients with perimandibular odontogenic maxillofacial abscesses

“…In patients with systemic diseases the number of complications was found to be 31.7% compared with patients without systemic diseases with a proportion of 8.2% of complications. Although patients with systemic diseases were significantly older, this relation confirmed the results of the present study, that diabetes mellitus and HIV, both presenting the most important systemic diseases, are significantly affecting the course of treatment and healing (Huang et al, 2004(Huang et al, , 2005Juncar et al, 2014). The presence of immunosuppressive medication was not found to be a significant factor in the present study, but was found to be associated with a higher number of complications as well.…”

Odontogenic cervical necrotizing fasciitis, etiological aspects

“…These results are similar to those obtained by other authors, who report a frequent presence of diabetes mellitus in patients with necrotizing fasciitis. [14,16,19] In a study carried out by Juncar et al, [7] it was shown that the degree of compensation, as well as the duration of diabetes mellitus, were particularly important in the evaluation of its impact on the immune system.…”

“…incriminated disorders being diabetes mellitus, obesity, immune deficiencies, chronic alcoholism, or hepatic deficit. [5,7,8,10,11] The literature reports the infection of the partially erupted third mandibular molar as the main starting point of odontogenic necrotizing fasciitis. [12][13][14][15] From this level, the bacterial flora initially affects the submandibular space and subsequently extends to the fascial system, with the development of necrotizing fasciitis.…”

“…[4,5] Cervical necrotizing fasciitis most frequently occurs secondarily to inflammatory odontogenic disorders and represents the most severe infection of maxillofacial spaces, with a high lethal potential. [6,7] Although the lethal risk of maxillofacial infections has decreased due to the development of antibiotics, over the past 10-15 years there has been an increase in bacterial resistance to antibiotics, with an aggravation of the severity of odontogenic infections. [8,9] A multitude of aerobic and anaerobic bacterial species with a synergistic action are incriminated in the development of necrotizing fasciitis.…”

Severe odontogenic infections with septic progress - a constant and increasing challenge: a retrospective analysis

“…These severe odontogenic infections can be potentially life-threatening (14,17). There are several predisposing factors which may exacerbate odontogenic infections, such as immunodeficiency (human immunodeficiency virus HIV), long-term diabetes mellitus, obesity, chronic alcohol abuse, hepatitis, liver cirrhosis, immunosuppression after organ transplantation, chemotherapy, radiotherapy and systemic lupus erythematosus (4,9,11,12,16).…”