Is Dental Treatment of an Infected Tooth a Risk Factor for Locally Invasive Spread of Infection?

Seppänen, Lotta; Lemberg, Kim K.; Lauhio, Anneli; Lindqvist, Christian; Rautemaa, Riina

doi:10.1016/j.joms.2010.05.015

Cited by 32 publications

(20 citation statements)

References 33 publications

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“…Similarly, conditions such as acute abscesses are more effectively managed by surgical intervention such as tooth extraction or root canal treatment. 1 Since the deferral of operative treatment is a risk factor for severe infectious complications from an odontogenic infection, 6 the management of dental problems in general practice could result in increased patient morbidity. Furthermore, the indiscriminate use of antibiotics may contribute to the emergence of antibiotic resistant bacterial strains.…”

Section: Introductionmentioning

confidence: 99%

General practitioners’ attitudes towards the management of dental conditions and use of antibiotics in these consultations: a qualitative study

et al. 2015

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ObjectivesThis study aimed to produce an account of the attitudes of general practitioners (GPs) towards the management of dental conditions in general practice, and sought to explore how GPs use antibiotics in the treatment of dental problems.DesignQualitative study employing semistructured telephone interviews and thematic analysis.Participants17 purposively sampled GPs working in Wales, of which 9 were male. The median number of years since graduation was 21. Maximum variation sampling techniques were used to ensure participants represented different Rural–Urban localities, worked in communities with varying levels of deprivation, and had differing lengths of practising career.ResultsMost GPs reported regularly managing dental problems, with more socioeconomically deprived patients being particularly prone to consult. Participants recognised that dental problems are not optimally managed in general practice, but had sympathy with patients experiencing dental pain who reported difficulty obtaining an emergency dental consultation. Many GPs considered antibiotics an acceptable first-line treatment for acute dental problems and reported that patients often attended expecting to receive antibiotics. GPs who reported that their usual practice was to prescribe antibiotics were more likely to prioritise patients’ immediate needs, whereas clinicians who reported rarely prescribing often did so to encourage patients to consult a dental professional.ConclusionsThe presentation of patients with dental problems presents challenges to GPs who report concerns about their ability to manage such conditions. Despite this, many reported frequently prescribing antibiotics for patients with dental conditions. This may contribute to both patient morbidity and the emergence of antimicrobial resistance. This research has identified the need for quantitative data on general practice consultations for dental problems and qualitative research exploring patient perspectives on reasons for consulting. The findings of these studies will inform the design of an intervention to support patients in accessing appropriate care when experiencing dental problems.

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Section: Introductionmentioning

confidence: 99%

General practitioners’ attitudes towards the management of dental conditions and use of antibiotics in these consultations: a qualitative study

et al. 2015

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“…Untreated apical periodontitis may lead to a chronic infection of the oral tissues at locations closer to more vital organs than many other oral infections. Although these infections may remain quiescent for decades, they may also develop and spread with serious consequences for the individual (53,54). In the face of the risks of such chronic infection from the infected teeth, their extraction and replacement by implants has been put forward and discussed as a viable alternative to endodontic treatment (55,56).…”

Section: The Link Between Endodontic Infection and Apical Diseasementioning

confidence: 99%

Root Canal Infection and Endodontic Apical Disease

Cohenca

Amaro

2014

Disinfection of Root Canal Systems

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“…Истраживање које је рађено на одраслима је показало да 13,9% пацијената са акутном дентогеном инфекцијом буде хоспитализовано 7 . Нека истраживања на општој популацији су показала да дентогене инфекције захватају сва годишта, чешће мушкарце него жене 2,3,4,8,9,10 . Посебно је показано да су деца сиромашних родитеља склона дентогеним инфекцијама 3 .…”

Section: уводunclassified

“…Код пацијената са дентогеном инфекцијом је битно да се уради било која стоматолошка интервенција што раније: дренажа, инцизија и\или екстракција, и у том случају је брже излечење и смањује се могућност компликација 9 . Наше истраживање је показа-ло да је екстракција зуба узрочника допринела амбулантном излечењу пацијената, а да нема значајне везе између дренаже и инцизије и каснијег хоспиталног лечења пацијената.…”

Section: дискусијаunclassified

“…Дентогене инфекције могу да угрозе и живот, и зато је врло битно на време и на прави начин их лечити 1 . Деца која су са села, која имају инфекцију у горњој вилици као и она са захваћеношћу више анатомских простора су пацијенти са већим ризиком за хоспитално лечење, тако да њима треба посветити посебну пажњу и правовремено предузети одговарајућу терапију 7,9,10,11,14,17 .…”

Section: дискусијаunclassified

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Factors associated with hospitalization of children with acute odontogenic infections

Klačar¹,

Busarac²,

Janković³

2012

Racion ter

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Is Dental Treatment of an Infected Tooth a Risk Factor for Locally Invasive Spread of Infection?

Cited by 32 publications

References 33 publications

General practitioners’ attitudes towards the management of dental conditions and use of antibiotics in these consultations: a qualitative study

General practitioners’ attitudes towards the management of dental conditions and use of antibiotics in these consultations: a qualitative study

Root Canal Infection and Endodontic Apical Disease

Factors associated with hospitalization of children with acute odontogenic infections

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