Management of severe acute dental infections

Robertson, Douglas; Keys, William; Rautemaa‐Richardson, Riina; Burns, Ronnie; Smith, Andrew

doi:10.1136/bmj.h1300

Cited by 50 publications

(33 citation statements)

References 29 publications

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“…Systemic complications can be a vague description (AAE ), and clinicians have to implement an objective method to assess such complications to limit antibiotics to those who are at risk of the spread of systemic infection (Robertson et al . ).…”

Section: Discussionmentioning

confidence: 97%

Antibiotic prescribing for endodontic therapies: a comparative survey between general dental practitioners and final year Bachelor of Dental Surgery students in Cardiff, UK

et al. 2018

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Final year undergraduate students were aware of the antibiotic resistance crisis, although a third was not aware of guidelines for use of antibiotics in endodontic conditions; their responses to clinical scenario were generally compatible with the guidelines. General dentists were less aware of the implications of overuse of antibiotics and the existence of guidelines, and their responses were occasionally incompatible with antibiotic guidelines for endodontic therapies.

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Section: Discussionmentioning

confidence: 97%

Antibiotic prescribing for endodontic therapies: a comparative survey between general dental practitioners and final year Bachelor of Dental Surgery students in Cardiff, UK

et al. 2018

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“…Most infections of odontogenic origin are polymicrobial in nature but if there is failure to respond to empirical antibiotics, or they cannot be used because of allergy as in this case, the input of clinical microbiology is essential to ensure appropriate agents are used. Likewise, reviewing imaging alongside radiologists can help more accurately locate collections of pus, likely sources of infection, and potentially provide an additional means of drainage via ultrasound guidance.…”

Section: Discussionmentioning

confidence: 99%

Orbital complications following extraction of mandibular molar teeth: a case report

et al. 2018

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Serious sequelae of dental infections are unusual but can be potentially life-or sight-threatening. This case describes the rapid and extensive development of a fascial space infection through an uncommon route, originating in mandibular molar teeth to involve the orbital tissues. Relevant surgical anatomy and pathophysiology are discussed. Also highlighted is the multidisciplinary management of care across three surgical specialities with input from the radiology and microbiology teams.Oral Surgery 12 (2019) 75--80.

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“…More severe cases should be referenced and attended more safely in hospital settings with greater resources and specialized professionals, such as bucomaxillofacial surgeons, preventing obstruction of upper airways and/or septicaemia [27]. In this topic, there was a fine agreement among the DS in the PEDS.…”

Section: Discussionmentioning

confidence: 99%

“…There was greater agreement with the assertions: "Treatment of alveolitis", "Haemorrhage", "Drainage of intraoral abscess" and "Prescription of medication", while "Dental restoration" obtained the lowest agreement. (27) 6 (14) 10 (23) 11 (25) 4. Perform temporary restorations on teeth without pulp involvement (so that the patient can seek scheduled care) 2 (4) 3 (7) 6 (14) 21 (48) 12 (27) 5.…”

Section: Dental Emergencies In Public Health Services | Rios and Queirozmentioning

confidence: 99%

Dental emergencies in public health services: what is the role of the Dental Surgeon?

Rios

Queiroz

2017

Rev. Odonto Ciênc. (Online)

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OBJECTIVE: To assess the opinions of Brazilian dental surgeons (DS) about their roles in Public Emergency Dental Services (PEDS). METHODS: A cross-sectional study was conducted with an intentional sample of 44 DS who worked at the PEDS in a large municipality in the central-western region of Brazil, in 2013. To collect data we designed, pretested and applied a self-administered questionnaire with Likert scale assertions about the DS duties, referral of patients and execution of dental procedures in PEDS. Post-hoc tests revealed an instrument's reliability of 91%. RESULTS: As their main duty, DS pointed out providing relief to patients' complaints in cases of dental pain and trauma. Regarding referral of patients, they considered typically that they should refer to services at a higher complexity level those patients exhibiting infections in advanced stages under risk of disseminations. Most of them disagreed with performing dental restorations in emergency consultations, while the majority stated that they should mainly perform intraoral abscesses drainage, alveolitis and haemorrhage treatment. CONCLUSION: To provide pain and trauma relief to patients was pointed out by DS as their key role in PEDS, as well as to refer at-risk patients to high-level complexity services and to perform procedures aimed at solving emergency situations, instead of providing restorative treatment to patients.Key words: Public Health Dentistry; Dental Health Services; Emergencies; Public Health Policy; Dental CareUrgências odontológicas em serviços públicos de saúde: qual o papel do Cirurgião-Dentista? RESUMO OBJETIVO: Avaliar a opinião de cirurgiões-dentistas (CD) brasileiros sobre o papel deles em Serviços Odontológicos Públicos de Urgência (SOU). METODOLOGIA: Um estudo transversal foi realizado com uma amostra intencional de 44 CD que trabalhavam em SOU em um município de grande porte na região centro-oeste do Brasil, em 2013. Para coletar os dados foi elaborado, pré-testado e aplicado um questionário autoexplicativo com escala Likert e asserções sobre as atribuições dos CD, encaminhamento de pacientes e execução de procedimentos odontológicos nos SOU. Testes posteriores revelaram uma confiabilidade deste instrumento de 91%. RESULTADOS: Como sua principal atribuição, os CD apontaram que devem buscar aliviar as queixas dos pacientes em casos de dor e trauma dental. Com relação ao encaminhamento de pacientes, eles consideraram tipicamente que deveriam referenciar para serviços de maior complexidade aqueles pacientes com infecções em estágios avançados com risco de disseminação. Muitos deles discordavam com a realização de restauração dental nas consultas de urgência, enquanto que a maioria considerou que deveria executar drenagem intraoral de abscessos, tratamento de alveolite e hemorragia. CONCLUSÃO: Os CD reconheceram que prover alívio aos pacientes com dor e trauma é o seu principal papel nos SOU, além de referenciar pacientes de risco para unidades de maior complexidade e realizar procedimentos clínicos voltados à resolu...

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Management of severe acute dental infections

Cited by 50 publications

References 29 publications

Antibiotic prescribing for endodontic therapies: a comparative survey between general dental practitioners and final year Bachelor of Dental Surgery students in Cardiff, UK

Antibiotic prescribing for endodontic therapies: a comparative survey between general dental practitioners and final year Bachelor of Dental Surgery students in Cardiff, UK

Orbital complications following extraction of mandibular molar teeth: a case report

Dental emergencies in public health services: what is the role of the Dental Surgeon?

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