Neonatal tooth infection resulting in subperiosteal orbital abscess: A case report

White, Michelle; Harb, Jennifer L.; Dymerska, Malgorzata; Yoo, Sun Mi; Eckert, Pasquale; Chang, David J.; Marston, Alexander P.

doi:10.1016/j.ijporl.2020.110524

Cited by 5 publications

(5 citation statements)

References 5 publications

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“…Thirty-five cases of odontogenic orbital cellulitis have been described in the literature from 1980 to 2022 [1,[3][4][5][6][7][8][9][10][11][12]. Among them, the majority were men (65.7%).…”

Section: Resultsmentioning

confidence: 99%

“…In one case (2.9%), the orbital cellulitis was caused by two associated factors: a fracture of the left zygomatic bone which, after 24 h, led to the decompensation of a chronic endo-periodontal lesion present on the left maxillary first molar, into a retroorbital cellulitis [36]. In another case (2.9%), orbital cellulitis resulted from the infection of a neonatal tooth (a rare phenomenon, defined as a tooth erupting within 30 days of birth) in a neonate [5].…”

Section: Etiologymentioning

confidence: 99%

“…Remaining etiologies include periocular trauma, history of surgery, skin infections, dacryocystitis, oral infections and upper respiratory infections [1][2][3][4]. Odontogenic origin thus represents only 1.3-5% of cases of orbital cellulitis [2,[5][6][7][8]. There are three main routes of spread of oral infection to the orbit (Fig.…”

Section: Introductionmentioning

confidence: 99%

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Odontogenic orbital cellulitis: literature review

Guichaoua,

Genest-Beucher,

Boisrame

2024

J Oral Med Oral Surg

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Introduction: Odontogenic origin is a rare cause (1.3–5%) of cases of orbital cellulitis, but it can lead to very important morbidity such as blindness or thrombosis of the cavernous sinus. It is therefore important to know how to recognize it. Methods: A literature review was performed. The parameters analyzed included age, sex, ethnicity, clinical presentation, imaging to determine orbital involvement, etiology, microbiology, treatment (medical and/or surgical), and final outcome of each case. Chandler's classification was used to classify the different types of cellulitis. Results: Thirty-five cases of odontogenic orbital cellulitis have been described in literature from 1980 to 2022. In 42.9% of cases, the cellulitis corresponded to an intra-orbital abscess (Chandler stage IV). Thrombosis of the cavernous sinus (stage V) was detected in 5.7% of cases. Periorbital edema (100%), ocular or facial pain (82.9%) and limitation of eye movements (82.9%) were the three most common ophthalmological signs. The anamnesis revealed an element pointing to a dental origin in 97.1% of the cases, the two most frequent being a dental avulsion (20%) or an endodontic treatment (14.3%), in days or weeks preceding the onset of symptoms. Imaging was performed on admission in 94.3% of cases. Regarding the most frequently encountered germs, commensal streptococcus of the oral cavity or anaerobic bacteria were found in 25.7% of cases, and coagulase-negative staphylococcus in 22.9% of cases. In 94.3% of cases, broad-spectrum intravenous antibiotic therapy was initiated as soon as the diagnosis was made. The common feature was the use of metronidazole in 51.4% of cases, combined with a third-generation cephalosporin (11.4%) or amoxicillin-clavulanic acid (8.6%). Orbital drainage was necessary in 71.4% of cases to allow resolution of symptoms, associated with drainage of the maxillary sinus in 45.7% of cases. Finally, the treatment allowed a recovery without sequelae in 80% of cases. Discussion: In case of suspected orbital cellulitis, imaging is crucial to confirm the diagnosis, the type of cellulitis and plan the appropriate surgical treatment. The first step of treatment will be the quick start of a broad spectrum intravenous antibiotic therapy, targeting aerobic and anaerobic bacteria. However, it seems imperative to associate a surgical treatment consisting in a first step of an oral drainage and an elimination of the oral infectious source, as well as an orbital drainage whose approach will have been determined by the imaging. Conclusion: Orbital cellulitis is a rare complication of oral cavity infections, but it must be recognized and treated in time to avoid serious morbidity. An early medical and surgical treatment will usually allow good results and a healing process without sequelae.

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Section: Resultsmentioning

confidence: 99%

Section: Etiologymentioning

confidence: 99%

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Odontogenic orbital cellulitis: literature review

Guichaoua,

Genest-Beucher,

Boisrame

2024

J Oral Med Oral Surg

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“…Por lo tanto, la extracción dental es el tratamiento más común y debe preferirse si los dientes son supernumerarios o si están extremadamente móviles (15,16,25) . Sin embargo, si los dientes tienen buen soporte periodontal y son componentes de la dentición normal decidua, debería considerarse no extraerlos.…”

Section: Discussionunclassified

Fibroma osificante periférico del recién nacido: Una potencial complicación posterior a la extracción de dientes natales

URIAS BARRERAS,

HERNÁNDEZ ALEMÁN,

RÍOS BURGUEÑO

et al. 2023

Odonto

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“…Indications for surgical management include a supernumerary tooth, excessive mobility greater than 2 mm, infant tongue ulceration, impairment of breastfeeding, and parental request. A natal tooth could even result in infection and facial abscess [ 4 ]. Surgical intervention may involve the extraction of the natal tooth.…”

Section: Discussionmentioning

confidence: 99%

Pedunculated Natal Tooth: A Case Report

Brummund¹,

Chang²,

Michienzi³

2022

Cureus

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Natal teeth are teeth present at birth and are a rare finding. They most commonly occur in the mandibular incisor region and are thought to occur as an accelerated premature growth of normal primary teeth. They may present in the varying stages of tooth eruption and rarely on a pedunculated stalk of alveolar mucosa as described in this case. Natal teeth may be surgically extracted if difficulty feeding or ventral tongue ulceration develops. This report presents the case of an unusual pedunculated natal tooth in a newborn at a community hospital and describes its surgical management.

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Neonatal tooth infection resulting in subperiosteal orbital abscess: A case report

Cited by 5 publications

References 5 publications

Odontogenic orbital cellulitis: literature review

Odontogenic orbital cellulitis: literature review

Fibroma osificante periférico del recién nacido: Una potencial complicación posterior a la extracción de dientes natales

Pedunculated Natal Tooth: A Case Report

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