Odontogenic Maxillofacial Space Infections: A 5-Year Retrospective Review in Navi Mumbai

Abstract

The aim of this study is to comprehensively review and analyse pure odontogenic maxillofacial space infections in a tertiary care hospital in Navi Mumbai over a period of 5 years. Methods A retrospective analysis of 315 patients treated at Dr. D. Y. Patil Dental College and Hospital at Nerul, Navi Mumbai, from January 2007 to December 2011 was done. Multiple variables were analysed. Localised infections like dentoalveolar infections without space involvement and infection of non-odontogenic cause were excluded from the study. Results Analysis of the records was done. Majority of patients were from lower socioeconomic background and were daily wage workers who had either consulted a general physician or a general dental practitioner or had selfmedicated themselves before presenting to us with acute symptoms. Early recognition and prompt treatment involving intravenous antibiotics with extraction of involved tooth/teeth and incision and drainage helped in resolution of infections in a span of 72 h. Medically compromised patients had longer duration of hospital stay as compared to the patients who had no underlying medical condition. Majority of space infections involved multiple spaces and local anaesthesia with sedation was found to be the satisfactory mode of anaesthesia. Complications were very few. ConclusionWe concurred that any form of odontogenic maxillofacial space infection should be rendered prompt and aggressive treatment and hospitalisation should be recommended wherever required.

Odontogenic Head and Neck Region Infections Requiring Hospitalization: An 18‐Month Retrospective Analysis

“…Odontogenic inflammations are mostly caused by a mixture of bacterial flora [ 12 , 13 , 38 , 39 ]. Bahl et al reported that the most frequently isolated aerobic bacteria from head and neck infections were Streptococcus viridans (45.0%), followed by Staphylococcus aureus (20.0%), coagulase-negative staphylococci (10.0%), and Corynebacterium species and Pseudomonas aeruginosa in 5% each.…”

“…The most common aerobic pathogen in our study was Streptococcus oralis (32.9%), which belongs to the Streptococcus viridans group, similar to Bahl et al's and Chunduri et al's report [ 12 , 20 ]. Over a longer period of infection, anaerobic flora appears due to the decreased oxidative potential and pH in inflamed tissues [ 38 , 39 ].…”

“…Empirical therapy, usually using a multidrug regimen, is initiated until microbiological examination results are available (usually 72 h). The bacteriological examination is performed to identify the species of microorganism, its susceptibility to specific groups of antibiotics and chemotherapeutics (antibiogram), and to determine the MIC, which is helpful in determining the most effective drug dose [ 21 , 38 , 39 ].…”

“…Trismus and anatomical aberrations are particularly difficult situations. Keswani et al reported a series where all patients were treated with incision and abscess drainage under local anesthesia and analgosedation without respiratory support [ 39 ].…”

Role of Telemedicine for Facio-Odontogenic Pain Management During COVID-19 Pandemic

“…Treatment includes Co-amoxyclav 625 (Amoxicillin 500 mg ? Clavulanic acid 125 mg) thrice a day, Metronidazole 400 mg 3 times a day and Ibuprofen 400 mg 3 times a day [12][13][14].…”