Orbital abscess after extraction of a maxillary wisdom tooth

Sakkas, Nikolaos; Schoen, Rudolf; Schmelzeisen, Rainer

doi:10.1016/j.bjoms.2005.09.010

Cited by 16 publications

(12 citation statements)

References 7 publications

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“…The prescription of broad‐spectrum antibiotics to prevent infections without adequate information on the microbiology of the postoperative infection is still controversial. The microbiology of postoperative infections that were identified from the records assessed in the present study was similar to previous observations, and predominantly reports the presence of the Streptococcus species . Nevertheless, only three of the reported infections had a record of microbiological observations.…”

Section: Discussionsupporting

confidence: 88%

Is there a need for postoperative antibiotics after third molar surgery? A 5‐year retrospective study

Menon

Botelho

2019

J of Invest & Clin Dent

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Aim Randomized controlled trials might be reporting a higher postoperative infection rate for third molar surgery compared to other study designs due to unclear criteria for the classification of “infections”. The aim of the present retrospective study was to assess the infection rate after third molar surgery with and without postoperative antibiotic prescription. Methods Case records of patients who underwent third molar extractions at the Prince Philip Dental Hospital in Hong Kong between 3 July 2012 and 22 June 2017 were evaluated retrospectively. Data extraction was performed for indications, clinical and radiographic findings, antibiotic treatment, postoperative complications, and treatment for postoperative infection. The odds ratio (OR) for postoperative infection was estimated. Results In total, 1615 extracted over 5 years from 992 patient records were included in the final analysis. Antibiotics were prescribed postoperatively for 44% of the extractions. The overall infection rate was 2.05%. There was no significant difference in infection rates between the groups which underwent extractions with or without antibiotics (OR = .68; P = .289). We found a significantly higher risk for infections with increasing age (P = .002). Conclusion Infection rates after third molar extraction is minimal in the current setting, with no significant benefit from postoperative antibiotic prescription.

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Section: Discussionsupporting

confidence: 88%

Is there a need for postoperative antibiotics after third molar surgery? A 5‐year retrospective study

Menon

Botelho

2019

J of Invest & Clin Dent

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“…Also, Sakkas et al. and Kim et al. reported an orbital abscess after extraction of a maxillary wisdom tooth.…”

Section: Sequelae Of Acute Oral Infectionsmentioning

confidence: 99%

“…Bacterial infection of the mouth occasionally spreads to these contiguous spaces. These infections may also affect the orbital cavity (Fig. ) and the brain (Fig.…”

Section: Sequelae Of Acute Oral Infectionsmentioning

confidence: 99%

Acute focal infections of dental origin

Olsen¹,

Winkelhoff²

2014

Periodontology 2000

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This article describes the most important pus‐producing acute oral infections (dental infections) that can spread extra‐orally. Most of these infections are spread by bacteria entering the bloodstream. However, dental infections have a number of other pathways for dissemination. By forming abscesses or phlegmon they can reach facial spaces that communicate with each other and then spread downwards to the mediastinum or upwards to the brain. In such cases dental infections can become, if not properly treated, life‐threatening. It seems that early diagnosis and treatment are imperative, and potentially infectious foci should be traced and eliminated. Dental hygiene and prophylaxis to prevent dental biofilm formation are important measures to reduce the risk of these calamities. The more compromised the host defense is, the more importance should be put on these measures. Although commensal bacteria are often involved in these infections, attention should also be paid to specific periodontal pathogens, and a proper microbial diagnosis, obtained using molecular methods plus bacterial sensitivity testing, can provide the patient with optimal care. Drainage of pus must be established where possible so that the optimal effect of antibiotics can be achieved. Penicillin is still the drug of first choice in settings where suspicion of methicillin‐resistant Staphylococcus aureus is low.

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“…Descriptions of systemic infections include endocarditis, mediastinitis, orbital abscess, abscess of the brain, or septic venous sinus thrombosis. [5][6][7][8] The most frequent agents are Streptococcus viridans (55%), Staphylococcus aureus (30%), Enterococcus (6%). 9 Meningitides after tooth extraction or oral surgery have also been described.…”

Section: Introductionmentioning

confidence: 99%