Severe odontogenic infections

Uluibau, IC; Jaunay, Tom; Goss, AN

doi:10.1111/j.1834-7819.2005.tb00390.x

Cited by 104 publications

(176 citation statements)

References 15 publications

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“…Antibiotics are an important component in the conservative treatment strategy and are considered to be an essential adjunct even for severe odontogenic infections with primarily surgical management (18,25). Antibiotic therapy is indicated when there are clear signs of systemic involvement such as pyrexia, lymphadenopathy, difficulty in swallowing, and lockjaw (6,15).…”

mentioning

confidence: 99%

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Comparative Efficacy and Safety of Moxifloxacin and Clindamycin in the Treatment of Odontogenic Abscesses and Inflammatory Infiltrates: a Phase II, Double-Blind, Randomized Trial

Cachovan

Böger

Giersdorf

et al. 2011

Antimicrob Agents Chemother

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mentioning

confidence: 99%

“…Odontogenic infections are always polymicrobial, consisting of aerobic pathogens, facultative anaerobes, and strict anaerobes (6,24,25). In odontogenic abscesses typically 3 to 6 different bacterial species are present (2).…”

mentioning

confidence: 99%

Comparative Efficacy and Safety of Moxifloxacin and Clindamycin in the Treatment of Odontogenic Abscesses and Inflammatory Infiltrates: a Phase II, Double-Blind, Randomized Trial

Cachovan

Böger

Giersdorf

et al. 2011

Antimicrob Agents Chemother

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“…Pharmacologic management of this serious infection in the first instance was less than ideal. 13 Oral Amoxycillin (500mg three times a day) for 10 days was prescribed by hospital staff. Although an intravenous Amoxycillin and Metronidazole regimen was considered, the hospital staff chose a longer course of treatment with oral Amoxycillin due to the patient's profound reluctance to intravenous cannulation or intramuscular injection and a previously noted intolerance to oral Metronidazole.…”

Section: Subsequent Presentation At a Regional Hospitalmentioning

confidence: 99%

The implications and management of acute odontogenic infection in association with Down and Eisenmenger syndromes and schizophrenia in a rural setting

Butler¹,

Cane

2007

Australian Dental Journal

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Background: This report describes the case management of a 32 year old special needs patient with life-threatening odontogenic infection. The combination of schizophrenia, Down and Eisenmenger syndromes presented significant challenges to managing his oral health, particularly within the rural context. In this case, dental treatment was limited to a full dental clearance during a high risk general anaesthesia session. Method: A comprehensive work-up prior to general anaesthesia was an essential aspect of care. This included a full medical history and examination, communication between medical specialists, the dentist and family consultation. The anaesthetic procedure was undertaken using a careful regimen of drugs and monitoring to minimize the impact on his cardiovascular system. Techniques to minimize bleeding from extraction sites were also important. Results: Three weeks postsurgically the patient was reviewed and his family reported that he was interacting positively with them after years of surliness and conflict. This was attributed to a managed psychotropic medication regimen and improved dental condition, which has led to a sustained improvement in quality of life. Conclusions: The management of acute odontogenic infection for special needs patients in the rural setting requires a local interdisciplinary team approach, careful consideration of related pathophysiology and its potential impact on general anaesthesia, and close consultation with family and carers.

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“…[4][5][6][7] However, when left untreated or without adequate therapy, the infection can potentially spread, causing maxillofacial infections that require hospitalization. 4,8 Severe odontogenic infections may cause fever, trismus, or dysphagia 9,10 and can even develop to life threatening infections due to airway blocking, brain affection, mediastinitis or sepsis. [11][12][13][14][15] In most cases, patients seek medical care due to pain.…”

Section: Introductionmentioning

confidence: 99%

“…17,18 Most studies refer to hospitalized patients treated in the oral and maxillofacial surgery. 4,7,9,10,19,20 The dental medical association of Rhineland-Palatine (Germany) provides dental emergency services by the private practices. Besides this service, the University Hospital in Mainz, offers additional out-of-hours service for an urgent dental treatment needs.…”

Section: Introductionmentioning

confidence: 99%

Odontogenic Infections: A 1-year Retrospective Study

Mahmoodi

Weusmann

Azaripour

et al. 2015

The Journal of Contemporary Dental Practice

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Objectives: The purpose of this study was to analyze the prevalence, demographic patterns and management of odontogenic infections in patients undergoing treatment in an outpatient dental emergency service of a university hospital. Materials and methods:In a retrospective study of the year 2012, all patients suffering from odontogenic infections were included. Demographic data, diagnosis and the conducted treatment were analyzed. Odontogenic infections were defined as pulpitis, apical and marginal periodontitis, abscesses and pericoronitis.Results: A total of 2,058 out of 4,209 emergency patients suffered from odontogenic infections. The majority (45.0%) had an apical periodontitis, 20.8% abscesses, 17.3% a marginal periodontitis, 16.3% a pulpitis and 5.8% a pericoronitis. Mean age was 37.5 ± 17.0 years standard deviation (SD) (1.2-96.4). Most patients were 20 to 29 years (24.6%), followed by the age group of 30 to 39 year old patients (21.0%). Males were affected more frequently (55.5%) than females (45.5%). Most of the patients (64.5%) of the patients received a dental or surgical treatment. Antibiotics were prescribed in 31.7% of cases. Amoxicillin was the most common prescribed antibiotic (54.5%). Conclusion:Odontogenic infections represent one of the main reasons for consulting the emergency service. Due to the high number of cases and the severe complications, dentists have to be familiar with the surgical management of odontogenic infections as well as the appropriate use of antibiotics.Clinical significance: Nearly half of all patients who sought, treatment in the emergency service had an odontogenic

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Severe odontogenic infections

Abstract: Background: Severe odontogenic infections are serious potentially lethal conditions. Following

Cited by 104 publications

References 15 publications

Comparative Efficacy and Safety of Moxifloxacin and Clindamycin in the Treatment of Odontogenic Abscesses and Inflammatory Infiltrates: a Phase II, Double-Blind, Randomized Trial

Comparative Efficacy and Safety of Moxifloxacin and Clindamycin in the Treatment of Odontogenic Abscesses and Inflammatory Infiltrates: a Phase II, Double-Blind, Randomized Trial

The implications and management of acute odontogenic infection in association with Down and Eisenmenger syndromes and schizophrenia in a rural setting

Odontogenic Infections: A 1-year Retrospective Study

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