Should Teeth Be Extracted Immediately in the Presence of Acute Infection?

Johri, Ankur; Piecuch, Joseph F.

doi:10.1016/j.coms.2011.07.003

Cited by 21 publications

(25 citation statements)

References 8 publications

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“…The primary source has to be eliminated [ 1 ]. In case of a (nonpreservable) dental focus, timely extraction has been shown to be beneficial in most situations [ 7 ]. While most children presenting at the emergency department with an odontogenic infection can be discharged with oral antibiotics and necessary interventions can be performed at a later stage [ 8 ], patients suffering from severe infections including strong swelling, cellulitis, or abscess formation need to be treated immediately.…”

Section: Introductionmentioning

confidence: 99%

Odontogenic Abscess-Related Emergency Hospital Admissions: A Retrospective Data Analysis of 120 Children and Young People Requiring Surgical Drainage

Doll

Carl

Neumann

et al. 2018

BioMed Research International

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Introduction Even today, despite medical progress and intensive health education, odontogenic infections leading to surgical intervention and hospitalization are common in children and young people. The aim of this study was to give a detailed overview of clinical and economic data on children and young people treated and hospitalized due to an odontogenic abscess at a tertiary university hospital. Methods A single-center retrospective analysis of patients under the age of 18 years who were hospitalized and surgically treated under local or general anesthesia for an odontogenic abscess during a period of 24 months was performed. Results A total of 120 patients (77 males; 43 females) within the observation period of 2 years were included. The mean age was 6.3 years (ranging from 1 to 17 years). The most frequent diagnosis was a canine fossa abscess (n = 52; 43.3%) and the left primary maxillary first molar could be identified as the most frequent source of infection. The average length of hospital stay was 1.82 days (ranging from 0 to 8 days). The duration was significantly correlated with the kind of abscess diagnosed (p < 0.001) and the duration of the surgical intervention in patients who were treated under general anesthesia (rho = 0.259, p = 0.005). A statistically significant relationship was observed between the kind of abscess and cost (p < 0.001). Conclusion The length of hospital stay was significantly correlated with the kind of abscess diagnosed. The left primary maxillary first molar could be identified as the most frequent source of infection. A statistically significant relationship was observed between the kind of abscess and cost.

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Section: Introductionmentioning

confidence: 99%

Odontogenic Abscess-Related Emergency Hospital Admissions: A Retrospective Data Analysis of 120 Children and Young People Requiring Surgical Drainage

Doll

Carl

Neumann

et al. 2018

BioMed Research International

View full text Add to dashboard Cite

show abstract

“…Extra oral swelling or cellulitis subordinate to an odontogenic infection should receive speedy dental attention. In most circumstances, immediate surgical intervention is appropriate [14]. Intravenous antibiotic therapy mostly indicated [12,3].…”

Section: Acute Facial Swelling Of Dental Originmentioning

confidence: 99%

“…Penicillin V or amoxicillin can be given as an alternative [16,17]. The topical antibiotics has shown some potential to tempt pulpal revascularization in immature non-vital traumatized teeth [14,15].…”

Section: Dental Traumamentioning

confidence: 99%

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Use or Misuse of Antibiotics in Pediatric Dentistry!!!

Khoja¹

2019

OAJDS

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In children, unjustified used of antibiotic is very common; specifically for ear and dental infections. Antibiotics are used in dentistry for two for most reasons: to control oral infection and to reduce systemic bacteremia. Antibiotics are universally prescribed by dentists, uses and mishandlings of these drugs should be accustomed to all committed clinicians. Physiological as well as the correct dosage of the medicine is equally important. In this article, the dental conditions and appropriate antibiotics are mentioned. The intracanal medicaments are mentioned. The appropriate use of antibiotics is advised for Pediatric age group. a) Absorption: Various host factors affect the absorption of drug. Example-existing surface area, gastric and duodenal pH, gastric emptying time, size of bile salt pool, bacterial colonization of gastrointestinal tract, presence and extent of underlying diseases influences drug absorption [4,5]. b) Distribution: Many factors should be taken intoconsideration -Body fat is lower in children so the distribution of fat-soluble drug is limited and half-life of drug would be shorter. Level of plasma proteins is lower, so level of free drug would be more. Blood brain permeability in children is also more [4,5]. c) Metabolism: Liver and kidney are the major organs liable for metabolism of drugs [4].

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“…1 The main concerns for dentists in extracting infected teeth are anesthesia failure, dissemination of the infection to adjacent areas, hematogenous spread, and increased risk of alveolar osteitis (AO). 2 AO was first described in 1896. 3 It is an inflammatory process in the bone that develops between 2-4 days following tooth extraction.…”

Section: Introductionmentioning

confidence: 99%

Acutely infected teeth: to extract or not to extract?

2018

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Not only laymen but also dentists generally believe that extraction of acutely infected teeth should be avoided until the infection subdues by using systemic antibiotics. The aim of this study was to compare perioperative complications in routine extractions of acutely infected teeth with extractions of asymptomatic teeth. This prospective study was performed with 82 patients. Severe pain on percussion of the relevant tooth was considered as basic criteria for acute infection. The acutely infected teeth were labeled as the study group (n = 35) and the asymptomatic teeth as the control group (n = 47). The extractions were done using standard procedures. The amount of anesthetic solution used and duration of extractions were recorded. Postoperative severe pain and exposed bone with no granulation tissue in the extraction socket were indications of alveolar osteitis (AO). The level of statistical significance was accepted as 0.05. Symptoms that could indicate systemic response, including fever, fatigue, and shivering were not found. There was no statistically significant difference between groups in terms of AO, amount of anesthetic solution used, and duration of extraction. The presence of an acute infection characterized by severe percussion pain is not a contraindication for tooth extraction. Infected teeth should be extracted as soon as possible and the procedure should not be postponed by giving antibiotics.

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Should Teeth Be Extracted Immediately in the Presence of Acute Infection?

Cited by 21 publications

References 8 publications

Odontogenic Abscess-Related Emergency Hospital Admissions: A Retrospective Data Analysis of 120 Children and Young People Requiring Surgical Drainage

Odontogenic Abscess-Related Emergency Hospital Admissions: A Retrospective Data Analysis of 120 Children and Young People Requiring Surgical Drainage

Use or Misuse of Antibiotics in Pediatric Dentistry!!!

Acutely infected teeth: to extract or not to extract?

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