Evaluation of Odontogenic Infections, Complications and Treatment - A Review

Year 2017, Volume: 26 Issue: 2, 175 - 180, 01.07.2017

Safa Kurnaz Gülsen Kiraz

Abstract

Odontogenic infections are important problems in
dentistry. If these infections are not correctly
diagnosed and treated, they can cause life-threatening
complications. The treatment of these infections is
generally carried out with endodontic, surgical and
antibiotic therapy, or combinations of these methods.
In addition, the use of wrong antibiotics is an
important problem in dentistry. For these reasons,
dentists should be careful about early diagnosis and
proper treatment of odontogenic infections. In this
literature review, proper approaches, possible
complications and the treatment of infection are
included in the evaluation of odontogenic infections

Keywords

Antibiotic therapy, complications, facial space abscess, odontogenic infections,

ODONTOJENİK ENFEKSİYONLARIN DEĞERLENDİRİLMESİ, KOMPLİKASYONLARI VE TEDAVİSİ– DERLEME

Abstract

Odontojenik enfeksiyonlar, diş hekimliğinde önemli
problemlerin başında yer almaktadır. Bu enfeksiyonlar
doğru şekilde teşhis edilip tedavi edilmezlerse, yayılarak hayati tehlike yaratacak komplikasyonlar oluşturabilirler. Bu enfeksiyonların tedavisi genel olarak
endodontik tedavi, cerrahi tedavi ve antibiyotik tedavisi
veya bu yöntemlerin kombinasyonları ile yapılmaktadır.
Ayrıca yanlış antibiyotik kullanımı da diş hekimliğinde
önemli bir problemdir. Bu nedenlerle diş hekimleri
odontojenik enfeksiyonların tedavisinde erken teşhis ve
doğru tedavi konusunda dikkatli olmalıdır. Bu literatür
derlemesinde odontojenik enfeksiyonların değerlendirilmesinde doğru yaklaşımlar, gelişebilecek olası komplikasyonlar ve enfeksiyonun tedavisi konuları yer almaktadır.

Keywords

Antibiyotik tedavisi, fasiyal alan apseleri, komplikasyonlar, odontojenik enfeksiyonlar

References

• 1. Holmes CJ, Pellecchia R. Antimicrobial therapy in management of odontogenic infections in general dentistry. Dent Clin North Am 2016; 60(2):497- 507.
• 2. Siqueira JF, Rôças IN. Microbiology and treatment of acute apical abscesses. Clin Microbiol Rev 2013; 26(2):255-273.
• 3. Lypka M, Hammoudeh J. Dentoalveolar infections. Oral Maxillofac Surg Clin North Am 2011; 23 (3):415-424.
• 4. Sato FRL, Hajala FAC, Freire Filho FWV, et al. Eight-year retrospective study of odontogenic origin infections in a postgraduation program on oral and maxillofacial surgery. J Oral Maxillofac Surg 2009; 67(5):1092-1097.
• 5. Flynn TR, Shanti RM, Levi MH, et al. Severe odontogenic infections, part 1: prospective report. J Oral Maxillofac Surg 2006; 64(7):1093-1103.
• 6. Baumgartner JC, Siqueira J, Sedgley CM, Kishen A. Microbiology of endodontic disease. In: Ingles JI, Bakland LK, Baumgartner JC (eds), Ingle's endodontics (6th ed). BC Decker Inc, India 2008; pp:221-222.
• 7. Kim MS, Kim SG, Moon SY, et al. Sepsis Developed from an odontogenic infection: Case report. Maxillofac Plast Reconstr Surg 2011; 33(5):445-448.
• 8. Zhang C, Tang Y, Zheng M, et al. Maxillofacial space infection experience in West China: a retrospective study of 212 cases. Int J Infect Dis 2010; 14(5):414-417.
• 9. Zamiri B, Hashemi SB, Hashemi SH, et al. Prevalence of odontogenic deep head and neck spaces infection and its correlation with length of hospital stay. Journal of Dentistry, Shiraz University of Medical Sciences 2012; 13(1):29-35.
• 10. Ryan P, McMahon G. Severe dental infections in the emergency department. Eur J of Emerg Med. 2012;19(4):208-213.
• 11. Seppänen L, Lauhio A, Lindqvist C, et al. Analysis of systemic and local odontogenic infection complications requiring hospital care. J Infect 2008; 57 (2):116-122.
• 12. Reynolds SC, Chow AW. Life-threatening infections of the peripharyngeal and deep fascial spaces of the head and neck. Infect Dis Clin North Am 2007; 21(2):557-576.
• 13. Arias-Chamorro B, Contreras-Morillo M, AcostaMoyano A, et al. Multiple odontogenic abscesses. Thoracic and abdomino-perineal extension in an immuno competent patient. Med Oral Patol Oral Cir Bucal 2011; 16(6):772.
• 14. Jiménez Y, Bagán J, Murillo J, et al. Odontogenic infections. Complications. Systemic manifestations. Medicina Oral, Patologia Oral y Cirugia Bucal 2003; 9:143-7; 39-43.
• 15. Jundt JS, Gutta R. Characteristics and cost impact of severe odontogenic infections. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114(5):558- 566.
• 16. Verma DK, Rajan R. A case of thrombocytopenia due to odontogenic infection. J Dent Res Dent Clin Dent Prospects 2011; 5(4):144.
• 17. Wong T-Y. A nationwide survey of deaths from oral and maxillofacial infections: the Taiwanese experience. J Oral Maxillofac Surg 1999; 57 (11):1297-1299.
• 18. Spitalnic SJ, Sucov A. Ludwig's angina: case report and review. J Emerg Med 1995; 13(4):499-503.
• 19. Parker MI, Khateery SM. A retrospective analysis of orofacial infections requiring hospitalization in Al Madinah, Saudi Arabia. Saudi Dental Journal 2001; 13:2.
• 20. Barsamian JG, Scheffer RB. Spontaneous pneumothorax: an unusual occurrence in a patient with Ludwig's angina. J Oral Maxillofac Surg 1987; 45 (2):161-168.
• 21. Lewis M, Carmichael F, MacFarlane T, et al. A randomised trial of co-amoxiclav (Augmentin) versus penicillin V in the treatment of acute dentoalveolar abscess. Br Dent J 1993; 175(5):169-174.
• 22. Kuriyama T, Absi EG, Williams DW, et al. An outcome audit of the treatment of acute dentoalveolar infection: impact of penicillin resistance. Br Dent J 2005; 198(12):759-763.
• 23. Killey HC, Harris M, McGowan DA, Seward GR, Kay LW. Killey and Kay's Outline of Oral Surgery (2nd ed). Wright, Bristol 1987; pp 121-173.
• 24. Bayındır Y. Dental infeksiyonlarda doğru antibiyotik kullanımı. İnönü Üniversitesi Tıp Fakültesi Dergisi 2003; 10(4):213-216.
• 25. Henry M, Reader A, Beck M. Effect of penicillin on postoperative endodontic pain and swelling in symptomatic necrotic teeth. J Endod 2001; 27 (2):117-123.
• 26. Pickenpaugh L, Reader A, Beck M, et al. Effect of prophylactic amoxicillin on endodontic flare-up in asymptomatic, necrotic teeth. J Endod 2001; 27 (1):53-56.
• 27. Gill Y, Scully C. Orofacial odontogenic infections: review of microbiology and current treatment. Oral Surg Oral Med Oral Pathol 1990; 70(2):155- 158.
• 28. Daramola OO, Flanagan CE, Maisel RH, et al. Diagnosis and treatment of deep neck space abscesses. Otolaryngol Head Neck Surg 2009; 141(1):123- 130.
• 29. Khemaleelakul S, Baumgartner JC, Pruksakorn S. Identification of bacteria in acute endodontic infections and their antimicrobial susceptibility. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 94(6):746-755.
• 30. Baumgartner JC, Xia T. Antibiotic susceptibility of bacteria associated with endodontic abscesses. J Endod 2003; 29(1):44-47.
• 31. Chow A. Infections of the oral cavity, neck, and head. In: Bennet JE, Dolin R, Blaser MJ (eds), Principles and Practice of Infectious Diseases (5th ed). Churchill Livingstone, Philadelphia 2000; pp:689- 701.
• 32. Swift JQ, Gulden WS. Antibiotic therapy-managing odontogenic infections. Dent Clin North Am 2002; 46(4):623-633.
• 33. Owens B, Schumann N. Ludwig's angina: historical perspective. J Tenn Dent Assoc 1993; 73(1):19.
• 34. Haug RH, Hoffman MJ, Indresano AT. An epidemiologic and anatomic survey of odontogenic infections. J Oral Maxillofac Surg 1991; 49(9):976-980.
• 35. Schuknecht B, Stergiou G, Graetz K. Masticator space abscess derived from odontogenic infection: imaging manifestation and pathways of extension depicted by CT and MR in 30 patients. Eur Radiol 2008;18:1972–1979.
• 36. Marioni G, Rinaldi R, Staffieri C, et al. Deep neck infection with dental origin: analysis of 85 consecutive cases (2000–2006). Acta Otolaryngol 2008; 128:201–206.
• 37. Ariji Y, Gotoh M, Kimura Y, et al. Odontogenic infection pathway to the submandibular space: imaging assessment. Int J Oral Maxillofac Surg 2002; 31(2):165-169.
• 38. Moghimi M, Baart JA, Karagozoglu KH, Forouzanfar T. Spread of odontogenic infections: A retrospective analysis and review of the literature. Quintessence International 2013;44(4).
• 39. Obayashi N, Ariji Y, Goto M, et al. Spread of odontogenic infection originating in the maxillary teeth: computerized tomographic assessment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 98(2):223-231.
• 40. Yonetsu K, Izumi M, Nakamura T. Deep facial infections of odontogenic origin: CT assessment of pathways of space involvement. Am J Neuroradiol 1998; 19(1):123-128.