Chronic Temporal Abscess as a Result of Mandibular Molar Extraction

Year 2016, Volume: 2 Issue: 1, 21 - 24, 27.04.2016

Adnan Kılınç , Nesrin Saruhan , Tahsin Tepecik Muhammed Karaavcı Ümit Ertaş

Abstract

Temporal space infections are seen as a swelling of the superficial and/or deep temporal regions. They are sporadically reported and usually develop before or after extraction of infected maxillary molars. A 50-year-old woman had undergone extraction of her mandibular right second molar tooth in a different clinic, and after a month she visited our department because of the temporal and buccal space abscess which had not responded the antibiotic therapy. Painful swelling and trismus were diagnosed on her right temporal and buccal region with a general malaise. A CT scan revealed an inflammatory area into the temporal and buccal space. Treatment with surgical intervention and intramuscular penicillin G did not provide improvement. Antibiotic was switched on to moxifloxacin 400 mg in a day orally for 7 days. After this treatment, both temporal and facial swellings, trismus and her malaise were completely resolved.

Keywords

Temporal space abscess, odontogenic infection, antibiotherapy.

References

• Adams, J. R., & Bryant, D. G. (2008). Cranial osteomyelitis: a late complication of a dental infection. Br J Oral Maxillofac Surg, 46(8), 673-674. doi: 10.1016/j.bjoms.2008.03.025
• -
• de Oliveira Neto, P. J., de Souza Maliska, M. C., Sawazaki, R., Asprino, L., de Moraes, M., & Moreira, R. W. (2012). Temporal abscess after third molar extraction in the mandible. Oral Maxillofac Surg, 16(1), 107-110. doi: 10.1007/s10006-011-0262-0
• -
• Diacono, M. S., & Wass, A. R. (1998). Infratemporal and temporal fossa abscess complicating dental extraction. J Accid Emerg Med, 15(1), 59-61.
• Flynn, T. R., Shanti, R. M., Levi, M. H., Adamo, A. K., Kraut, R. A., & Trieger, N. (2006). Severe odontogenic infections, part 1: prospective report. J Oral Maxillofac Surg, 64(7), 1093-1103. doi: 10.1016/j.joms.2006.03.015
• -
• Gregoire, C. (2010). How are odontogenic infections best managed? Journal of the Canadian Dental Association.
• Kuroda, M., Kaneko, M., & Yamasaki, M. (1994). Temporal abscess due to odontogenic infection: Report of a case. Oral Radiology, 10(1), 49-53.
• Moles, D. R. (2008). Epidemic of dental abscesses?: Dental abscesses have increased most among poorer people. BMJ, 336(7657), 1323. doi: 10.1136/bmj.39605.430243.3A
• -
• Morrison, A., & Brady, J. (2009). Temporal space abscess secondary to mandibular dental extraction. Oral Health, 99(6), 17.
• Sobottka, I., Cachovan, G., Sturenburg, E., Ahlers, M. O., Laufs, R., Platzer, U., & Mack, D. (2002). In vitro activity of moxifloxacin against bacteria isolated from odontogenic abscesses. Antimicrob Agents Chemother, 46(12), 4019-4021.
• Warnke, P. H., Becker, S. T., Springer, I. N., Haerle, F., Ullmann, U., Russo, P. A., . . . Schubert, S. (2008). Penicillin compared with other advanced broad spectrum antibiotics regarding antibacterial activity against oral pathogens isolated from odontogenic abscesses. J Craniomaxillofac Surg, 36(8), 462-467. doi: 10.1016/j.jcms.2008.07.001