Emergency Endodontic Treatment of a Patient Presenting with Facial Cellulitis: Case Report

Abstract

Odontogenic facial cellulitis is characterized by acute, painful, diffuse and large-area swelling caused by teeth and supportive periodontal tissues. The most common etiological bacteries are Streptococci from gram-positive bacteria; Porphyromonas, Prevotella, Fusobacterium from gram-negative bacteria. It can spread rapidly and lead to serious situations. Any mistake in the timing of treatment or any inaccuracy in its’ method may result in systemic and life-threatening complications such as infection of the central nervous system and sepsis. The aim of this case report is to present the emergency endodontic treatment and recovery process of a patient in our emergency clinic with a facial cellulitis table covering the upper left and lower quadrant of the face.

Keywords

• facial cellulitis
• emergency endodontic treatment
• drainage
• antibiotics

Fasiyal Sellülit Tablosuyla Başvuran Hastanın Acil Endodontik Tedavisi : Olgu Sunumu

Abstract

Odontojenik fasiyal sellülit; dişler ve yardımcı periodontal yapılardan kaynaklanan, akut, ağrılı, diffüz ve büyük alana yayılmış şişlikle karakterize tablodur. Etkeni aerop ve anaerop bakterilerin birleşiminden oluşan mikst bakteri kolonisidir; gram pozitif bakterilerden Streptococcus’lar, gram negatif bakterilerden de Porfiromonas, Prevotella, Fusobacterium’lar en sık rastlanan etken bakterilerdir. Hızla yayılarak ciddi tablolara yol açabilir. Tedavi zamanlamasında herhangi bir hata veya yöntemindeki herhangi bir yanlışlık; santral sinir sistemi enfeksiyonu ve sepsis gibi sistemik ve hayatı tehdit eden komplikasyonlarla sonuçlanabilir. Bu olgu sunumunun amacı; acil kliniğimize başvurmuş, yüzün sol üst ve alt kadranını içine alan bir fasiyal sellülit tablosu bulunan hastanın acil endodontik tedavisi ve iyileşme sürecinin sunulmasıdır.

Keywords

• fasiyal sellülit
• acil endodontik tedavi
• drenaj
• antibiyotikler

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