Journals / Clinical and Experimental Health Sciences / 2023 / Cilt: 13 - Sayı: 1

Epidemiological Analysis and Management of Patients with Facial Space Infections of Odontogenic Origin: A Retrospective Evaluation of Two Years

Pages
58–66
Publication Date
2023-03-28
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this study, successful results were obtained with the parenteral clindamycin, and a combination of oral amoxicillin-clavulanate and ornidazole in the treatment of odontogenic abscesses.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Odontogenic infections are one of the most common pathologies in the oral and maxillofacial regions.
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Key Findings & Data:Methods: This retrospective study included 88 patients with odontogenic facial area abscesses treated at Afyonkarahisar health sciences university, faculty of dentistry’s maxillofacial surgery clinic between 2019-2021.
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Conclusion & Impact:In this study, successful results were obtained with the parenteral clindamycin, and a combination of oral amoxicillin-clavulanate and ornidazole in the treatment of odontogenic abscesses.
🔬Design:Research Article
📍Scope:2019-2021 Verileri
⚙️Variables:Epidemiological analysis · facial area abscess · odontogenic infection

Abstract

Objective: Odontogenic infections are one of the most common pathologies in the oral and maxillofacial regions. The spread of odontogenic infections after unsuccessful or late treatment can lead to serious complications. The aim of this study is to examine the epidemiological features and treatment management of patients with odontogenic facial abscesses. Methods: This retrospective study included 88 patients with odontogenic facial area abscesses treated at Afyonkarahisar health sciences university, faculty of dentistry’s maxillofacial surgery clinic between 2019-2021. The socio-demographic, socio-economic characteristics and clinical examination findings of the patients and treatment methods for odontogenic abscess were analyzed comprehensively. Data were evaluated using SPSS-20 and the level of significance was set at p < .05. Results: In the two-year period between 2019 and 2021, 88 patients (44 male and 44 female, mean age was 39.72±16.42) were treated for diffuse facial infections of odontogenic origin. The most commonly involved area was the submandibular area (38.6%), the most affected tooth was mandibular 1st molar and mandibular 3rd molars (18.2%), and the most common cause was dental caries (65.90%). Incision and drainage were performed in half of the patients (36.4% intraoral, 13.6% extraoral). The most commonly used drugs were clindamycin (36.4%), amoxicillin-clavulanate, and ornidazole combination (27.3%). Conclusion: The results of this study confirm that odontogenic abscesses can heal without complications with timely and effective basic interventions such as incision and drainage. In this study, successful results were obtained with the parenteral clindamycin, and a combination of oral amoxicillin-clavulanate and ornidazole in the treatment of odontogenic abscesses.

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Cite This Article

EKİCİ, Ö. (2023). Epidemiological Analysis and Management of Patients with Facial Space Infections of Odontogenic Origin: A Retrospective Evaluation of Two Years. Clinical and Experimental Health Sciences, Cilt: 13 - Sayı: 1, 58–66. https://ajindex.com/articles/885345

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References (13)

  1. Sánchez R, Mirada E, Arias J, Paño JR, Burgueño M. Severe odontogenic infections: Epidemiological, microbiological and therapeutic factors. Med Oral Patol Oral Cir Bucal. 2011
  2. 16(5). DOI:10.4317/medoral.16995 Bassiony M, Yang J, Abdel-Monem TM, Elmogy S, Elnagdy M. Exploration of ultrasonography in assessment of fascial space spread of odontogenic infections. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2009
  3. 107(6):861-869. DOI:10.1016/j.tripleo.2009.02.016 Akinbami BO, Akadiri O, Gbujie DC. Spread of odontogenic infections in Port Harcourt, Nigeria. J Oral Maxillofac Surg. 2010
  4. 68(10):2472-2477. DOI:10.1016/j.joms.2010.01.019 Seppänen L, Lauhio A, Lindqvist C, Suuronen R, Rautemaa R. Analysis of systemic and local odontogenic infection complications requiring hospital care. J Infect. 2008
  5. 57(2):116-122. DOI:10.1016/j.jinf.2008.06.002 Juncar M, Popa AR, Baciuţ MF. Evolution assessment of head and neck infections in diabetic patients - A case control study. J Cranio-Maxillofacial Surg. 2014
  6. 42(5):498-502. DOI:10.1016/j.jcms.2013.06.009 Sandner A, Börgermann J. Update on necrotizing mediastinitis: Causes, approaches to management, and outcomes. Curr Infect Dis Rep. 2011
  7. 13(3):278-286. DOI:10.1007/s11908-011-0174-z Leyva P, Herrero M, Eslava JM, Acero J. Cervical necrotizing fasciitis and diabetic ketoacidosis: Literature review and case report. Int J Oral Maxillofac Surg. 2013
  8. 42(12):1592-1595. DOI:10.1016/j.ijom.2013.05.006 Ogle OE. Odontogenic Infections. Dent Clin North Am. 2017
  9. 61(2):235-252. DOI:10.1016/j.cden.2016.11.004 Jundt JS, Gutta R. Characteristics and cost impact of severe odontogenic infections. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012
  10. 114(5):558-566. DOI:10.1016/j.oooo.2011.10.044 Poeschl PW, Spusta L, Russmueller G. Antibiotic susceptibility and resistance of the odontogenic microbiological spectrum and its clinical impact on severe deep space head and neck infections. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2010
  11. 110(2):151-156. DOI:10.1016/j.tripleo.2009.12.039 Roccia F, Pecorari GC, Oliaro A. Ten Years of Descending Necrotizing Mediastinitis: Management of 23 Cases. J Oral Maxillofac Surg. 2007
  12. 65(9):1716-1724. DOI:10.1016/j.joms.2006.10.060 Flynn TR, Shanti RM, Levi MH, Adamo AK, Kraut RA, Trieger N. Severe Odontogenic Infections, Part 1: Prospective Report. J Oral Maxillofac Surg. 2006
  13. 64(7):1093-1103. DOI:10.1016/j.joms.2006.03.015 Agarwal AK, Sethi A, Sethi D, Mrig S, Chopra S. Role of soc