scholarly journals Conservative Management of Submandibular Space Infection in a 5-Year-Old Child: A Case Report

2021 ◽  
Vol 2 (1) ◽  
pp. 36-40
Author(s):  
Sanchita Khadka ◽  
Bandana Koirala ◽  
Mehul Rajesh Jaisani ◽  
Siddhartha Rai
Keyword(s):  
Mouth Opening ◽  
Salvage Treatment ◽  
Progressive Decrease ◽  
Submandibular Region ◽  
Incision And Drainage ◽  
Odontogenic Infections ◽  
Space Infection ◽  
Submandibular Space ◽  
Appropriate Treatment ◽  
The Face

 Submandibular space infection is a potentially fatal infection that could arise as a result of odontogenic or non-odontogenic infections. The management should be prompt as the infection can spread rapidly leading to airway obstruction. A 5-year-old child reported with a complaint of swelling on the left side of the face for four days. On examination, patient had a diffuse swelling involving the left submandibular region with decreased mouth opening secondary to carious 75. The patient was administered intravenous (i.v) fluids, antibiotics and analgesics. Incision and drainage of the abscess was done extraorally under i.v sedation using midazolam with local anaesthesia followed by rubber drain placement. Patient responded to the treatment with progressive decrease in the swelling. Pulpectomy of 75 was performed followed by stainless-steel crown placement. This case highlights the importance of prompt appropriate treatment supplemented by salvage treatment to overcome the associated morbidity at this very young age.  

scholarly journals Knowledge and Practice towards Management of Space Infections among Dental Practitioners

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 967-971
Author(s):  
Ahmed Hilal Sheriff ◽  
Dhanraj Ganapathy ◽  
Subhashree Rohinikumar
Keyword(s):  
Odontogenic Infection ◽  
Incision And Drainage ◽  
Odontogenic Infections ◽  
Space Infection ◽  
Periodontal Infection ◽  
First Choice ◽  
Dental Practitioners ◽  
Knowledge And Practice ◽  
Essential Knowledge ◽  
Supporting Structures

An odontogenic infection is an alveolar, jaw, or facial infection that is caused by a tooth or its supporting structures and is one of the most common infections. Dental caries, heavy restorations or unsuccessful endodontic treatment, pericoronitis and periodontal infection are by far the most likely reasons for odontogenic infections. Infections are typically clustered around teeth and may stay concentrated to the region where it began, and may propagate to neighbouring or distant locations. The questionnaire included questions regarding essential knowledge and understanding of the Management of odontogenic space infections. Responses were obtained, and the data were analyzed. 72% of the respondents have said streptococcus viridans is the most common microorganisms in odontogenic infection, 57% said they would give antibiotics, incision and drainage for canine space infection, 63% said they would give antibiotics, incision and drainage for submandibular infection space infection, 57% said their first choice of antibiotic in managing space infection is Amoxicillin, and 53% said clindamycin is the choice of antibiotics in patients allergic to Amoxicillin. Most of the dental practitioners in this study did not have complete knowledge regarding the new generations of cephalosporins rather; they were aware of the 3rd and 4th generation cephalosporins. More education and understanding will improve the effectiveness of use and solve the difficulties faced in dentistry.

scholarly journals Fatal Ludwig's Angina: Cases of Lethal Spread of Odontogenic Infection

2018 ◽  
Vol 8 (1) ◽  
pp. 150-169 ◽  
Author(s):  
Catherine R. Miller ◽  
Kendall Von Crowns ◽  
Vickie Willoughby
Keyword(s):  
Pleural Empyema ◽  
Odontogenic Infection ◽  
Odontogenic Infections ◽  
Space Infection ◽  
Dental Abscess ◽  
Submandibular Space ◽  
History Of ◽  
Ludwig’S Angina ◽  
Submandibular Space Infections ◽  
Ludwig's Angina

We report two cases of deaths resulting from complications of odontogenic infections/submandibular space infections. In one case, the decedent had a history of toothache as well as facial and tongue swelling; autopsy revealed inflammation involving the tongue and larynx. In the second case, the decedent had a history of toothache, and at autopsy there was spread of infection to the mediastinum. Ludwig's angina is a form of submandibular space infection, which often is a result of odontogenic infection. The infection can spread into the deep spaces of the neck, producing complications including edema of the tongue and pharynx (causing airway obstruction), descending mediastinitis, pericarditis, necrotizing fasciitis, pleural empyema, and pneumonia. Gross findings at autopsy might reveal a dental abscess or other forms of infection of the head and neck, necrosis of the neck muscles and larynx, and infrequently, infection extending to the chest cavity. Microscopically, there is acute inflammation with necrosis and/or granulation tissue predominantly within the fascia. Without treatment, submandibular space infections can be life threatening and progression to death can be swift. These cases demonstrate the lethal effects of odontogenic infections. Without a clinical history of toothache or dental abscess, one can be alerted to a possible submandibular space infection by identifying isolated necrosis of the neck musculature.

Odontogenic Submandibular Space Infection Complicated By Temporal Space Abscess: Report Of A Rare Case

2017 ◽  
Vol 1 (7) ◽  
pp. 10-13
Author(s):  
Priyanka Razdan ◽  
Chanchal Singh ◽  
Jishnu Krishna Kumar ◽  
Basavaraj Patthi ◽  
Ravneet Malhi ◽  
...  
Keyword(s):  
Rare Case ◽  
Male Child ◽  
Temporal Region ◽  
Incision And Drainage ◽  
Space Infection ◽  
Submandibular Space ◽  
Temporal Space ◽  
Odontogenic Origin ◽  
Submandibular Space Infections

Cases of facial space infection of odontogenic origin are commonly reported in dentistry. Among them submandibular space infections are most common, but their extension to temporal region is seldom reported. Management of such infection is very challenging and requires expertise. This report describes the management of a rare case of a submandibular space infection extending to temporal space using incision and drainage in an eight years old male child.

MANAGEMENT OF ODONTOGENIC INFECTION OF PRIMARY TEETH IN CHILD THAT EXTENDS TO THE SUBMANDIBULAR AND SUBMENTAL SPACES

2021 ◽  
Vol 5 (8) ◽  
Author(s):  
Endang Sjamsudin ◽  
Lucky Riawan ◽  
Winarmo Priyanto
Keyword(s):  
Tooth Extraction ◽  
Primary Teeth ◽  
Odontogenic Infection ◽  
Odontogenic Infections ◽  
Appropriate Treatment ◽  
The Face ◽  
Facial Area ◽  
Systemic Symptoms ◽  
The Right ◽  
Head And Neck Infections

Odontogenic infections are infections originating from the teeth or the supporting tissues of the teeth. This infection can spread to the alveolar processes, the deeper tissues of the face, oral cavity, head, and neck. Infections that spread to a child's facial area can progress rapidly, producing significant systemic symptoms, such as fever, malaise, dehydration, dysphagia, and respiratory distress. The purpose of this case report is to describe the management of odontogenic infection of primary teeth in child that extends to the submandibular and submental spaces. Case Report:A 5-year-old boy patient came to the Emergency Department of Hasan Sadikin Hospital Bandung with complaints of swelling in the right submental and submandibular for seven days. The patient complained of toothache, fever, and trismus. The diagnosis of this case was submandibular abscess extending to the submental area due to dental infection 85.. Patient care includes administering Ceftraxone inj 325 mg IV, Metronidazole inf 170 mg IV, Paracetamol inf 195 mg IV, tooth extraction 85, drainage incision through and through the right mandibular to submental, and installation of a Penrose drain. Conclusion:Odontogenic infections in children can originate from primary teeth and can extend to the maxillofacial space. Prompt and appropriate treatment of severe odontogenic infections in children needs to be done to prevent further complications  

scholarly journals Temporal space infection secondary to recurrent buccal space infection from mandibular deciduous molar in 7-year-old child: a case report

2019 ◽  
Vol 9 (1) ◽  
pp. 70-73
Author(s):  
Sourav Rout ◽  
Shailesh Gautam ◽  
Arun Kumar Shah
Keyword(s):  
Case Report ◽  
Early Stage ◽  
Maxillofacial Surgery ◽  
Fatal Outcome ◽  
Oral And Maxillofacial Surgery ◽  
Incision And Drainage ◽  
Odontogenic Infections ◽  
Space Infection ◽  
Temporal Space ◽  
Fascial Space

Head and neck space infections are usually secondary to odontogenic infections due to translocation of oral microbes to fascial space via odontogenic route resulting in progression by enzymatic degradation of connective tissue. Various factors like microbiological, host, nutritional and socioeconomic factors are responsible for progression of fascial space infection that might take fatal course if not treated in time. The present case report describes a child with fascial space infection of oral and maxillofacial region who was treated by incision and drainage in department of oral and maxillofacial surgery of this hospital. Fascial space infections are one of the surgical emergencies and need to be addressed in early stage as it has rapid regional and systemic progression leading to fatal outcome. It is multifactorial and all need to be addressed. Incision and drainage with removal of cause with antimicrobial therapy is treatment modality of space infection. Inadequate drainage might lead to recurrence of infection and progression to distant secondary spaces.

scholarly journals To Establish A Normal Range of Inter-Incisal Opening - A Study of 756 Subjects of Age Group 20-50 Years in Yamunanagar City, Haryana.

2013 ◽  
Vol 01 (01) ◽  
pp. 001-003
Author(s):  
Aruna Singh ◽  
Nymphea Pandit ◽  
Monica Sharma
Keyword(s):  
Pearson Correlation ◽  
Mouth Opening ◽  
Clinical History ◽  
P Value ◽  
Age Group ◽  
Male Population ◽  
Female Population ◽  
Odontogenic Infections ◽  
Anterior Teeth ◽  
Average Maximum

Abstract Aim- 1. The aim of this study was to investigate the average maximum range of inter-incisal mouth opening in a representative sample of the adult subjects of Haryana. 2. To see any correlation between maximal inter-incisal opening with age. Methods- Maximum mouth opening was studied in 756 adult subjects with age range of 20-50 years in Yamunanagar, Haryana. Age limit was further divided into three groups (20-30, 31-40, 41-50). Those with clinical history of TMJ involvement, OSMF, any trauma, odontogenic and non-odontogenic infections, dental prosthesis on the anterior teeth, congenital anomalies in the maxillofacial region were excluded from this study. The measurements were recorded twice and mean of the two values were taken. Statistical Analysis- Independent sample t-test was calculated to compare age and mouth opening in both male and females respectively. Bivariate pearson correlation was used to see any relationship between age and mouth opening. P-value ≤ 0.05 and CI (confidence interval) at 95% were considered statistically significant. The Results- The average mouth opening of males (45.36±6.70 mm) subjects was higher as compared to female (41.27 ± 6.75 mm) with significant, p-value 0.000. The mean mouth opening ± SD for both sexes combined was 43.39 ± 7.02 mm. The corresponding values for mean inter-incisal opening in male population aged 20-30, 31-40, 41-50 were 45.52 ± 7.15, 46.16 ± 5.47, 42.96 ± 6.82 mm and in female population aged 20-30, 31-40, 41-50 were 41.40 ± 7.08, 41.60 ± 6.29 and 40.03 ± 6.38 mm respectively. Conclusion- Maximal mouth opening differ significantly with gender. There is a decrease in MMO with older age group.

Extraarticular joint ankylosis: a rare presentation

2021 ◽  
Vol 14 (11) ◽  
pp. e244616
Author(s):  
Saurabh Kumar ◽  
Arun Paul Charllu
Keyword(s):  
Temporomandibular Joint ◽  
Mouth Opening ◽  
Rare Condition ◽  
Rare Disorder ◽  
Progressive Decrease ◽  
Rare Presentation ◽  
Diagnosis And Management ◽  
Posterior Maxilla ◽  
Mechanical Interference ◽  
Joint Ankylosis

Pseudoankylosis is a rare condition that causes inability to open the mouth due to condition related to outside of the temporomandibular joint. Most literature refers to this hypomobility disorder, a result of fusion of the zygomatic bone to the coronoid process, and very rarely is insidious coronoid hyperplasia causing mechanical interference with the posterior maxilla has been reported. We present a case of a 45-year-old woman, who presented with coronoid malformation and overgrowth resulting in progressive decrease in mouth opening. She was managed with coronoidectomy, following which good mouth opening was obtained. In this paper we discuss about the diagnosis and management of this rare disorder.

scholarly journals Persistent Necrotizing Mediastinitis after Dental Extraction

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Eugênia Leal de Figueiredo ◽  
Carolina Chaves Gama Aires ◽  
Bruno José Carvalho Macêdo Neres ◽  
Bruna Luna de Araújo ◽  
José Alcides Almeida de Arruda ◽  
...  
Keyword(s):  
Unusual Case ◽  
Surgical Intervention ◽  
Third Molar ◽  
Alcoholic Beverages ◽  
Odontogenic Infections ◽  
Sexually Transmitted ◽  
Risk Of Death ◽  
Third Molar Extraction ◽  
Appropriate Treatment ◽  
Imminent Risk

Mediastinitis is a rare, progressive, and destructive infectious process due to cervical or odontogenic infections, which, if not diagnosed early, may lead to several complications, including airway involvement and even an imminent risk of death. Herein, we report an unusual case of a 37-year-old male with a bilateral submandibular hard swelling after the left third molar extraction. After surgical intervention with submandibular drainage and antibiotic therapy, the infection persisted without explanation, since the patient was not hypertensive, did not have diabetes mellitus or sexually transmitted infections such as HIV or syphilis, and did not smoke or drink alcoholic beverages. A thoracic surgeon then intervened, treating the mediastinitis surgically by drainage, thus obtaining a significant improvement of the patient’s health. Mediastinitis is a serious condition. Clinicians and maxillofacial surgeons should be alert to make an immediate diagnosis and select the appropriate treatment in order to prevent worsening of the patient’s clinical condition.

scholarly journals RELAPSED/REFRACTORY CHRONIC LYMPHOCYTIC LEUKEMIA: CHEMOIMMUNOTHERAPY, TREATMENT UNTIL PROGRESSION WITH MECHANISM-DRIVEN AGENTS OR FINITE-DURATION THERAPY?

2019 ◽  
Vol 11 (1) ◽  
pp. e2019024
Author(s):  
Antonio Cuneo ◽  
Robin Foà
Keyword(s):  
Chronic Lymphocytic Leukemia ◽  
Scientific Evidence ◽  
Salvage Treatment ◽  
Lymphocytic Leukemia ◽  
Continuous Treatment ◽  
Fixed Duration ◽  
Continuous Therapy ◽  
Appropriate Treatment ◽  
Efficacy Profile

Treatment of relapsed/refractory (R/R) chronic lymphocytic leukemia (CLL) has dramatically improved thanks to the development of mechanism-driven agents including drugs that inhibit kinases in the BCR pathway or BCL2. The treating physician has now the opportunity to decide i) which patient can be still offered chemoimmunotherapy as salvage treatment, ii) which patient is a candidate to receiving at relapse continuous treatment with ibrutinib, idelalisib and rituximab or venetoclax and iii) which patient may benefit from a fixed-duration treatment using the BCL2 antagonist venetoclax in association with rituximab. Ibrutinib is the most actively investigated drug in R/R CLL and data at a 7-year follow-up were reported, showing durable efficacy and favorable efficacy profile. The patients with  cardiac disease, hypertension and on anticoagulant therapy are not ideal candidates for continuous therapy with this agent. Idelalisib and rituximab was tested in patients with unfavorable characteristics including cytopenias. The short follow-up and treatment emergent adverse events limit its role to patients unlikely to get a benefit with other agents. Venetoclax and rituximab is the only effective chemo-free approach for the treatment of R/R with a fixed duration (up to 24 months) schedule capable of inducing deep  responses in the majority of cases with a reassuring safety profile. While a deep knowledge of the growing body of scientific evidence is required to inform and guide the appropriate treatment choice and management, physicians cannot disregard the growing problem of sustainability

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