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  

Microbiological justification of the application of cyprofloxacin and tinidazole combination for antimicrobial chemistry in dentistry

2021 ◽  
pp. 18-22
Author(s):  
V. N. Tsarev ◽  
R. V. Ushakov ◽  
N. N. Nuruev ◽  
A. R. Ushakov ◽  
Yu. A. Trefilova ◽  
...  
Keyword(s):  
Pathogenic Bacteria ◽  
Odontogenic Infection ◽  
Combined Approach ◽  
Antimicrobial Drugs ◽  
Full Spectrum ◽  
Odontogenic Infections ◽  
Complex Preparation ◽  
Aerobic And Anaerobic ◽  
Head And Neck Infections

Relevance. According to modern concepts, virulent representatives of periodontal pathogenic bacteria are actively involved in the development of both periodontal pathology and various forms of odontogenic infection. The species diversity of these pathogens determines the need for a combined approach when choosing antimicrobial drugs.The aim of the work is to provide a microbiological substantiation of the use of a combined dosage form of ciprofloxacin and tinidazole for the treatment of periodontal and odontogenic infections based on the determination of the spectrum of action and the characteristics of the activity of the components.Materials and methods. Determination of the sensitivity of various strains of periodontal and odontogenic infection pathogens (P. intermedia, S. constellatus; S. sanguis, K. pneumoniae, S. aureus – MRSA) was carried out by the method of automated cultivation of strains with different concentrations of the tested drugs – ciprofloxacin and tinidazole.Results. Differences in the activity of the components of the combined preparation ciprofloxacin and tinidazole were found in terms of the sensitivity of strains of aerobic and anaerobic pathogens to them. Aerobic strains, including MRSA, were inhibited by ciprofloxacin in a low concentration range (6.25 μg / ml), but for some anaerobic strains the activity of ciprofloxacin was borderline (12.5 μg / ml). This confirmed the need to include tinidazole in the composition of the complex preparation.Conclusion. The combination of ciprofloxacin and tinidazole provides coverage of the full spectrum of periodontal and odontogenic infections and can be used as the agent of choice in the antimicrobial chemotherapy algorithm for head and neck infections. 

scholarly journals Trismus and odontogenic infection - A retrospective study

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1731-1736
Author(s):  
Mohamad Qulam Zaki Bin Mohamad Rasidi ◽  
Muthukrishnan Arvind ◽  
Dinesh Prabu
Keyword(s):  
Pain Score ◽  
Infection Type ◽  
Third Molar ◽  
Positive Association ◽  
Odontogenic Infection ◽  
Positive Correlation ◽  
Odontogenic Infections ◽  
Mandibular Third Molar ◽  
Infection Types ◽  
The Right

Odontogenic infections are polymicrobial, consisting of aerobic microorganisms, strict anaerobes and facultative anaerobes. It can either be localised or rapidly spread to the deep neck space causing space infection and need immediate emergency medical and surgical management. The aim of this study is to evaluate the association of odontogenic infection leading to trismus and its prevalence amongst patients visiting a university dental institution. 63 patients aged between 17 years old to 70 years old, whose details were obtained from the electronic database in Saveetha Dental College and Hospital from June 2019 till May 2020 were included in the study. All 63 patient records were assessed for the details such as age, sex, odontogenic infection type, odontogenic infection sources, space involved, and pain score (VAS). The data were analysed. Results showed that in the odontogenic infection types, pericoronitis has a higher prevalence with 42.9%. The right mandibular third molar is the most prevalent (25.4%) odontogenic infection source. Amongst space involved, Submasseteric space is the most common space infected (42.9%). When the pain score VAS is assessed, patients have a higher VAS score between 6.00 (33.5%) and 8.00 (38.1%), respectively. There is a positive correlation between pericoronitis and mandibular third molar teeth. There is also a positive correlation between pericoronitis and Submasseteric space involvement. In conclusion, our study revealed a positive association between odontogenic infection involving Submasseteric, Submandibular space and painful trismus.

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.  

Recurrent and Progressive Facial Baroparesis on Flying Relieved by Eustachian Tube Dilation

2019 ◽  
Vol 128 (8) ◽  
pp. 778-781
Author(s):  
Tracy Z. Cheng ◽  
David M. Kaylie
Keyword(s):  
Facial Paralysis ◽  
Eustachian Tube ◽  
Balloon Dilation ◽  
Work Related ◽  
Seventh Cranial Nerve ◽  
Commercial Airline ◽  
Appropriate Treatment ◽  
The Face ◽  
History Of ◽  
The Right

Objectives: Facial baroparesis is a rare phenomenon of seventh cranial nerve palsy traditionally reported in divers, with only 11 cases reported in aviation so far. It is important to correctly diagnose facial baroparesis given the differential diagnosis of stroke and decompression disease and offer appropriate treatment for recurrent cases. Methods: The authors present the case of a patient with recurrent and progressive facial baroparesis treated with Eustachian tube balloon dilation. Institutional medical records were reviewed, and analysis of the current literature was performed. Results: A 37-year-old woman experienced recurrent and progressive left facial paralysis on descent from altitude on commercial airline flights, with resolution between flights. The patient flew frequently for work-related trips and for the past 7 years had noted facial paralysis that began with mild asymmetry of the face and progressed to an inability to close her left eye. She denied any otologic symptoms other than ear fullness and pressure causing left otalgia. The right side was not involved. After treatment with Eustachian tube dilation, the patient has been on numerous flights with complete resolution of symptoms. Conclusions: This study presents a rare case of facial baroparesis on commercial flight descent that resolved after left Eustachian tube dilation. Although unilateral facial palsy can be concerning for stroke, a history of ear fullness and pressure may suggest facial baroparesis instead. For recurrent and progressive cases, Eustachian tube dilation should be considered for treatment.

scholarly journals Knowledge, Awareness and Perception Regarding Importance of Primary Teeth among Parents Visiting Dental OPD, BPKIHS, Dharan, Nepal

2019 ◽  
Vol 3 (3) ◽  
pp. 570-575
Author(s):  
Mamta Dali ◽  
Bandana Koirala ◽  
Sneha Shrestha
Keyword(s):  
Dental Caries ◽  
Primary Teeth ◽  
Health Knowledge ◽  
Dental Health ◽  
Permanent Teeth ◽  
Positive Attitudes ◽  
Pediatric Dentist ◽  
Appropriate Treatment ◽  
Untreated Caries ◽  
The Right

Introduction: Oral health knowledge and awareness among parents is an integral component of preventing dental caries among children. Objective: The purpose of this paper is to assess the parent's knowledge, awareness and perception regarding the care of primary teeth attending the Dental OPD, BPKIHS, Dharan, Nepal. Methodology: A questionnaire based survey was conducted among 200 parents in randomly selected manner. Results: The data was analyzed using SPSS software version 12.0. Only 54% of the parents were aware of the importance of primary teeth in children and 82% understood that untreated caries in primary dentition can have effects on general health of children. Approx 82% parents were aware of pediatric dentist and majority felt that they are the right person to contact when dental problems occur in children. Surprisingly only 57% of parents were aware of the preventive role of fluorinated tooth in dental caries. A majority of parents assume that filling is the appropriate treatment option for caries in children rather than extraction and 40.5% felt that premature primary teeth extraction will results in malalignment of permanent teeth. A very negative response was obtained regarding routine dental visit to pediatric dentist. Majority (61%) visited only when dental problems occurred whereas 12-16% answered they visit in every 6 months or once in a year. Conclusions: We concluded that knowledge, awareness and perception of parents regarding importance of primary teeth were inadequate. There is an immediate need to cultivate and reinforce positive attitudes among parents and substantially raise their dental awareness through child dental health oriented programs.

scholarly journals Canina fossa abscess and treatment

2018 ◽  
Vol 3 (1) ◽  
pp. 54
Author(s):  
Muhammad H. Chanda
Keyword(s):  
Early Recognition ◽  
Maxillary Sinusitis ◽  
Panoramic Radiographs ◽  
Odontogenic Infections ◽  
The Face ◽  
History Of ◽  
History Of Pain ◽  
Upper Jaw ◽  
The Right

Objective: Canina fossa abscesses are rarely reported in the literature. Tooth infection is often derived from bacteria associated with the abscess. Canina fossa abscesses can lead to the development of secondary abscesses, infection of incisors and canines in the upper jaw and maxillary sinusitis infection.Methods: Odontogenic infections can easily spread throughout the muscles and the face, which can cause abscesses mucolabial or accumulation of pus in the eyelid and face. Results: Patients experienced a history of pain and fever. Physical examination showed enlargement and swelling of the right cheek and panoramic radiographs appear radiolucent on the apex of tooth tip 13. Treatment included an intraoral drainage incision at the apex of the tooth 13 and continued administration of antibiotic therapy.Conclusion: Successful treatments require early recognition, determination of etiological factors, and appropriate medical and surgical management.

scholarly journals Progressive systemic sclerosis with unilateral osteolysis of the mandible: a unique case report and review

2021 ◽  
Vol 5 (3) ◽  
pp. 126
Author(s):  
Lusi Epsilawati ◽  
Chrisna Ardhya Medika ◽  
Eddy Hermanto
Keyword(s):  
Case Report ◽  
Systemic Sclerosis ◽  
Tooth Extraction ◽  
Mandibular Condyle ◽  
Progressive Systemic Sclerosis ◽  
The Body ◽  
Entire Body ◽  
Posterior Teeth ◽  
The Face ◽  
The Right

Objectives: This case report is aimed to discuss case findings of Progressive Systemic Sclerosis (PSS), an overview of the characteristics in the form of osteolysis on one side of the mandible, and a theoretical review. Case Report: A 30-year old male patient came to an oral surgeon after tooth extraction. Clinical extraoral examination revealed hyperpigmentation on the right side of the face. A radiological study showed widening periodontal space on posterior teeth, and the angles of the mandibular arch, the jaw branch and the mandibular condyle neck were dissolved in the form of bone resorption. Conclusion: Characteristics of Progressive Systemic Sclerosis (PSS) in radiographs appear in the form of expansion of the periodontal space and osteolysis of the mandibular angle, branch, and even condyle. This disease is caused by an autoimmune disease that affects the entire body, but it can manifest on one side of the body.

scholarly journals Surgical management of necrotizing fasciitis due to odontogenic infection with sepsis: a case report

2017 ◽  
Vol 2 (1) ◽  
pp. 70
Author(s):  
Saka S. Nugroho ◽  
Endang Syamsudin ◽  
Andri Hardianto ◽  
Lucky Riawan
Keyword(s):  
Necrotizing Fasciitis ◽  
Broad Spectrum ◽  
Odontogenic Infection ◽  
Surgical Debridement ◽  
Team Approach ◽  
Surgical Operation ◽  
Empiric Antibiotic ◽  
The Face ◽  
Facial Area ◽  
Empiric Antibiotic Treatment

Objective:To perform surgical operation on necrotizing fasciitis due to odontegenic infection with sepsis.Methods: In this case an odontogenic infection was accompanied by a large open wound on the face and sepsis. Patient was hospitalized in the Dr.HasanSadikin General Hospital. Management of this patient in the emergency room were administration of appropriate broad-spectrum empiric antibiotic, incision and pus drainage, and extraction of the infected tooth, followed by fluid resuscitation with strict observation. Surgical debridement was then performed.Results:After being treated for 12 days the patient’s condition improved. We planned closure of defects of the facial area, but the patient refused.Conclusion: Necrotizing fasciitis is an uncommon but potentially lethal condition associated with high rates of morbidity and mortality. Early diagnosis coupled with emergent surgical debridement, appropriate broad-spectrum empiric antibiotic treatment, and a multidisciplinary team approach is essential for successful treatment.

scholarly journals P046 Pointing the finger: an unusual presentation of dactylitis

Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_1) ◽  
Author(s):  
Natalia Cernovschi - Feasey ◽  
Julekha Wajed
Keyword(s):  
Pleural Effusion ◽  
Soft Tissue ◽  
Middle Finger ◽  
Joint Involvement ◽  
Long Bones ◽  
History Of ◽  
Systemic Symptoms ◽  
The Right ◽  
Hands And Feet ◽  
Radiographic Changes

Abstract Background/Aims  Dactylitis is commonly associated with psoriatic arthritis, and regularly presents at Rheumatology clinics. We discuss a case where progressive systemic symptoms lead to the consideration of alternate diagnoses. Methods  A 46-year-old Nepalese woman presented to the Rheumatology department with a 3 month history of diffuse swelling of the right middle finger proximal interphalangeal joint, with the appearance of dactylitis. There was pain on movement, but no other joint involvement. Simultaneously she noticed blurred and decreased vision, which on review by the ophthalmologists, was diagnosed with bilateral uveitis. There was no history of psoriasis, inflammatory bowel disease, or other past medical history of note. There was no travel history in the past 12 months. A diagnosis of a presumed inflammatory arthritis was made. Results  Blood tests showed elevated c-reactive protein 55 (normal <4 mg/l), erythrocyte sedimentation rate 138 (normal 0-22 mm/hr) and an iron deficiency anaemia. Rheumatoid factor and Anti-CCP antibody were negative. Hand radiographs were reported as normal. MRI of the third digit confirmed an enhancing soft tissue collection at the proximal phalanx of the right middle finger. She was referred for a biopsy of this lesion. Interestingly over the subsequent few months, she developed progressive breathlessness. Chest radiograph showed a left pleural effusion. Further tests showed negative serum ACE, Lyme and Toxoplasma screen. Quantiferon test was negative. Pleural aspirate showed a transudate with negative Acid-fast bacillus (AFB) test and culture. CT chest and abdomen showed a persistent pleural effusion, inflammatory changes in the small bowel and thickening of the peritoneum and omentum. In view of the systemic involvement, a peritoneal tissue biopsy was performed. This confirmed chronic granulomatous inflammation with positive AFB stain for mycobacterium tuberculosis. Our patient was started on quadruple anti- TB antibiotics for 6 months. Her systemic symptoms and dactylitis have improved, although there is on-going treatment for her ocular involvement. Conclusion  Approximately 10% of all cases of extrapulmonary TB have osteoarticular involvement. Dactylitis is a variant of tuberculous osteomyelitis affecting the long bones of the hands and feet. It occurs mainly in young children; however adults may be affected also. The first manifestation is usually painless swelling of the diaphysis of the affected bone followed by trophic changes in the skin. The radiographic changes are known as spina ventosa, because of the ballooned out appearance of the bone, although this was not seen in our case. Fibrous dysplasia, congenital syphilis, sarcoidosis and sickle cell anaemia may induce similar radiographic changes in the metaphysis of long bones of hands and feet, but do not cause soft tissue swelling or periosteal reaction. This case highlights the importance of testing for TB, especially in atypical cases of dactylitis, with other systemic features. Disclosure  N. Cernovschi - Feasey: None. J. Wajed: None.

scholarly journals A case series of profilometric changes in two implant placement protocols at periodontally compromised non-molar sites

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kwantae Noh ◽  
Daniel S. Thoma ◽  
Jung-Chul Park ◽  
Dong-Woon Lee ◽  
Seung-Yun Shin ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Tooth Extraction ◽  
Case Series ◽  
Tissue Level ◽  
Ridge Preservation ◽  
Bone Augmentation ◽  
Implant Placement ◽  
Alveolar Ridge Preservation ◽  
Tissue Changes ◽  
Facial Area

AbstractInformation regarding profilometric changes at a soft tissue level following implant placement with different protocols is insufficient. Therefore, this study aimed to comparatively investigate the profilometric tissue changes with respect to late implant placement following alveolar ridge preservation (LP/ARP) and early implantation (EP) in periodontally compromised non-molar extraction sites. Sixteen patients were randomly assigned to the following groups: implant placement 4 months post-ARP (group LP/ARP) and tooth extraction and implant placement 4–8 weeks post-extraction (group EP). Dental impressions were obtained immediately after final prosthesis insertion and at 3, 6, and 12 months. At the time of implant placement, bone augmentation was performed in the majority of the patients. Profilometric changes of the tissue contour were minimal between the final prosthesis insertion and 12 months in the mid-facial area (0.04–0.35 mm in group LP/ARP, 0.04–0.19 mm in group EP). The overall tissue volume increased in both groups (1.70 mm3 in group LP/ARP, 0.96 mm3 in group EP). In conclusion, LP/ARP and EP led to similar stability of the peri-implant tissue contour between the final prosthesis insertion and at 12 months. Moreover, the change of peri-implant tissue on the soft tissue level was minimal in both modalities.

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