The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 19 , ISSUE 3 ( March, 2018 ) > List of Articles

CASE REPORT

Management of a Severe Cervicofacial Odontogenic Infection

Ana KM Tormes, Manoela M De Bortoli, Rui M Júnior, Emanuel SS Andrade

Citation Information : Tormes AK, De Bortoli MM, Júnior RM, Andrade ES. Management of a Severe Cervicofacial Odontogenic Infection. J Contemp Dent Pract 2018; 19 (3):352-355.

DOI: 10.5005/jp-journals-10024-2265

License: CC BY 3.0

Published Online: 00-03-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

Odontogenic infections originate from a tooth or from its supporting structures, generally secondary to a pulp necrosis, periodontal disease, pericoronitis, apical lesions, or complications of dental procedures, which can be restricted to the alveolus or can reach the jaws and face through maxillofacial spaces. These are the most common conditions which affect the head and neck regions.

Aim

The aim of this study is to report a severe case of a cervicofacial odontogenic infection while discussing the most relevant aspects.

Case report

A 47-year-old female patient with a background of diabetes mellitus (DM) had a cervicofacial infection presenting edema and erythema in the left hemiface extending from the frontoparietal to cervical region and was submitted to extensive surgical treatment combined with antibiotic therapy.

Conclusion

Although the prevalence and complication rates of odontogenic infections had decreased with the advancement of diagnostic techniques, availability of effective antibiotics, and improvement in oral hygiene, still there are conditions that require attention and accurate treatment to prevent the progression of the pathology to deeper fascial spaces.

Clinical significance

Odontogenic infections can be treated with fewer complications if approached earlier when diagnosed while their premature clinical manifestations. However, if the treatment is postponed and the infection spreads into deeper fascial spaces, it can damage vital structures, and, consequently, threaten the patient’s life. In these cases, extensive and aggressive therapy should be performed.

How to cite this article

Tormes AKM, De Bortoli MM, Junior RM, Andrade ESS. Management of a Severe Cervicofacial Odontogenic Infection. J Contemp Dent Pract 2018;19(3):352-355.


  1. Odontogenic infections. Dent Clin North Am 2017 Apr;61(2):235-252.
  2. Severe odontogenic infection: an emergency. Case report. J Clin Exp Dent 2017 Feb;9(2):e319-e324.
  3. Multi-space infections in the head and neck: do underlying systemic diseases have a predictive role in life-threatening complications? J Oral Maxillofac Surg 2015 Jul;73(7):1320.e1-1320.e10.
  4. Deep neck infection after third molar extraction: a case report. J Dent Res Dent Clin Dent Prospects 2017 Summer;11(3):166-169.
  5. Deep neck space infection—a retrospective study of 270 cases at tertiary care center. World J Otorhinolaryngol Head Neck Surg 2016 Dec;2(4):208-213.
  6. Incidence and management of severe odontogenic infections-a retrospective analysis from 2004 to 2011. J Craniomaxillofac Surg 2015 Mar;43(2):285-289.
  7. Examining the correlation between diabetes and odontogenic infection: a nationwide, retrospective, matched-cohort study in Taiwan. PLoS One 2017 Jun;12(6):e0178941.
  8. Risk factors for life-threatening complications of maxillofacial space infection. J Craniofac Surg 2016 Mar;27(2):385-390.
  9. Patterns of cervicofacial infections: analysis of the use of computed tomography. Oral Maxillofac Surg 2014 Jun;18(2):201-206.
  10. An unusual infection of cervicofacial area caused by dental pathology: flesh-eating syndrome. Am J Emerg Med 2015 Oct;33(10):1543.e3-1543.e6.
  11. Odontogenic orbital abscess: a case report and review of literature. Oral Maxillofac Surg 2017 Jun;21(2):271-279.
  12. Orbital abscess arising from an odontogenic infection. J Contemp Dent Pract 2012 Sep;13(5):740-743.
  13. Orbital infection threatening blindness due to carious primary molars: an interesting case report. J Maxillofac Oral Surg 2016 Mar;15(1):72-75.
  14. A case of odontogenic orbital cellulitis causing blindness by severe tension orbit. J Korean Med Sci 2013 Feb;28(2):340-343.
  15. Imaging of odontogenic infections. Radiol Clin North Am 2018 Jan;56(1):31-44.
  16. Comparison of maxillofacial space infection in diabetic and nondiabetic patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010 Oct;110(4):e7-e12.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.