Chronic dentoalveolar abscess in a pediatric patient with rare drainage
Introduction: Infections of the maxillomandibular complex are common in dentistry and may be easily reversed, depending on the professional's ability to diagnose and treat promptly, as well as the patient's immunocompetence. In most cases their etiology is dental, i.e. a mixed microbiota w...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Editorial Ciencias Médicas
2019-11-01
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| Series: | Revista Cubana de Estomatología |
| Subjects: | |
| Online Access: | http://www.revestomatologia.sld.cu/index.php/est/article/view/2043 |
| _version_ | 1819319881115369472 |
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| author | Sheinaz Farias Hassam Maiana Coelho Cardoso dos Santos Paulo Andrei Costa Coelho Tamara Costa Lopes Schiavotelo Juliana Andrade Cardoso Jener Gonçalves de Farias |
| author_facet | Sheinaz Farias Hassam Maiana Coelho Cardoso dos Santos Paulo Andrei Costa Coelho Tamara Costa Lopes Schiavotelo Juliana Andrade Cardoso Jener Gonçalves de Farias |
| author_sort | Sheinaz Farias Hassam |
| collection | DOAJ |
| description | Introduction: Infections of the maxillomandibular complex are common in dentistry and may be easily reversed, depending on the professional's ability to diagnose and treat promptly, as well as the patient's immunocompetence. In most cases their etiology is dental, i.e. a mixed microbiota with presence of Streptococci and Peptostreptococci. These bacteria are associated to the process of pulp necrosis and dentoalveolar abscess formation. When this condition develops from the lower molars, dissemination usually occurs through the buccal vestibular space. However, there are cases that do not follow this pattern, allowing a molar to spread through the buccal, mandibular, submandibular, sublingual and submental spaces.
Objective: Report a case of odontogenic infection from pulp necrosis of the lower first molar (36) with atypical dissemination to the submandibular space in a pediatric patient.
Clinical case: Female 8-year-old patient with an episode of hospitalization for diagnosis and treatment of a facial infection, according to her medical / dental record. The infection was diagnosed as cellulitis and dental origin was discarded. Antibiotic therapy was started and the patient was discharged. After 9 months, the infection underwent a process of exacerbation with dissemination to the submandibular region. Analysis of the antecedents of the current condition, alongside physical and radiographic examination, led to the diagnosis of chronic dentoalveolar abscess with dissemination and drainage to the submandibular space, and the consequent indication of dental extraction and antibiotic therapy.
Conclusions: Early diagnosis and treatment are vital to avoid progression to severer complications such as mediastinitis and necrotizing fasciitis. |
| first_indexed | 2024-12-24T11:10:43Z |
| format | Article |
| id | doaj.art-38533b0537cc4c90b92a8ebef0d46cb4 |
| institution | Directory Open Access Journal |
| issn | 0034-7507 1561-297X |
| language | English |
| last_indexed | 2024-12-24T11:10:43Z |
| publishDate | 2019-11-01 |
| publisher | Editorial Ciencias Médicas |
| record_format | Article |
| series | Revista Cubana de Estomatología |
| spelling | doaj.art-38533b0537cc4c90b92a8ebef0d46cb42022-12-21T16:58:31ZengEditorial Ciencias MédicasRevista Cubana de Estomatología0034-75071561-297X2019-11-01564113793Chronic dentoalveolar abscess in a pediatric patient with rare drainageSheinaz Farias Hassam0Maiana Coelho Cardoso dos Santos1Paulo Andrei Costa Coelho2Tamara Costa Lopes Schiavotelo3Juliana Andrade Cardoso4Jener Gonçalves de Farias5Faculdade UNIME de Ciências Agrárias e da SaúdeFaculdade UNIME de Ciências Agrárias e da SaúdeFaculdade UNIME de Ciências Agrárias e da SaúdeUniversidade Federal da Bahia UFBAFaculdade UNIME de Ciências Agrárias e da SaúdeFaculdade UNIME de Ciências Agrárias e da Saúde Universidade Estadual de Feira de SantanaIntroduction: Infections of the maxillomandibular complex are common in dentistry and may be easily reversed, depending on the professional's ability to diagnose and treat promptly, as well as the patient's immunocompetence. In most cases their etiology is dental, i.e. a mixed microbiota with presence of Streptococci and Peptostreptococci. These bacteria are associated to the process of pulp necrosis and dentoalveolar abscess formation. When this condition develops from the lower molars, dissemination usually occurs through the buccal vestibular space. However, there are cases that do not follow this pattern, allowing a molar to spread through the buccal, mandibular, submandibular, sublingual and submental spaces. Objective: Report a case of odontogenic infection from pulp necrosis of the lower first molar (36) with atypical dissemination to the submandibular space in a pediatric patient. Clinical case: Female 8-year-old patient with an episode of hospitalization for diagnosis and treatment of a facial infection, according to her medical / dental record. The infection was diagnosed as cellulitis and dental origin was discarded. Antibiotic therapy was started and the patient was discharged. After 9 months, the infection underwent a process of exacerbation with dissemination to the submandibular region. Analysis of the antecedents of the current condition, alongside physical and radiographic examination, led to the diagnosis of chronic dentoalveolar abscess with dissemination and drainage to the submandibular space, and the consequent indication of dental extraction and antibiotic therapy. Conclusions: Early diagnosis and treatment are vital to avoid progression to severer complications such as mediastinitis and necrotizing fasciitis.http://www.revestomatologia.sld.cu/index.php/est/article/view/2043i infecção focal dentáriacontrole de infecçãodiagnósticocelulite (flegmão)abscessoabscesso periapical |
| spellingShingle | Sheinaz Farias Hassam Maiana Coelho Cardoso dos Santos Paulo Andrei Costa Coelho Tamara Costa Lopes Schiavotelo Juliana Andrade Cardoso Jener Gonçalves de Farias Chronic dentoalveolar abscess in a pediatric patient with rare drainage Revista Cubana de Estomatología i infecção focal dentária controle de infecção diagnóstico celulite (flegmão) abscesso abscesso periapical |
| title | Chronic dentoalveolar abscess in a pediatric patient with rare drainage |
| title_full | Chronic dentoalveolar abscess in a pediatric patient with rare drainage |
| title_fullStr | Chronic dentoalveolar abscess in a pediatric patient with rare drainage |
| title_full_unstemmed | Chronic dentoalveolar abscess in a pediatric patient with rare drainage |
| title_short | Chronic dentoalveolar abscess in a pediatric patient with rare drainage |
| title_sort | chronic dentoalveolar abscess in a pediatric patient with rare drainage |
| topic | i infecção focal dentária controle de infecção diagnóstico celulite (flegmão) abscesso abscesso periapical |
| url | http://www.revestomatologia.sld.cu/index.php/est/article/view/2043 |
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