Evaluation of Abscess of Odontogenic Origin: A Retrospective Study

Aylin Calis; Nergis Öksüz

doi:10.7126/cumudj.1755363

Evaluation of Abscess of Odontogenic Origin: A Retrospective Study

Abstract

Objectives: This study aimed to investigate the influence of various demographic, clinical, radiographic, and behavioral factors—such as age, gender, systemic conditions, oral hygiene status, and risk habits like smoking and alcohol consumption—on the treatment approaches adopted for odontogenic abscesses. The objective was to identify which factors are significantly associated with the selection of conservative versus invasive management strategies in clinical practice. Materials and Methods: This retrospective study included 23 patients (aged 18–70) treated for odontogenic abscesses at the Department of Oral Surgery, Ege University, between May 2023 and April 2024. Data on demographics, symptom duration, systemic health, clinical and radiographic findings, and behavioral risk factors were collected. Treatment modalities -antibiotic use, drainage, extraction, pulpectomy, and endodontic therapy- were analyzed. Statistical comparisons were performed using Chi-square, Fisher’s exact, Mann-Whitney U, and Kruskal-Wallis tests. Results: Antibiotics were prescribed in 78.3% of cases, while 60.9% underwent tooth extraction, 30.4% required drainage, and 39.1% received endodontic treatment. Symptom duration showed a statistically significant association with endodontic treatment (p = 0.05), with shorter durations favoring conservative therapy. No significant associations were observed for other variables, except for a correlation between alcohol consumption and antibiotic use (p = 0.006). Conclusion: Symptom duration is a key factor influencing the choice of conservative versus invasive treatment in odontogenic abscesses. Although most demographic and clinical variables were not statistically significant, early presentation may allow for tooth-preserving approaches.

Keywords

Project Number

23-5/67

Thanks

We would like to thank Dt.Şevval Çabuk for her efforts in obtaining the ethical approval for this study.

References

1. Ibrahim YM, Nasr T, Bondock S, Assar NH. Bactericidal activity of a substituted thiazole against multidrug-resistant Eggerthia catenaformis isolated from patients with dental abscess. Anaerobe 2021;69:102328.
2. González-García R, Risco-Rojas R, Román-Romero L, Moreno-García C, López García C. Descending necrotizing mediastinitis following dental extraction. Radiological features and surgical treatment considerations. J Craniomaxillofac Surg 2011;39(5):335-339.
3. Pasha Z. From theory to practice: best practices in odontogenic infection management. J Med Dent Front 2024;1:37-42.
4. Tozoğlu F, Ertaş U, Büyükkurt M, Yavuz MS, Uslu MA, Kaya B. Role of socioeconomic factors in maxillofacial abscess of odontogenic origin. Atatürk Univ Diş Hek Fak Dergisi 2009;19(1):26-30.
5. Rahimi-Nedjat RK, Sagheb K, Sagheb K, Hormes M, Walter C, Al-Nawas B. The role of diabetes mellitus on the formation of severe odontogenic abscesses-a retrospective study. Clin Oral Investig 2021;25(11):6279-6285.
6. Sanders JL, Houck RC. Odontogenic infections. In: StatPearls. Treasure Island (FL): StatPearls 2024.
7. Zawiślak E, Nowak R. Odontogenic head and neck region infections requiring hospitalization: an 18-month retrospective analysis. Biomed Res Int 2021;18;2021:7086763.
8. L Teoh, MC Cheung, S Dashper, R James, MJ McCullough. Oral antibiotic for empirical management of acute dentoalveolar infections: a systematic review. Antibiotics 2021;10(3):240

9. Judith MJ, Aswath N, Padmavathy K. Microbiota of dental abscess and their susceptibility to empirical antibiotic therapy. Contemp Clin Dent 2022;13:369-374.
10 Grillo R, Borba AM, Brozoski M, Moreira SB, da Silva YS, Naclério-Homem MG. Evolution of the treatment of severe odontogenic infections over 50 years: a comprehensive review. J Taibah Univ Med Sci 2022;18(2):225-233.
11. Jung J, Oh Y, Cha S, Ohe J. Contributing factors of head and neck space infections of odontogenic origin: a long-term retrospective clinical study. Med Oral Patol Oral Cir Bucal 2023;28(6):e622-629.
12. Yankov YG, Dimanov S, Nikolaev NI, Stoev L, Yotsova RV, Stoeva M. Etiology and demographic distribution of odontogenic abscesses: a five-year retrospective study. Cureus 2024;16(4):e59334.
13. Aliabadi E, Farshad MM, Kheirkhah M, Jafari SH. Clinical, CT scan, and laboratory changes of abscess patients with odontogenic origin. J Family Med Prim Care 2021;10:3314-3318.
14. Cuevas-Gonzalez MV, Mungarro-Cornejo GA, Espinosa-Cristóbal LF, Donohue-Cornejo A, Tovar Carrillo KL, Saucedo Acuña RA, et al. Antimicrobial resistance in odontogenic infections: a protocol for systematic review. Medicine (Baltimore) 2022;101(50):e31345.
15. Sipahi Çalış A, Özveri Koyuncu B, Öztürk K, Bilgen C. General approach to the treatment of odontogenic abscesses and cost analysis. J Istanbul Univ Fac Dent 2015;49(2):17-22.
16. Böttger S, Zechel-Gran S, Schmermund D, Streckbein P, Wilbrand JF, Knitschke M, et al. Microbiome of odontogenic abscesses. Microorganisms 2021;9(6):1307.
17. Ghasemi S, Mortezagholi B, Movahed E, Sanjarian S, Ghaedi A, Mallahi A, et al. Neutrophil to lymphocyte ratio in odontogenic infection: a systematic review. Head Face Med 2024;20(1):21.
18. Flynn TR, Shanti RM, Levi MH, Adamo AK, Kraut RA, Trieger N. Severe odontogenic infections, part 1: prospective report. J Oral Maxillofac Surg 2006;64(7):1093-1103.
19. Shah A, Ramola V, Nautiyal V. Aerobic microbiology and culture sensitivity of head and neck space infection of odontogenic origin. Natl J Maxillofac Surg 2016;7(1):56-61.
20. Kang SH, Kim MK. Antibiotic sensitivity and resistance of bacteria from odontogenic maxillofacial abscesses. J Korean Assoc Oral Maxillofac Surg 2019;45(6):324-331.