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.
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.
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Details
| Primary Language | English |
|---|---|
| Subjects | Oral and Maxillofacial Surgery |
| Journal Section | Research Article |
| Authors | |
| Project Number | 23-5/67 |
| Submission Date | August 1, 2025 |
| Acceptance Date | January 25, 2026 |
| Publication Date | March 27, 2026 |
| DOI | https://doi.org/10.7126/cumudj.1755363 |
| IZ | https://izlik.org/JA36LC83PE |
| Published in Issue | Year 2026 Volume: 29 Issue: 1 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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