A six-year retrospective evaluation of odontogenic infections in pediatric patients requiring hospitalization
Abstract
Aims: Odontogenic infections in pediatric patients are common conditions which need to rapid treatment because of the progression of the infection into deep facial spaces. This study aimed to investigate the treatment modalities and clinical findings of hospitalized patients because of odontogenic infections.
Methods: The study sample was collected from patient’s medical records. Demographic data, clinical findings, hospital length, source of the infection and laboratory findings were compared.
Results: 330 patients were included and the study competed with 111 girls (34%) and 219 boys (66%) with a mean age of 6.81±3.25 years (min:1-max:17). 173 (%52) patients were treated for buccal space infection. The average duration of hospital stay was 2.69±0.78 days (min: 1, max: 6) in all cases and hospital stay was statistically higher in boys than girls (p=0.019). The duration of hospitalization was statistically higher in patients with fossa canina infection (p<0.001). 267 patients (%81) received ampicillin/sulbactam combined with metronidazole. The average day of the extraction of the causative tooth was the second day of the hospital stay. There was a positive correlation between length of hospital duration and CRP levels (p<0.001).
Conclusion: Odontogenic infections with facial cellulitis are generally seen in boys under six years old. The upper face is the most affected side with a rate of 72%. Intravenous penicillin and metronidazole treatment and early dental extraction with surgical drainage are necessary for rapid resolution of the infection.
References
- Gonçalves L, Lauriti L, Yamamoto MK, Luz JG. Characteristics and management of patients requiring hospitalization for treatment of odontogenic infections. J Craniofac Surg. 2013;24(5):458-462.
- Suehara AB, Gonçalves AJ, Alcadipani FA, Kavabata NK, Menezes MB. Deep neck infection: analysis of 80 cases. Braz J Otorhinolaryngol. 2008;74(2):253-259.
- Zeevi I, Abdulqader S, Zilberman U, Moskovitz M, Fux-Noy A. A retrospective cohort study of pediatric hospitalization due to dentoalveolar infection before and after a change in national health insurance. Sci Rep. 2022;12(1):20502.
- Giunta Crescente C, Soto de Facchin M, Acevedo Rodríguez AM. Medical-dental considerations in the care of children with facial cellulitis of odontogenic origin. a disease of interest for pediatricians and pediatric dentists. Arch Argent Pediatr. 2018;116(4):548-553.
- Lin YT, Lu PW. Retrospective study of pediatric facial cellulitis of odontogenic origin. Pediatr Infect Dis J. 2006;25(4):339-42.
- Saito CT, Gulinelli JL, Marão HF et al. Occurrence of odontogenic infections in patients treated in a postgraduation program on maxillofacial surgery and traumatology. J Craniofac Surg. 2011;22(5): 1689-1694.
- Wang J, Ahani A, Pogrel MA. A five-year retrospective study of odontogenic maxillofacial infections in a large urban public hospital. Int J Oral Maxillofac Surg. 2005;34(6):646-649.
- Dodson TB, Perrott DH, Kaban LB. Pediatric maxillofacial infections: a retrospective study of 113 patients. J Oral Maxillofac Surg. 1989;47(4):327-330.
- Dodson TB, Barton JA, Kaban LB. Predictors of outcome in children hospitalized with maxillofacial infections: a linear logistic model. J Oral Maxillofac Surg. 1991;49(8):838-842.
- Jackson K, Baker SR. Periorbital cellulitis. Head Neck Surg. 1987; 9(4):227-234.
- Gujrathi AB, Ambulgekar V, Kathait P. Deep neck space infection: a retrospective study of 270 cases at tertiary care center. World J Otorhinolaryngol Head Neck Surg. 2016; 2(4):208–213.
- Scutari P Jr, Dodson TB. Epidemiologic review of pediatric and adult maxillofacial infections in hospitalized patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81(3):270-274.
- Dogruel F, Gonen ZB, Gunay-Canpolat D, Zararsiz G, Alkan A. The neutrophil-to-lymphocyte ratio as a marker of recovery status in patients with severe dental infection. Med Oral Patol Oral Cir Bucal. 2017;22(4):440-445.
- Sharma A, Giraddi G, Krishnan G, Shahi AK. Efficacy of serum prealbumin and CRP levels as monitoring tools for patients with fascial space ınfections of odontogenic origin: a clinicobiochemical study. J Maxillofac Oral Surg. 2014;13(1):1-9.
- Peters ES, Fong B, Wormuth DW, Sonis ST. Risk factors affecting hospital length of stay in patients with odontogenic maxillofacial infections. J Oral Maxillofac Surg. 1996;54(12):1386-1391;
- Carter LM, Layton S. Cervicofacial infection of dental origin presenting to maxillofacial surgery units in the United Kingdom: a national audit. Br Dent J. 2009;206(2):73-78.
- Heim N, Warwas FB, Wiedemeyer et al. The role of immediate versus secondary removal of the odontogenic focus in treatment of deep head and neck space infections. A retrospective analysis of 248 patients. Clin Oral Investig. 2019;23(7):2921-2927
- Sánchez R, Mirada E, Arias J, Paño JR, Burgueño M. Severe odontogenic infections: epidemiological, microbiological and therapeutic factors. Med Oral Patol Oral Cir Bucal. 2011;16(5):670-676.
- Treviño-Gonzalez JL, Santos-Santillana KM, Cortes-Ponce JR, Gonzalez-Andrade B, Morales-Del-Angel JA. Role of early extraction of odontogenic focus in deep neck infections. Med Oral Patol Oral Cir Bucal. 2023;28(1):25-31.
- Treviño-Gonzalez JL, Maldonado-Chapa F, González-Larios A, et al. Deep neck infections: demographic and clinical factors associated with poor outcomes. ORL J Otorhinolaryngol Relat Spec. 2022;84(2):130-138
Abstract
References
- Gonçalves L, Lauriti L, Yamamoto MK, Luz JG. Characteristics and management of patients requiring hospitalization for treatment of odontogenic infections. J Craniofac Surg. 2013;24(5):458-462.
- Suehara AB, Gonçalves AJ, Alcadipani FA, Kavabata NK, Menezes MB. Deep neck infection: analysis of 80 cases. Braz J Otorhinolaryngol. 2008;74(2):253-259.
- Zeevi I, Abdulqader S, Zilberman U, Moskovitz M, Fux-Noy A. A retrospective cohort study of pediatric hospitalization due to dentoalveolar infection before and after a change in national health insurance. Sci Rep. 2022;12(1):20502.
- Giunta Crescente C, Soto de Facchin M, Acevedo Rodríguez AM. Medical-dental considerations in the care of children with facial cellulitis of odontogenic origin. a disease of interest for pediatricians and pediatric dentists. Arch Argent Pediatr. 2018;116(4):548-553.
- Lin YT, Lu PW. Retrospective study of pediatric facial cellulitis of odontogenic origin. Pediatr Infect Dis J. 2006;25(4):339-42.
- Saito CT, Gulinelli JL, Marão HF et al. Occurrence of odontogenic infections in patients treated in a postgraduation program on maxillofacial surgery and traumatology. J Craniofac Surg. 2011;22(5): 1689-1694.
- Wang J, Ahani A, Pogrel MA. A five-year retrospective study of odontogenic maxillofacial infections in a large urban public hospital. Int J Oral Maxillofac Surg. 2005;34(6):646-649.
- Dodson TB, Perrott DH, Kaban LB. Pediatric maxillofacial infections: a retrospective study of 113 patients. J Oral Maxillofac Surg. 1989;47(4):327-330.
- Dodson TB, Barton JA, Kaban LB. Predictors of outcome in children hospitalized with maxillofacial infections: a linear logistic model. J Oral Maxillofac Surg. 1991;49(8):838-842.
- Jackson K, Baker SR. Periorbital cellulitis. Head Neck Surg. 1987; 9(4):227-234.
- Gujrathi AB, Ambulgekar V, Kathait P. Deep neck space infection: a retrospective study of 270 cases at tertiary care center. World J Otorhinolaryngol Head Neck Surg. 2016; 2(4):208–213.
- Scutari P Jr, Dodson TB. Epidemiologic review of pediatric and adult maxillofacial infections in hospitalized patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81(3):270-274.
- Dogruel F, Gonen ZB, Gunay-Canpolat D, Zararsiz G, Alkan A. The neutrophil-to-lymphocyte ratio as a marker of recovery status in patients with severe dental infection. Med Oral Patol Oral Cir Bucal. 2017;22(4):440-445.
- Sharma A, Giraddi G, Krishnan G, Shahi AK. Efficacy of serum prealbumin and CRP levels as monitoring tools for patients with fascial space ınfections of odontogenic origin: a clinicobiochemical study. J Maxillofac Oral Surg. 2014;13(1):1-9.
- Peters ES, Fong B, Wormuth DW, Sonis ST. Risk factors affecting hospital length of stay in patients with odontogenic maxillofacial infections. J Oral Maxillofac Surg. 1996;54(12):1386-1391;
- Carter LM, Layton S. Cervicofacial infection of dental origin presenting to maxillofacial surgery units in the United Kingdom: a national audit. Br Dent J. 2009;206(2):73-78.
- Heim N, Warwas FB, Wiedemeyer et al. The role of immediate versus secondary removal of the odontogenic focus in treatment of deep head and neck space infections. A retrospective analysis of 248 patients. Clin Oral Investig. 2019;23(7):2921-2927
- Sánchez R, Mirada E, Arias J, Paño JR, Burgueño M. Severe odontogenic infections: epidemiological, microbiological and therapeutic factors. Med Oral Patol Oral Cir Bucal. 2011;16(5):670-676.
- Treviño-Gonzalez JL, Santos-Santillana KM, Cortes-Ponce JR, Gonzalez-Andrade B, Morales-Del-Angel JA. Role of early extraction of odontogenic focus in deep neck infections. Med Oral Patol Oral Cir Bucal. 2023;28(1):25-31.
- Treviño-Gonzalez JL, Maldonado-Chapa F, González-Larios A, et al. Deep neck infections: demographic and clinical factors associated with poor outcomes. ORL J Otorhinolaryngol Relat Spec. 2022;84(2):130-138
Details
| Primary Language | English |
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| Subjects | Oral and Maxillofacial Surgery, Paedodontics |
| Journal Section | Original Article |
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| Early Pub Date | September 26, 2023 |
| Publication Date | September 28, 2023 |
| Published in Issue | Year 2023 Volume: 6 Issue: 5 |
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