Objective:To perform surgical operation on necrotizing fasciitis due to odontegenic infection with sepsis.Methods: In this case an odontogenic infection was accompanied by a large open wound on the face and sepsis. Patient was hospitalized in the Dr.HasanSadikin General Hospital. Management of this patient in the emergency room were administration of appropriate broad-spectrum empiric antibiotic, incision and pus drainage, and extraction of the infected tooth, followed by fluid resuscitation with strict observation. Surgical debridement was then performed.Results:After being treated for 12 days the patient’s condition improved. We planned closure of defects of the facial area, but the patient refused.Conclusion: Necrotizing fasciitis is an uncommon but potentially lethal condition associated with high rates of morbidity and mortality. Early diagnosis coupled with emergent surgical debridement, appropriate broad-spectrum empiric antibiotic treatment, and a multidisciplinary team approach is essential for successful treatment.
The study was conducted on 60 patients determined with non-probability method using consecutive random sampling techniques according to the subject's order of arrival to the Outpatient of Oral and Maxillofacial Surgery Dental Hospital Padjajaran University for wisdom teeth odontectomy. Material and Methods: Samples were divided into two groups, the treatment group (which was given diclofenac sodium gel) and the control group (which was not given diclofenac sodium gel). Initial data collection of facial dimensions and assessment of salivary alpha amylase levels were performed prior to odontectomy. Retrieval of data was carried out at 2 hours, 3 days and 7 days after the procedure of odontectomy under local anesthesia. Result: No difference in swelling after odontectomy of the mandibular third molar after given the application of diclofenac sodium gel based with no given the application of diclofenac sodium gel based on imunoglobulin G levels in the impaction classification class Ia, Ib, Ic, IIa, IIb, IIc, with p value >0.05. Conclusion: there is a difference in swelling in the group given sodium diclofenac gel and not given sodium diclofenac gel based on alpha amylase levels in the classification.
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