Anatomie considerations in diagnosis and treatment of odontogenic infections

Severe odontogenic infections

“…This and other anatomical studies form the basis of the standard anatomical spaces of the head and neck. 12,13 The remaining major factor in the nature of the untreated progression of odontogenic infections is host resistance or its impairment by systemic disease. Immunocompromised states such as HIV/AIDS, haematological neoplasia or systemic diseases such as diabetes are risk factors in the fulminating spread of infection.…”

“…This was described by Hippocrates 1 and is reinforced in the modern surgical but pre-antibiotic era. 2 In the antibiotic era the use of antibiotics, intravenous fluids to re-hydrate the patient and appropriate pain management have been well described [4][5][6][7]12 and taught to dental and medical undergraduates for decades. [17][18][19][20][21] The primary practitioner, whether dental or medical, has a key role in the management of odontogenic infection.…”

Extraoral cutaneous sinus tracts of dental origin: A report of two pedodontic cases

“…After formation of a sinus tract, the inflammation at the apex of the root may persist for a long period because of the drainage through the sinus tract, a chronic abscess can remain asymptomatic for extended periods of time. [7] Most of the sinus tracts of dental etiology are located intraorally. The extraoral dental sinus tract often is located in close relation to the offending tooth.…”

Diagnostik in der Endodontie

“…Sollte im weiteren Untersuchungsverlauf keine korrespondierende dentale Ursache für die festgestellten Schwellungen ersichtlich werden, so muss differenzialdiagnostisch immer eine weitergehende Abklärung von nicht odontogenen Gründen erfolgen [9]. Bei Vorliegen einer intraoralen Schwellung wird diese palpiert, um festzustellen, ob diese hart oder fluktuierend ist, ob sie diffus oder lokalisiert ist und über welchen Bereich sie sich ausdehnt.…”