Characteristics and cost impact of severe odontogenic infections

Jundt, Jonathon S.; Gutta, Rajesh

doi:10.1016/j.oooo.2011.10.044

Cited by 81 publications

(72 citation statements)

References 29 publications

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“…Severe odontogenic infection remains an important public health concern and has become a significant economic burden to public health care facilities. A retrospective study done by Jundt JS et al (2012) on 42 patient records of inpatients treated for odontogenic infections reported a cost of $749,382 averaging $17,842 per person [4]. Another nationwide inpatient sample taken in 2008 from 1056 hospitals in 42 US states shows 4044 hospital discharges with a primary diagnosis of mouth abscess/cellulitis, accounting for $98 million of hospitalization charges at a mean hospital charge of $24,240 per patient [5].…”

Section: Introductionmentioning

confidence: 99%

“…In the pre-antibiotic era, odontogenic infections were associated with a mortality rate of 10% -40% [27]. The advent and implementation of modern antibiotics have significantly reduced mortality rates associated with odontogenic infections [4]. The basic diagnostic protocol included anamnesis, examination of oral cavity/ infection site and the use of imaging techniques (intraoral periapical radiographs, occlusal radiographs, or orthopantomogram) to achieve the diagnosis.…”

Section: Introductionmentioning

confidence: 99%

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Steroids in Maxillofacial Space Infection: A Retrospective Cohort Study

Low¹,

Audimulam²,

Lim³

et al. 2017

OJST

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Maxillofacial space infection (MSI) is one of the most common conditions encountered in oral and maxillofacial surgery clinics. Early recognition and proper management of MSI could prevent a life-threatening event. Objectives: To report a series of MSI managed with antibiotics, surgical intervention and exogenous steroids as an adjunct, highlighting functional improvement following steroid administration. Methods: A retrospective cohort study was carried out from December 2013 to September 2016, involving 30 patients (n = 30, 22 males, 8 females) diagnosed with MSI. All patients were initially managed with intravenous empirical antibiotics, analgesics and removal of potential source of infection. A course of 3 doses of IV Dexamethasone 8 mg at an interval of 8 hours was started during the first day of hospital admission. Results: This series reports 30 patients presenting with MSI, who received prompt antibiotics and 3 doses of steroids as in-patients. Significant clinical improvement was noted in the form of amelioration of pain, rapid reduction in edema, and improved trismus, shortening hospital stay to an average of 3.5 days, and omission of surgical intervention in 50% of our cases. No adverse effects or drug reaction was noted. Conclusion: In conclusion, the value of synergistic use of corticosteroids with antibiotics in management of MSI is significant. Despite these promising findings, there is scarce evidence in the literature to fully support the use of corticosteroids in abscess management. The role of corticosteroids in treatment of MSI should be explored further.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Steroids in Maxillofacial Space Infection: A Retrospective Cohort Study

Low¹,

Audimulam²,

Lim³

et al. 2017

OJST

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“…1 One response to this letter cited the evidence from some well-designed studies, 2 while another quoted from a paper recommending the 'spit don't rinse' message as an integral part of oral hygiene instruction. 3 However, an additional environmental benefit has not been mentioned.…”

Section: Turn Off the Tapmentioning

confidence: 99%

“…1 The opponents of bilateral IANBs highlight the chances of suffocation or respiratory embarrassment due to lack of tongue control and collection of fluid in the oral cavity. 2 However, one study concluded that soft tissue trauma was higher in unilateral compared Copyright of British Dental Journal is the property of Nature Publishing Group and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission.…”

Section: Bilateral Guidelinesmentioning

confidence: 99%

Orthodontics: Fast and furious

Kilcoyne¹

2015

Br Dent J

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competent (or adequately knowledgeable in dental anatomy) to perform this double check safety verification. Furthermore, when dental/oral surgeons operate under general anaesthesia, dental nurses are NOT allowed to assist in an operating theatre environment and the assistant nurses are always general nurses.Current rules do not allow dental nurses to attend the operating theatres, as their training syllabus does not fulfill the requirements for operating room attendance. 3 I believe this needs to be debated by educators and regulators if we are to eliminate the possibility of future never events. B. A. Beyqi, by email1. Saksena A, Pemberton M N, Shaw A, Dickson S, Ashley M P. Preventing wrong tooth extraction: experience in development and implementation of an outpatient safety checklist. Br Dent J 2014; 217: 357-362. 2. Gawande A. The checklist manifesto: how to get things right.

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“…AOMIs impact not only the individuals who have these infections but also the population at large who has to incur the costs related to the treatment of such infections. The cost of treatment for patients with AOMIs who require hospitalisation or who have co‐existing systemic comorbidities is similar.…”

Section: Introductionmentioning

confidence: 99%