Incidence and management of severe odontogenic infections—A retrospective analysis from 2004 to 2011

Opitz, Daniel; Camerer, Christian; Camerer, Doris-Maria; Raguse, Jan-Dirk; Menneking, Horst; Hoffmeister, Bodo; Adolphs, Nicolai

doi:10.1016/j.jcms.2014.12.002

Cited by 84 publications

(73 citation statements)

References 22 publications

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“…Yet, a dentists’ choice of an antibiotic is usually empirical. It is rarely based on cultures, antimicrobial susceptibility tests or point‐of‐care testing.…”

Section: Discussionmentioning

confidence: 99%

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Antimicrobial prescribing by Belgian dentists in ambulatory care, from 2010 to 2016

Struyf

Vandael

Leroy

et al. 2019

International Dental Journal

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Objectives To describe antimicrobial prescribing by Belgian dentists in ambulatory care, from 2010 until 2016. Materials and methods Reimbursement data from the Belgian National Institute for Health and Disability Insurance were analysed to evaluate antimicrobial prescribing (WHO ATC‐codes J01/P01AB). Utilisation was expressed in defined daily doses (DDDs), and in DDDs and packages per 1000 inhabitants per day (DID and PID, respectively). Additionally, the number of DDD and packages per prescriber was calculated. Results In 2016, the dentistry‐related prescribing rate of ‘Antibacterials for systemic use’ (J01) and ‘Antiprotozoals’ (P01AB) was 1.607 and 0.014 DID, respectively. From 2010 to 2016, the DID rate of J01 increased by 6.3%, while the PID rate declined by 6.7%. Amoxicillin and amoxicillin with an enzyme inhibitor were the most often prescribed products, followed by clindamycin, clarithromycin, doxycycline, azithromycin and metronidazole. The proportion of amoxicillin relative to amoxicillin with an enzyme inhibitor was low. The narrow‐spectrum antibiotic penicillin V was almost never prescribed. Conclusions Antibiotics typically classified as broad‐ or extended‐spectrum were prescribed most often by Belgian dentists during the period 2000–2016. Although the DID rate of all ‘Antibacterials for systemic use’ (J01) increased over the years, the number of prescriptions per dentist decreased since 2013. The high prescription level of amoxicillin with an enzyme inhibitor is particularly worrying. It indicates that there is a need for comprehensive clinical practice guidelines for Belgian dentists.

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“…Yet, a dentists’ choice of an antibiotic is usually empirical. It is rarely based on cultures, antimicrobial susceptibility tests or point‐of‐care testing.…”

Section: Discussionmentioning

confidence: 99%

“…The international literature suggests that most antibiotics in dentistry are prescribed for curative reasons, and that severe odontogenic infections are rare. Theoretically, indications for antimicrobial use in dentistry are thus very limited.…”

Section: Discussionmentioning

confidence: 99%

Antimicrobial prescribing by Belgian dentists in ambulatory care, from 2010 to 2016

Struyf

Vandael

Leroy

et al. 2019

International Dental Journal

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“…Suppurative odontogenic infections represent an important challenge in the dental clinic because of the risk of propagation and serious potential complications 4 . The assessment of infection involves the extent, etiology, and systemic conditions.…”

Section: Discussionmentioning

confidence: 99%

Odontogenic infections in a dental emergency care unit: Eleven-year epidemiological analysis

Custódio

Cota²,

Oliveira

2017

Braz. J. Oral Sci.

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Aim: To evaluate medical records from patients who underwent abscess drainage due to odontogenic infections in a public hospital in the city of Belo Horizonte (Minas Gerais, Brazil) during the period of 2003 and 2013. Methods: A retrospective analysis of cases which required drainage of abscesses due to dental infections. The types of therapeutic procedures analyzed were endodontic drainage, intraoral mucosa drainage, periodontal drainage, and extraoral drainage. Results: 162,902 cases required dental assistance, and 32,352 cases required drainage of abscesses due to dental infections. The most frequent approach was endodontic drainage (21,313 procedures); the least frequent procedure was extraoral drainage (922 procedures). Conclusions: Odontogenic infection is a common clinical condition in dental clinics. It should be diagnosed and treated as quickly as possible to avoid or minimize progression to more severe cases.

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“…Furthermore, Huang et al [3] indicated that elderly and associated systemic diseases were the most important predictive factors in deep neck infections. Opitz et al [23] showed if well-known risk factors are present in patients affected by odontogenic infection appropriate interdisciplinary management should be considered as early as possible. We consider that the relationship between medical conditions and spread of odontogenic infections is important for future studies.…”

Section: Discussionmentioning

confidence: 99%

Spread of odontogenic infections in the elderly: Prevalence and characteristic multidetector CT findings

Ogura

Iizuka

Ishida

et al. 2017

IJDI

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Purpose: To analyze spread of odontogenic infections in the elderly, especially the prevalence and characteristic multidetector computed tomography (MDCT) findings. Materials and methods: Ninety-seven patients with odontogenic infection who underwent 64-row MDCT were evaluated in this study. The study patients comprised 31 elderly patients (≥ 60 years) and 66 adults (< 60 years). Age, gender, location of causal tooth, and spread of odontogenic infections with MDCT were analyzed. Results: The elderly patients (74.2%) had higher ratio with female compared to the adults (57.6%). The buccal space (93.5%) was the most common spread of odontogenic infections for the elderly patients, followed by the masticator space (54.8%) and submandibular space (45.2%), whereas the buccal space (97.0%) was the most common spread of odontogenic infections for the adults, followed by submandibular space (65.2%) and masticator space (51.5%). Logistic multivariate regression analysis for odontogenic infections in the elderly demonstrated that the gender (odds ratio = 3.462, P = .024) and submandibular space (odds ratio = 0.168, P = .013) were significant variable. Conclusions: The study showed the prevalence and characteristic MDCT findings of spread of odontogenic infections in the elderly.

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Incidence and management of severe odontogenic infections—A retrospective analysis from 2004 to 2011

Cited by 84 publications

References 22 publications

Antimicrobial prescribing by Belgian dentists in ambulatory care, from 2010 to 2016

Antimicrobial prescribing by Belgian dentists in ambulatory care, from 2010 to 2016

Odontogenic infections in a dental emergency care unit: Eleven-year epidemiological analysis

Spread of odontogenic infections in the elderly: Prevalence and characteristic multidetector CT findings

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