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

Abstract

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.

Profile of the demand assisted by a team of oral and maxillofacial surgeons in the city of Cuiabá, Brazil: a time-series study

“…The role of the oral and maxillofacial surgeon as a dental specialty is very broad, as they are responsible for the management of post-traumatic patients, the performance of biopsies in the oral cavity, excision and resection of tumors, orthognathic surgeries, and management of infections (BRASIL, 2002). This role may be observed in the literature (CUSTÓDIO et al, 2016;VASCONCELOS et al, 2017;VASCONCELOS et al, 2018) and in the results of the present study, in which over one thousand people were assisted by the Oral and Maxillofacial Surgery and Traumatology (OMFST) service of the hospital selected and several types of procedures were performed, thus showing the importance of this specialty in the hospital environment.…”

“…The heterogeneity regarding the anesthetic mode for procedures such as biopsies and control of infections may be explained by the fact that there are different management forms depending on the clinical condition of the patient (CUSTÓDIO et al, 2016); for instance, more severe infections such as Ludwig's Angina should be treated under general anesthesia (CANDAMOURTY et al, 2012) and other periapical abscesses may be solved using local anesthesia (SIQUEIRA JR; RÔÇAS, 2013). Regardless of the anesthetic technique used, the professionals should always respect the systemic condition of the patient, following the recommendations proposed by the American Society of Anesthesiologists (ASA) (AMERICAN SOCIETY OF ANESTHESIOLOGISTS, 2014).…”

Estudio epidemiológico de las infecciones maxilofaciales en un Hospital de referencia del Centro Oeste de Brasil.

“…Las infecciones faciales tienen principalmente dos causas odontogénicas como; caries, enfermedades periodontales, infecciones endodónticas, trauma, asociación con factores locales y sistémicas 1,2 . Las causas no dentales incluyen; linfadenopatia infectada, forúnculos, trauma penetrante, quistes tiroglosos, quistes de la hendidura braquial, infección de glándulas salivares, infecciones superficiales de la piel, cuerpos extraños, otitis media complicadas, neoplasias malignas subyacentes y causas desconocidas 3,4 . Las celulitis faciales son procesos inflamatorios difusos que pueden diseminarse por continuidad con los tejidos vecinos y estos pueden estar localizados en un espacio o varios espacios.…”