Odontogenic Orbital Inflammation: Clinical and CT Findings—Initial Observations

Caruso, Paul; Watkins, Lynnette M.; Suwansa-ard, Pantip; Yamamoto, Mika; Durand, Marlene L.; Romo, Laura Vitale; Rincon, Sandra; Curtin, Hugh D.

doi:10.1148/radiol.2391041243

“…There is currently no clinical evidence to suggest that the two pathological conditions are significantly associated in the St. Mary Graces cemetery because of the spread of infection from the mouth to the tibia. Numerous cases of oral infections causing, or at least preceding (and therefore strongly suspected of causing), infections elsewhere in the body have been documented in living populations (e.g., Kao and Wang, 1992;Van den Bossche et al, 1993;Caruso et al, 2006;Rallis et al, 2006). However, it is not clear that periodontal pathogens cause periosteal new bone growth elsewhere in the body.…”

Section: Association Between Periodontal Disease and Periosteal Lesiomentioning

confidence: 99%

The association between periodontal disease and periosteal lesions in the St. Mary Graces cemetery, London, England A.D. 1350-1538

DeWitte

¹

,

Bekvalac

²

2011

Am. J. Phys. Anthropol.

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Numerous studies have demonstrated significant associations between periodontal disease and many other diseases in living populations, and some studies have shown that individuals with periodontal disease are at elevated risks of mortality. Recent analysis of a medieval skeletal sample from London has also shown that periodontal disease was associated with increased risks of mortality in the past. This study examines whether periodontal disease is associated with periosteal lesions in a skeletal sample from the urban St. Mary Graces cemetery (n = 265) from medieval London. The results reveal a significant association between periodontal disease and periosteal lesions in the St. Mary Graces sample (i.e., individuals with periodontal disease were also likely to have periosteal lesions), and the association between the two is independent of age. The association between the two pathological conditions might reflect underlying reduced immune competence and thus heightened susceptibility to pathogens that cause periodontal disease or periosteal lesions, exposure to an environmental factor, or underlying heightened inflammatory responses.

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“…1,2 The roots of pre-molar and molars may communicate with the maxillary sinus floor directly, providing a passage for microorganisms.…”

Section: Discussionmentioning

confidence: 99%

“…2 Cultures of odontogenic orbital cellulitis are typically polymicrobial, including anaerobic Bacteroides species, Peptostreptococcus, Prevotella, Fusobacterium and alpha-haemolytic Streptococcus. However, no statistically significant correlation has been reported between the type of bacterial infection (gram-positive aerobic vs. anaerobic) and vision loss.…”

Section: Discussionmentioning

confidence: 99%

“…3 Clinical presentations typically follow a recent history of dental surgery or tooth infection and trismus. 2,3,5 In the absence of this, identifying hallmark CT manifestations may be crucial to early diagnosis and treatment. These include peri-apical lucency, widening of the periodontal ligament space and asymmetrically severe sinus opacification ipsilateral to the infected orbit.…”

Section: Discussionmentioning

confidence: 99%

“…These include peri-apical lucency, widening of the periodontal ligament space and asymmetrically severe sinus opacification ipsilateral to the infected orbit. 2 Treatment should cover aerobic gram-positive, anaerobic and typical oral pathogens. Empirical intravenous cefuroxime or ceftriaxone with flucloxacillin is recommended.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Orbital Cellulitis of Odontogenic Origin

Yan

¹

,

Chakrabarti

²

,

Choong

³

et al. 2015

Orbit

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Oral mucositis in patients undergoing radiation treatment for head and neck carcinoma

Vera-Llonch

¹

,

Oster

²

,

Hagiwara

³

et al. 2005

Cancer

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Numerous studies have demonstrated significant associations between periodontal disease and many other diseases in living populations, and some studies have shown that individuals with periodontal disease are at elevated risks of mortality. Recent analysis of a medieval skeletal sample from London has also shown that periodontal disease was associated with increased risks of mortality in the past. This study examines whether periodontal disease is associated with periosteal lesions in a skeletal sample from the urban St. Mary Graces cemetery (n = 265) from medieval London. The results reveal a significant association between periodontal disease and periosteal lesions in the St. Mary Graces sample (i.e., individuals with periodontal disease were also likely to have periosteal lesions), and the association between the two is independent of age. The association between the two pathological conditions might reflect underlying reduced immune competence and thus heightened susceptibility to pathogens that cause periodontal disease or periosteal lesions, exposure to an environmental factor, or underlying heightened inflammatory responses. Am J Phys Anthropol, 2011. © 2011 Wiley Periodicals, Inc.

show abstract

Odontogenic Orbital Inflammation: Clinical and CT Findings—Initial Observations

Abstract: Abnormal periapical lucency, widening of the periodontal ligament space, and the presence of a subperiosteal abscess suggested an odontogenic origin of orbital infection.

Cited by 46 publications

References 10 publications

The association between periodontal disease and periosteal lesions in the St. Mary Graces cemetery, London, England A.D. 1350-1538

The association between periodontal disease and periosteal lesions in the St. Mary Graces cemetery, London, England A.D. 1350-1538

Orbital Cellulitis of Odontogenic Origin

Oral mucositis in patients undergoing radiation treatment for head and neck carcinoma

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