Presentation and management of facial swellings of odontogenic origin in children

Abstract

Management options for children presenting with facial swellings of odontogenic origin include admission to hospital for intravenous antibiotics and acute surgical management, immediate surgical management with or without a course of oral antibiotics or initial management involving a course of oral antibiotics, with definitive dental treatment being provided after resolution of the acute odontogenic infection.

A review of the hours dedicated to oral health education in medical programmes across Australia

“…More Australians die of oral cancer than cervical cancer every year, making comprehensive screening of the oral cavity as important as cervical cancer screening . In addition, dental trauma and dental emergencies are commonly seen in hospital emergency departments around Australia, in which successful outcomes are highly dependent on the timeliness of correct diagnosis and management …”

Medical-dental considerations in the care of children with facial cellulitis of odontogenic origin. A disease of interest for pediatricians and pediatric dentists

“…These immunoglobulins are part of the first line of defense of the oral mucosa. 5 In the case of microbial aggression against the tissue, non-specific mechanisms react by causing an inflammatory response. These include the release of mediators, vascular changes (vasodilation and vasopermeability), cell exudate, and leukocyte activation, mainly polymorphs.…”

“…If such inflammatory reaction continues, mononuclear cells (monocytes and lymphocytes) develop and granulation tissue forms subsequently. 5,6 In the inflammatory process, the condition may be complicated depending on the relevance of the microbial aggression and the body's defense ability. This may cause a systemic inflammatory response which, sometimes, leads to septic shock, multiple organ failure, and finally, death.…”

Consideraciones médico-odontológicas en la atención del niño con celulitis facial odontogénica. Una patología de interés para pediatras y odontopediatras

“…Estas inmunoglobulinas son parte de la primera línea de defensa en la mucosa bucal. 5 Ante una agresión microbiana a los tejidos, existen mecanismos inespecíficos que generan una respuesta inflamatoria. Estos consisten en la liberación de mediadores, cambios vasculares (vasodilatación y vasopermeabilidad), exudado celular, activación de leucocitos, principalmente, de polimorfonucleares.…”

“…Cuando esta reacción inflamatoria continúa, aparecen células mononucleares (monolitos y linfocitos) y la subsiguiente formación de tejido de granulación. 5,6 E n e l p r o c e s o i n f l a m a t o r i o , p u e d e complejizarse el cuadro con dependencia de la magnitud de la agresión microbiana y la capacidad defensiva del organismo. Esto puede generar una respuesta inflamatoria sistémica que conduce, en ocasiones, al shock séptico, a la falla multiorgánica y, finalmente, a la muerte.…”