Abstract:Oral pain and odontogenic infections are common reasons for patients to present to EDs and general medical practice in Australia. Although most odontogenic infections can be managed on an outpatient basis, because of their proximity to the airway, infections in this region can be life threatening, requiring urgent surgical intervention and ICU management. This article focuses on the emergency assessment, triage and nonspecialist management of oral pain and odontogenic infections.
“…Bleeding gums, painful gums, toothache, and loss of natural teeth could all be shared manifestations and markers of highly prevalent oral diseases such as periodontitis and dental caries. 5 , 6 , 28 Several studies hypothesised the link between AS and periodontitis. 2 , 29 , 30 Nevertheless, there is disagreement regarding this association.…”
Section: Discussionmentioning
confidence: 99%
“…Toothache could result from acute periodontitis (i.e., periodontal abscess). 28 However, it is impossible to diagnose the actual cause of toothache based on the self-reported questionnaire only. Toothache has previously been shown to be related to poor oral health and thus to quality of life, as it affects the daily performance of the individual.…”
Ankylosing Spondylitis (AS) is an inflammatory rheumatic disease that affects the axial skeleton and the sacroiliac joints. Recent studies investigated the link between AS and oral diseases, particularly periodontitis. Others suggested that periodontitis may have a role in the pathogenesis of rheumatic diseases. Objective: The aim of this study is to investigate the association between AS and oral conditions. Material and Methods: This research was conducted using the UK Biobank Resource under Application Number 26307. The UK Biobank recruited around 500000 participants throughout Great Britain. Clinical records were available for 2734 participants. Two case-control studies were conducted based on whether AS was self-reported or clinically diagnosed. Oral conditions were identified using self-reported reports of oral ulcers, painful gums, bleeding gums, loose teeth, toothache, and dentures. The association between AS and oral conditions was assessed using logistic regression adjusted for age, gender, educational level, smoking status, alcohol consumption, and body mass index. Results: A total of 1307 cases and 491503 control participants were eligible for the self-reported AS study. The mean age was 58 years for the cases [7.5 standard deviation (SD)] and 57 years for the control groups (8.1 SD). Also, 37.1% of the cases and 54.2% of the control participants were females. Among the oral conditions, only oral ulcers were strongly associated with AS [1.57 adjusted odds ratio (OR); 95% confidence interval (CI) 1.31 to 1.88]. For the study of clinically diagnosed AS, 153 cases and 490351 control participants were identified. The mean age for both cases and control groups was 57 years; 7.6 SD for the cases and 8.1 for the control group. Females corresponded to 26.1% of the cases, and 54.2% of the control participants. Clinically diagnosed AS was associated with self-reported oral ulcers (2.17 adjusted OR; 95% CI 1.33 to 3.53). Conclusion: Self-reported and clinically diagnosed AS populations have increased risk of reporting oral ulcers. Further investigations are required to assess the link between a specific type of oral condition and AS.
“…Bleeding gums, painful gums, toothache, and loss of natural teeth could all be shared manifestations and markers of highly prevalent oral diseases such as periodontitis and dental caries. 5 , 6 , 28 Several studies hypothesised the link between AS and periodontitis. 2 , 29 , 30 Nevertheless, there is disagreement regarding this association.…”
Section: Discussionmentioning
confidence: 99%
“…Toothache could result from acute periodontitis (i.e., periodontal abscess). 28 However, it is impossible to diagnose the actual cause of toothache based on the self-reported questionnaire only. Toothache has previously been shown to be related to poor oral health and thus to quality of life, as it affects the daily performance of the individual.…”
Ankylosing Spondylitis (AS) is an inflammatory rheumatic disease that affects the axial skeleton and the sacroiliac joints. Recent studies investigated the link between AS and oral diseases, particularly periodontitis. Others suggested that periodontitis may have a role in the pathogenesis of rheumatic diseases. Objective: The aim of this study is to investigate the association between AS and oral conditions. Material and Methods: This research was conducted using the UK Biobank Resource under Application Number 26307. The UK Biobank recruited around 500000 participants throughout Great Britain. Clinical records were available for 2734 participants. Two case-control studies were conducted based on whether AS was self-reported or clinically diagnosed. Oral conditions were identified using self-reported reports of oral ulcers, painful gums, bleeding gums, loose teeth, toothache, and dentures. The association between AS and oral conditions was assessed using logistic regression adjusted for age, gender, educational level, smoking status, alcohol consumption, and body mass index. Results: A total of 1307 cases and 491503 control participants were eligible for the self-reported AS study. The mean age was 58 years for the cases [7.5 standard deviation (SD)] and 57 years for the control groups (8.1 SD). Also, 37.1% of the cases and 54.2% of the control participants were females. Among the oral conditions, only oral ulcers were strongly associated with AS [1.57 adjusted odds ratio (OR); 95% confidence interval (CI) 1.31 to 1.88]. For the study of clinically diagnosed AS, 153 cases and 490351 control participants were identified. The mean age for both cases and control groups was 57 years; 7.6 SD for the cases and 8.1 for the control group. Females corresponded to 26.1% of the cases, and 54.2% of the control participants. Clinically diagnosed AS was associated with self-reported oral ulcers (2.17 adjusted OR; 95% CI 1.33 to 3.53). Conclusion: Self-reported and clinically diagnosed AS populations have increased risk of reporting oral ulcers. Further investigations are required to assess the link between a specific type of oral condition and AS.
“…Toothache could also be caused as a result of dental caries, trauma, or acute periodontal infection (i.e. periodontal abscess) [ 4 ]. However, it may be premature to link lack of oral health to arthritis directly.…”
ObjectivesTo investigate the link between self-reported oral health and arthritis in the Scottish population using data from the Scottish Health Survey.Material and MethodsData were available from 2008 to 2013 on self-reported arthritis, oral health conditions and oral hygiene habits from the Scottish Health Survey. Arthritis was defined in this survey by self-reported long standing illness, those who reported having arthritis, rheumatism and/or fibrositis. Oral conditions were defined by self-reported bleeding gums, toothache, biting difficulties and/or edentulousness. Oral hygiene habits were defined by self-reported brushing teeth and/or using dental floss on daily basis. Logistic regression was used for statistical analysis adjusted for age, gender, qualification, smoking and body mass index.ResultsPrevalence of self-reported arthritis was 9.3% (95% confidence interval [CI] = 9.03 to 9.57). Those who reported having bleeding gums (adjusted odds ratio [OR] = 1.63; 95% CI = 1.35 to 1.96), toothache (OR = 1.32; 95% CI = 1.16 to 1.5), biting difficulties (OR = 1.95; 95% CI = 1.62 to 2.34), and being edentulous (OR = 1.22; 95% CI = 1.08 to 1.37) had an increased risk of arthritis. Brushing teeth (OR = 1.25; 95% CI = 0.74 to 2.12), and using dental floss (OR = 1.11; 95% CI = 0.89 to 1.39) were not associated with arthritis.ConclusionsSelf-reported oral conditions were associated with increased risk of self-reported arthritis. Oral hygiene habits were not associated with self-reported arthritis. Further investigation is required to assess the causal association between oral hygiene, oral disease and arthritis.
“…Early diagnosis is very important because this is a life-threatening disease and is more frequently seen after long-term neglected dental hygiene. Increased dental care and easy communication with dentist decreased the incidence of the disease, caused by this reason (3). In this report, the patient was diagnosed approximately after 15 days.…”
Ludwig angina is an aggressively spreading phlegmon or cellulite affecting the mouth floor and submandibular and sublingual tissues of the mouth. The disease is mostly seen in patients aged 20-50 years with abscess or gingivitis of lower teeth. Early diagnosis is very important because this is a life-threatening disease. A 55-year-old male patient with the complaints of high body temperature despite the usage of intravenous antibiotics, somnolence, increased difficulty in breathing, and swelling in the neck was diagnosed with Ludwig angina and abscess was urgently drained. Head-neck region abscess intervened by team work can cause less mortality and morbidity.
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