Surgical drainage vs conservative treatment of odontogenic cellulitis in pediatric patients: A systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i9.18244

Keywords:

Infection control, dental; Cellulitis; Pediatrics.

Abstract

The aim of this study was to compare the efficacy of two different treatment of odontogenic cellulitis in pediatric patients: conservative treatment (just intravenous antibiotic administration and tooth root treatment or tooth extraction) and surgical treatment (intravenous antibiotic administration, incision, drainage and tooth root treatment or tooth extraction). The search strategy was conducted based on the model of systematic review adopted by PRISMA guidelines. The search strategy included: Pubmed/MEDLINE, Web of Science, Scopus and Cochrane Library databases seeking clinical trials with, unless, ten pediatric patients, in English and available on-line. The key-words used in the screening were “Infection Control, Dental and Cellulitis OR odontogenic infection and cellulitis”. A total of 404 studies were obtained and the selection of manuscripts was performed based on the defined inclusion and exclusion criteria and four manuscripts were according with review. It was verified that the surgeons of these studies commonly choose the conservative treatment, varying the adherence rate between 75% and 95.2% and no complications were associated with this treatment. Likewise, 75% of the author support the conservative treatment. The conservative treatment of cellulitis in pediatric patients, presents efficacy without having to submit the patient to surgical drainage.

References

Chow, A. W., Roser, S. M., & Brady, F. A. (1978). Orofacial odontogenic infections. Ann Intern Med, 88:392.

Coleman, K., Norris, S., Weston, A., Grimmer-Sommers, K., Hillier, S., & Merlin, T: 2015). NHMRC additional levels of evidence and grades for recommendations for developers of guidelines. http://www.nhmrc.gov.au/_files_nhmrc/file/guidelines/stage_2_consultation_levels_and_grades.pdf, 2015.

de-Vicente-Rodríguez, J. C. (2004). Maxillofacial cellulitis. Med Oral Patol Oral Cir Bucal, 9 Suppl:133-8; 126-33.

Doležalová, H., Zemek, J., & Tuček, L. (2015). Deep Neck infections of Odontogenic Origin and Their Clinical Significance. A Retrospective Study from Hradec Králové, Czech Republic. Acta Medica (Hradec Kralove), 58(3):86-91.

Gilmore, W. C., Jacobus, N. V., Gorbach, S. L., Doku, H. C., & Tally, F. P. 1998. A prospective double-blind evaluation of penicillin versus clindamycin in the treatment of odontogenic infections. J Oral Maxillofac Surg, 46(12):1065-70.

Heimdahl, A., & Nord, C. E. (1983). Orofacial infections of odontogenic origin. Scand J Infect Dis Suppl, 39:86.

Heimdahl, A., von Konow, L., Satoh, T., & Nord, C. E. (1985). Clinical appearance of orofacial infections of odontogenic origin in relation to microbial findings. J Clin Microbiol, 22:299-302.

Huang, T. T., Liu, T. C., Chen, P. R., Tseng, F. Y., Yeh, T. H., & Chen, Y. S. (2004). Deep neck infection: analysis of 185 cases. Head Neck, 26(10):854-60.

Kara, A., Ozsurekci, Y., Tekcicek, M., Karadag, Oncel, E., Cengiz, A. B., Karahan, S., Ceyhan, M., Celik, M. O., & Ozkaya-Parlakay, A. (2014). Length of hospital stay and management of facial cellulitis of odontogenic origin in children. Pediatr Dent, 36(1):18E-22E.

Lalakea, M., & Messner, A. H. (1999). Retropharyngeal abscess management in children: current practices. Otolar-yngol Head Neck Surg, 1999;121:398–405.

Lin, Y. T., & Lu, P. W. (2006). Retrospective study of pediatric facial cellulitis of odontogenic origin. Pediatr Infect Dis J, 25:339-42.

Moghimi, M., Baart, J. A., Karagozoglu, K. H., & Forouzanfar, T. (2013). Spread of odontogenic infections: a retrospective analysis and review of the literature. Quintessence Int, 44(4):351-61.

Moher, D., Liberati, A., Tetzlaff, J., & Altman D. G. (2009). Group P: Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med, 6:e1000097.

Moose, S. M. (1968). Acute infections of the oral cavity. In: Kruger GO, editor. Textbook of oral surgery. (3. ed.). St Louis (MO): CV Mosby Co, p. 166–90.

Ogle, O. E. (2017). Odontogenic Infections. Dent Clin North Am, 61(2):235-252.

Peterson, L. J. (2003). Principles of management and prevention of odontogenic infections. In: Peterson LJ, Ellis E, Hupp JR, et al, editors. Contemporary oral and maxillofacial surgery. 4th edition. St Louis (MO): Mosby. p. 344–66.

Prabhash, K., Bajpai, J., Gokarn, A., Arora, B., Kurkure, P. A., Medhekar, A., Kelkar, R., Biswas, S., Gupta, S., Naronha, V., Shetty, N., Goyel, G., & Banavali, S. D. (2014). Comparison of isolates and antibiotic sensitivity pattern in pediatric and adult cancer patients; is it different? Indian J Cancer, 51(4):496-501.

Rush, D. E., Abdel-Haq, N., Zhu, J. F., Aamar, B., & Malian, M. (2007). Clindamycin Versus Unasyn in the Treatment of Facial Cellulitis of Odontogenic Origin in Children. Clin Pediatr (Phila), 46(2):154-9.

Rush, D. E., Abdel-Haq, N., Zhu, J. F., Aamar, B., & Malian, M. (2007). Clindamycin Versus Unasyn in the Treatment of Facial Cellulitis of Odontogenic Origin in Children. Clin Pediatr (Phila), 46(2):154-9.

Shanti, R. M., & Aziz, S. R. (2011). Should we wait for development of an abscess before we perform incision and drainage? Oral Maxillofac Surg Clin North Am, 23(4):513-8.

Thikkurissy, S., Rawlins, J. T., Kumar, A., Evans, E., & Casamassimo, P. S. (2010). Rapid treatment reduces hospitalization for pediatric patients with odontogenic-based cellulitis. Am J Emerg Med, 28(6):668-72.

Unkel, J. H., McKibben, D. H., Fenton, S. J., Nazif, M. M., Moursi, A., & Schuit, K. (1997). Comparison of odontogenic and nonodontogenic facial cellulitis in a pediatric hospital population. Pediatr Dent, 19:476-9.

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Published

29/07/2021

How to Cite

OLIVA, A. H. de .; LEMOS, C. A. A. .; SANTIAGO-JÚNIOR, J. F. .; MASOCATTO, D. C. .; DEUS, C. B. D. de .; HASSUMI, J. S. .; JARDIM, E. C. G. .; PELLIZZER, E. P. . Surgical drainage vs conservative treatment of odontogenic cellulitis in pediatric patients: A systematic review. Research, Society and Development, [S. l.], v. 10, n. 9, p. e40510918244, 2021. DOI: 10.33448/rsd-v10i9.18244. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18244. Acesso em: 20 sep. 2021.

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Section

Health Sciences