Severe odontogenic infection after third molar extraction - case report
DOI:
https://doi.org/10.33448/rsd-v10i16.24144Keywords:
Molar, third; Postoperative complications; Focal infection, dental; Surgery, oral.Abstract
Odontogenic infections are complications commonly faced by dentists after third molar extraction, thus, it is extremely important that maxillofacial surgeons know how to correctly diagnose and treat these cases. Thus, the objective is to report a clinical case of a 20-year-old female patient with severe odontogenic infection. Leukoderma patient, with extensive volumetric increase on the right side, history of previous extraction of a dental element with a picture of pericoronitis prior to extraction, admitted by the Maxillofacial Surgery and Traumatology Service of Hospital Universitário Maria Aparecida Pedrossian. Extensive edema in the right submandibular region, dyspnea, dysphagia, and severe trismus. On imaging exams, absence of teeth 18 and 48 and purulent collection stores. Treatment was surgical with drainage of the exudate, curettage of the areas of extraction and antibiotic therapy. Associated with the surgical procedure, an evaluation of medical specialties for systemic control of the patient was requested. After 7 days of hospitalization, the patient was discharged, but she continued to return postoperatively. The severe picture presented by the patient shows the magnitude that the odontogenic infection can reach. Postoperative surgical treatment corroborated with antibiotic therapy and systemic control of the patient were decisive. The treatment of pericoronitis before extraction is the decisive factor to avoid infectious processes of the magnitude presented by the patient.
References
Akinbami, B. O., & Godspower, T. (2014). Dry Socket: Incidence, Clinical Features, and Predisposing Factors. International Journal of Dentistry. 1–7. 10.1155/2014/796102.
Brito, T. P., Hazboun, I. M., Fernandes, F. L., Bento, L. R., Zappelini, C. E. M., Chone, C. T., et al., (2017). Abscessos cervicais profundos: estudo de 101 casos. Brazilian Journal of Otorhinolaryngology. 83(3).
Diniz, D.A, Silva, A. L. I., Angelim, L. V., Mendonça, T. L. R., Nascimento, V. H. S., Silva, C. C. G., Gonçalves, K. K. N., Souza Júnior, F. A., Cunha, J. S., & Carneiro, S. C. S. (2021). Odontogenic infection in deep cervical spaces: diagnosis and treatment. Research, Society and Development. 10(13): e365101321094. 10.33448/rsd-v10i13.21094.
Eller, M. M. L., Franco, G. A. B. P., Ramos, J. D. F., Oliveira, I., Lacerda, L. F., Furtado, M. P., Simão, N. R., & Silva, J. S. (2018). Infecções odontogênicas e sua relação com a resposta imunológica. IV Seminário Científico da FACIG e II Jornada de Iniciação Científica da FACIG.
Faverani, L. P., Ferreira, G. R., Garcia Junior, I. R., Souza, F. A., Ibrahim, G. M. F., & Gaetti Jardim, E. C. (2020). Tratamento cirúrgico de abscesso odontogênico em nível hospitalar. Archives of Health Investigation. 9(4): 382-384. https://doi.org/10.21270/archi.v9i4.4740
Figueiredo, E. L., Figueiredo, E. L., Silva, C. P., Silva, M. E. L., Peixoto, L. S. F., Araújo, H. T., Leão, J. C., & Carvalho, A. A. T. (2021). Complex odontogenic infections: a literature review. Research, Society and Development. 10(9): E20310917668. 10.33448/rsd-v10i9.17668
Fonseca, E. L. G., Francisco, M. A., Santos, M. A. B. S., Lira, J. S., Tenório, L. F. et al. (2020). Odontogenic infections, from etiology to treatment: a literature review. Brazilian Journal of Development. 6(7): p.44396-44407
Friedman, J. W. (2007). The Prophylactic Extraction of Third Molars: A Public Health Hazard. American Journal of Public Health. 97 (9): 1554-1559.
Galvão, E. L., Silveira, E. M., Oliveira, E. S., Cruz, T. M. M., Flecha, O. D., Falci, S. G. M., & Gonçalves, P. F. (2019). Associação entre a posição do terceiro molar mandibular e a ocorrência de pericoronite: uma revisão sistemática e metanálise. Archives of Oral Biology. 107:104486. 10.1016/j.archoralbio.2019.104486.
Guzman-Letelier, M., Crisosto-Jara, C., Diaz-Ricouz, C., Peñarrocha-Diago, M., & Peñarrocha-Oltra, D. (2017). Severe odontogenic infection: An emergency. Case report. Journal of Clinical and Experimental Dentistry. 1;9(2):e319-e324. 10.4317/jced.53308.
Lima, F. G. G. P., Rios, L. G. C., Cunha, L. T. M. Q., Rocha, F. S., & Batista, J. D. (2018). Clinical-surgical approach to complex infection in maxillofacial region: a case report. Revista Odontológica do Brasil Central. 27(81): 112-116
Machado, P. R. L., Araújo, M. I. A. S., Carvalho, L., & Carvalho, E. M. (2004). Mecanismos de resposta imune às infecções. Anais brasileiros Dermatol. 79(6):647-664.
Mathew, G. C., Ranganathan, L. K., Gandhi, S., Jacob, M. E., Singh, I., Solanki, M., & Bither, S. (2012). Infecções odontogênica do espaço maxilofacial em um centro de atendimento terciário no norte da Índia: um estudo retrospectivo de cinco anos. International Journal of Infectious Diseases. 16 (4): 296–302.
Ogle, O. E. (2017). Odontogenic Infections. Dental Clinics of North America. 61(2), 235–252.
Pitekova, L., Satko, I., & Novotnakova, D. (2010). Complications after third molar surgery. Bratisl Lek Listy. 111(5): 296-298.
Rios, B. R., Coelho, B. M., Monteiro, N. G., Santos, J. M. F. E., Silva, M. C., Barbosa, S., Silva, W. P. P., Martins, E. P., Melucci Filho, A., Souza, F., Ávila Magro Filho, O., Bassi, A. P. F., Ponzoni, D., Garcia-Júnior, I. R. R., & Faverani, L. P. (2021). The importance of multidisciplinarity in surgical and supportive conduct in severe odontogenic infection: Case Report. Research, Society and Development. 10(5): e13810514846. 10.33448/rsd-v10i5.14846.
Santos, G. H. S., Lima, J. P., Armas, C. A. M., & Pimenta, Y. S. (2020). Manejo de pacientes diagnosticados com infecções odontogênicas: revisão de literatura. Brazilian Journal of Development. 6(12): 95289-95298.
Seppänen, L., Lemberg, K. K., Lauhio, A., Lindqvist, C., & Rautemaa, R. (2011). Is dental treatmentof an infected tooth a risk factor for locally invasive spread of infection? Journal Oral Maxillofacial Surgery. 69(4): 986-993.
Velasco, M. I., & Soto, N. R. (2012). Principios para el tratamiento de infecciones odontogénicas con distintos niveles de complejidad. Revista Chilena de Cirurgía. 2012; 64(6): 586-598.
Wehr, C., Cruz, G., Young, S., & Fakhouri, W. D. (2019). An Insight into Acute Pericoronitis and the Need for an Evidence-Based Standard of Care. Dental Journal (Basel). 7(3): 88.
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Copyright (c) 2021 Emyly Natanny Reis Rocha; José Carlos Garcia de Mendonça; Gustavo Silva Pelissaro; Ellen Cristina Gaetti-Jardim
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