Skip to main content

Advertisement

Log in

Orofacial Space Infection Due to Faulty Prosthesis

  • Case Report
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Orofacial space infections are commonly treated by oral and maxillofacial surgeons, even in the post antibiotic era. Pre existing systemic conditions such as diabetes mellitus makes a person more vulnerable to space infection. A prosthesis which is poorly designed often jeopardises the oral health and makes a person susceptible to ulcers of mucosa, which can result in necrosis of mucosa. The sequel of such ulcerations and necrosis would be life threatening Orofacial space infections in medically compromised patients. Here we present a case report of 64 year old diabetic patient presenting with Orofacial space infection as a sequel to necrosis of mucosa caused due to physical and chemical injury by a faulty prosthesis fabricated by a quack practicing dentistry. Submandibular, sublingual and pterygomandibular space were involved leading to trismus and swelling. On forceful mouth opening after extraoral mandibular nerve block, denudation of mucosa was seen distal and lingual to mandibular right second premolar with pus discharge. Radiographic examination revealed no abnormal findings in teeth or bone. The spaces were explored from the opening created by denuded mucosa. Infection control and diabetic control was achieved with antibiotics and oral hypoglycaemic drugs. Patient responded well for the treatment and recovered uneventfully.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

References

  1. Huang TT, Tseng FY, Yeh TH, Hsu CJ, Chen YS (2006) Factors affecting the bacteriology of deep neck infection: a retrospective study of 128 patients. Acta Otolaryngol 129:396–401

    Article  Google Scholar 

  2. Parhiscar A, Har-El G (2001) Deep neck abscess: a retrospective review of 210 cases. Ann Otol Rhinol Laryngol 110:1051–1054

    Article  CAS  PubMed  Google Scholar 

  3. Rao DD, Desai A, Kulkarni RD, Gopalkrishnan K, Rao CB (2010) Comparision of maxillofacial space infection in diabetic and non diabetic patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 110(4):e 7–e12 E Pub 2010 Jul 24

    Article  Google Scholar 

  4. Webster’s Online Dictionary. Search term “quackery”. Accessed 13 April 2011 http://www.websters-online-dictionary.org/definition/Quackery

  5. Sandesh N, Mohapatra AK (2009) Street dentistry: time to tackle quackery. Indian J Dent Res 20(1):1–2

    Article  PubMed  Google Scholar 

  6. Paul W Poeschl, Ludwig Sputsa, Guenter Russmueller, Rudolf Seemann, Alexander Hirschl, Ellen Ellen et al (2010) Antibiotic susceptibility and resistance of the odontogenic microbiological spectrum and its clinical impact on severe deep space head and neck infections. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 110:151–156

    Article  Google Scholar 

  7. Levine TM, Wurster CF, Krespi YP (1986) Mediastenitis occurring as a complication of odontogenic infection. Laryngoscope 94:747–750

    Google Scholar 

  8. Rega AJ, Aziz SR, Ziccardi VB (2006) Microbiology and antibiotic sensitivities of head and neck space infections of odontogenic orgin. J Oral Maxillofac Surg 64:1377–1380

    Article  PubMed  Google Scholar 

  9. Fleming P, Feigal RJ, Kaplan EL, Liljemark WF, Little JW (1990) The development of penicillin resistant oral streptococci after repeated penicillin prophylaxis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 70:440–444

    Article  CAS  Google Scholar 

  10. Rasmussen BA, Bush K, Tally FP (1997) Antimicrobial resistance in anaerobes. Clin Infect Dis 24(suppl 1):110–120

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to B. Pramod Krishna.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pramod Krishna, B., Batra, R., Chopra, S. et al. Orofacial Space Infection Due to Faulty Prosthesis. J. Maxillofac. Oral Surg. 14 (Suppl 1), 38–41 (2015). https://doi.org/10.1007/s12663-011-0273-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12663-011-0273-2

Keywords

Navigation