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Management of Odontogenic Space Infection with Microbiology Study

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Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Introduction

Dental infection has plagued humankind for as long as our civilization has been a fight against microorganisms by man dates back to ancient civilization. The discoveries of antibiotics are encouraging trends towards conquest of the microbial infection.

Materials and Methods

This study emphasizes the detection of pathogenic microorganisms by microbiological examination and culture of specimens representative of the infection, importance of early and correct diagnosis of infections, prompt treatment and supportive care.

Results

The age group most commonly involved was in the third and fourth decades of life. Extraction followed by incision and drainage was done. The most commonly involved space was submandibular followed by buccal space. Thirty isolates were obtained. 43 % of the strains were strict anaerobes and 39 % were aerobes, with mixed growth was seen in 18.52 %. Amongst aerobes alpha hemolytic Streptococcus aureus and Peptostreptococcus as anaerobes were the most predominant followed by Bacteroides and Prevotella. Mixed aerobic and anaerobic isolates were obtained from 18.52 % of total cases. Overall resistance to Penicillin was 22 %, amongst aerobes.

Conclusion

Amoxicillin and Clavulanic acid combination performed better, as 100 % strains were sensitive to it. The results of this study saw a changing trend in terms of predominance of anaerobic bacteria over aerobic ones.

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References

  1. Topazian RG, Goldberg MH, Hupp JR (2002) Oral and maxillofacial infections, 4th edn. W.B.Saunders, Philadelphia

    Google Scholar 

  2. Hunt DE, King TJ, Fuller GE (1978) Antibiotic susceptibility of bacteria isolated from oral infections. J Oral Surg 36:527–529

    CAS  PubMed  Google Scholar 

  3. Virolainen E, Haapaniemi J, Aitasalo K, Suonpaa J (1979) Deep neck infections. Int J Oral Surg 8:407–411

    Article  CAS  PubMed  Google Scholar 

  4. Aderhold L, Knothe H, Frenkel G (1981) Bacteriology of dentigenous pyogenic infections. Oral Surg 52:583–587

    Article  CAS  PubMed  Google Scholar 

  5. Konow LV, Nord CE, Nordenram A (1981) Anaerobic bacteria in dentoalveolar infections. Int J Oral Surg 10:313–322

    Article  Google Scholar 

  6. Forbes BA (2000) Baily and Scott’s diagnostic microbiology. C.V Mosby, St. Louis

    Google Scholar 

  7. Flynn TR, Hoekstra W, Lawrence FR (1983) The use of drains in oral and maxillofacial surgery. J Oral Maxillofac Surg 41:508

    Article  CAS  PubMed  Google Scholar 

  8. Goldberg MH, Nemarich AN, Marco WP (1985) Complications after mandibular third molar surgery: a statistical analysis of 500 consecutive procedures in private practice. J Am Dent Assoc 111:277–279

    CAS  PubMed  Google Scholar 

  9. Allen D, Loughnan TE, Ord RA (1985) A re-evaluation of the role of tracheostomy in Ludwig’s angina. J Oral Maxillofac Surg 43:436–439

    Article  CAS  PubMed  Google Scholar 

  10. Peterson LJ (1993) Contemporary management of deep infections of the neck. J Oral Maxillofac Surg 51:226–231

    Article  CAS  PubMed  Google Scholar 

  11. Kuriyama T, Karasawa T, Nakagawa K, Saiki Y, Yamamoto E, Nakamura S (2000) Bacteriologic features and antimicrobial susceptibility in isolates from orofacial odontogenic infections. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90:600–608

    Article  CAS  PubMed  Google Scholar 

  12. Storoe W, Haug RH, Lillich TT (2001) The changing face of odontogenic infections. J Oral Maxillofac Surg 59:739–748

    Article  CAS  PubMed  Google Scholar 

  13. Al-Belasy FA, Hairam AR (2003) The efficacy of azithromycin in the treatment of acute infraorbital space infection. J Oral Maxillofac Surg 61:310–316

    Article  PubMed  Google Scholar 

  14. Sixou JL, Magaud C, Gougeon AJ, Cormier M, Bonnaure-Mallet M, Rennies M (2003) Microbiology of mandibular third molar pericoronitis: incidence of β-lactamase-producing bacteria. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 95:855–859

    Article  Google Scholar 

  15. Umeda M, Minamikawa T, Komatsubara H, Shibuya Y, Yokoo S, Komori T et al (2003) Necrotizing fascitis caused by dental infection: a retrospective analysis of 9 cases and a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 95:283–290

    Article  PubMed  Google Scholar 

  16. Wang LF, Kuo WR, Tsai SM, Huang KJ (2003) Characterizations of life- threatening deep cervical space infections: a review of one hundred ninety-six cases. Am J Otolaryngol 24:111–117

    Article  CAS  PubMed  Google Scholar 

  17. Biller JA, Murr AH (2004) The importance of etiology on the clinical course of neck abscesses. Otolaryngol Head Neck Surg 131:388–391

    Article  PubMed  Google Scholar 

  18. Patel SM, Mo JH, Walker MT, Adley B, Noskin GA (2004) Epidural abscess and osteomyelitis due to actinobacillus actinomycetemcomitans. Diagn Microbiol Infect Dis 50:283–285

    Article  PubMed  Google Scholar 

  19. Stefanopoulos PK, Kolokotronis AE (2004) The clinical significance of anaerobic bacteria in acute orofacial odontogenic infections. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98:398–408

    Article  PubMed  Google Scholar 

  20. Ohshima A, Ariji Y, Goto M, Izumi M, Naitoh M, Kurita K (2004) Anatomic considerations for the spread of odontogenic infection originating from the pericoronitis of impacted mandibular third molar: computed tomographic analyses. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98:589–597

    Article  PubMed  Google Scholar 

  21. Lida Y, Honda K, Suzuki T, Matsukawa S, Kawal T et al (2004) Brain abscess in which porphyromonas gingivalis was detected in cerebrospinal fluid. British. J Oral Maxillofac Surg 42:180

    Article  Google Scholar 

  22. Mihos P, Potaris K, Gakidis I, Papadakis D, Rallis G (2004) Management of descending necrotizing mediastinitis. J Oral Maxillofac Surg 62:966–972

    Article  PubMed  Google Scholar 

  23. Huang TT, Tseng FY, Liu TC, Hsu CJ, Chen YS (2005) Deep neck infection in diabetic patients: comparison of clinical picture and outcomes with nondiabetic patients. Otolaryngol Head Neck Surg 132:943–947

    Article  PubMed  Google Scholar 

  24. Scolozzi Lombardi T, Edney T, Jaques B (2005) Enteric bacteria osteomyelitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 99:E42–E46

    Article  PubMed  Google Scholar 

  25. Wang J, Ahani A, Pogrel MA (2005) A five year retrospective study of odontogenic maxillofacial infections in a large urban public hospital. Int J Oral Maxillofac Surg 34:646–649

    Article  CAS  PubMed  Google Scholar 

  26. Akst LM, Albani BJ, Strome M (2005) Subacute infratemporal fossa cellulitis with subsequent abscess formation in an immunocompromised patient. Am J Otolaryngol 26:35–38

    Article  PubMed  Google Scholar 

  27. Thomas Flynn R (2006) Severe odontogenic infections, part 1: prospective report I. J Oral Maxillofac Surg 64:1093–1103

    Article  Google Scholar 

  28. Gordon NC, Connelly S (2003) Management of head and neck infections in the immunocompromised patient. Oral Maxillofac Surg Clin N Am 15:103–110

    Article  Google Scholar 

  29. Anthony RJ (2006) Microbiology and antibiotic sensitivities of head and neck space infections of odontogenic origin. J Oral Maxillofac Surg 64:1377–1380

    Article  Google Scholar 

  30. Thomas Flynn R (2006) Severe odontogenic infections, Part 2: prospective report II. J Oral Maxillofac Surg 64:1104–1113

    Article  Google Scholar 

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None declared.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Modern Dental College and Research Centre, Residence No. 2, Collector Bungalow Residency Area, Indore, 452001, MP, India

    Mamta Singh, Deepashri H. Kambalimath & K. C. Gupta

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  1. Mamta Singh
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  2. Deepashri H. Kambalimath
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  3. K. C. Gupta
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Correspondence to Mamta Singh.

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Singh, M., Kambalimath, D.H. & Gupta, K.C. Management of Odontogenic Space Infection with Microbiology Study. J. Maxillofac. Oral Surg. 13, 133–139 (2014). https://doi.org/10.1007/s12663-012-0463-6

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  • DOI: https://doi.org/10.1007/s12663-012-0463-6

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