A six-year retrospective evaluation of odontogenic infections in pediatric patients requiring hospitalization

Authors : Canay YILMAZ ASAN, Cemil EREN, Fatma DOĞRUEL, Ahmet Emin DEMİRBAŞ

Pages : 932-936

View : 36 | Download : 38

Publication Date : 2023-09-28

Article Type : Research Paper

Abstract :Aims: Odontogenic infections in pediatric patients are common conditions which need to rapid treatment because of the progression of the infection into deep facial spaces. This study aimed to investigate the treatment modalities and clinical findings of hospitalized patients because of odontogenic infections. Methods: The study sample was collected from patient’s medical records. Demographic data, clinical findings, hospital length, source of the infection and laboratory findings were compared. Results: 330 patients were included and the study competed with 111 girls insert ignore into journalissuearticles values(34%); and 219 boys insert ignore into journalissuearticles values(66%); with a mean age of 6.81±3.25 years insert ignore into journalissuearticles values(min:1-max:17);. 173 insert ignore into journalissuearticles values(%52); patients were treated for buccal space infection. The average duration of hospital stay was 2.69±0.78 days insert ignore into journalissuearticles values(min: 1, max: 6); in all cases and hospital stay was statistically higher in boys than girls insert ignore into journalissuearticles values(p=0.019);. The duration of hospitalization was statistically higher in patients with fossa canina infection insert ignore into journalissuearticles values(p<0.001);. 267 patients insert ignore into journalissuearticles values(%81); received ampicillin/sulbactam combined with metronidazole. The average day of the extraction of the causative tooth was the second day of the hospital stay. There was a positive correlation between length of hospital duration and CRP levels insert ignore into journalissuearticles values(p<0.001);. Conclusion: Odontogenic infections with facial cellulitis are generally seen in boys under six years old. The upper face is the most affected side with a rate of 72%. Intravenous penicillin and metronidazole treatment and early dental extraction with surgical drainage are necessary for rapid resolution of the infection.
Keywords : Odontogenic infections, pediatric, hospitalization, hospital stay, abscess