Epidemiological Analysis and Management of Patients with Facial Space Infections of Odontogenic Origin: A Retrospective Evaluation of Two Years

Authors : Ömer EKİCİ

Pages : 58-66

Doi:10.33808/clinexphealthsci.994256

View : 20 | Download : 11

Publication Date : 2023-03-28

Article Type : Research Paper

Abstract :Objective: Odontogenic infections are one of the most common pathologies in the oral and maxillofacial regions. The spread of odontogenic infections after unsuccessful or late treatment can lead to serious complications. The aim of this study is to examine the epidemiological features and treatment management of patients with odontogenic facial abscesses. Methods: This retrospective study included 88 patients with odontogenic facial area abscesses treated at Afyonkarahisar health sciences university, faculty of dentistry’s maxillofacial surgery clinic between 2019-2021. The socio-demographic, socio-economic characteristics and clinical examination findings of the patients and treatment methods for odontogenic abscess were analyzed comprehensively. Data were evaluated using SPSS-20 and the level of significance was set at p < .05. Results: In the two-year period between 2019 and 2021, 88 patients insert ignore into journalissuearticles values(44 male and 44 female, mean age was 39.72±16.42); were treated for diffuse facial infections of odontogenic origin. The most commonly involved area was the submandibular area insert ignore into journalissuearticles values(38.6%);, the most affected tooth was mandibular 1st molar and mandibular 3rd molars insert ignore into journalissuearticles values(18.2%);, and the most common cause was dental caries insert ignore into journalissuearticles values(65.90%);. Incision and drainage were performed in half of the patients insert ignore into journalissuearticles values(36.4% intraoral, 13.6% extraoral);. The most commonly used drugs were clindamycin insert ignore into journalissuearticles values(36.4%);, amoxicillin-clavulanate, and ornidazole combination insert ignore into journalissuearticles values(27.3%);. Conclusion: The results of this study confirm that odontogenic abscesses can heal without complications with timely and effective basic interventions such as incision and drainage. In this study, successful results were obtained with the parenteral clindamycin, and a combination of oral amoxicillin-clavulanate and ornidazole in the treatment of odontogenic abscesses.
Keywords : Epidemiological analysis, facial area abscess, odontogenic infection, treatment management