Moreover, antimicrobial susceptibility was evaluated in the isolated bacteria. Odontogenic infection is a complicated dental problem that originates within a tooth or in the adjacent tissues that hold the tooth. Severe odontogenic infections with septic progress a. Aspirates from 59 patients with chronic maxillary sinusitis 47 non odontogenic, 12 odontogenic, collected during a 3year period, were microbiologically processed for aerobic and anaerobic bacteria. Airway management is critical as odontogenic infections can compromise. Nonodontogenic oral and maxillofacial infections intechopen. Occasionally, infections could develop following an anesthetic injection or a surgical procedure 1. Principles of management and prevention of odontogenic infections 1. Odontogenic infection is an infection that originates within a tooth or in the closely surrounding tissues and can extend beyond natural barriers and result in potentially lifethreatening. Non odontogenic jaw cysts are cysts arising from epithelial remnants of embryonic ducts left behind after embryonal facial and jaw development. Maxillary sinusitis of odontogenic origin, also known as maxillary sinusitis of dental origin or odontogenic maxillary sinusitis oms, is a common disease in dental, otorhinolaryngologic, allergic, general, and maxillofacial contexts. Often they may be complaining of pain from their teeth. Please tell us where you read or heard it including the quote, if possible.
N this volume of periodontology 2000 is dedicated to nonodontogenic infections that may be present in patients attending dental clinics. Pdf while odontogenic infections are daily encountered in dental and oral and maxillofacial surgery practices, some practitioners may be unfamiliar. However, not all the cases with orofacial pain are associated with an odontogenic etiology. Chang and kilhwa yoo and sung hwan yoon and jiwon ha and seunggon jung and minsuk kook and hongju park and sunyoul ryu and heekyun oh, journaljournal of the. Guidelines for treatment of odontogenic infections in hospitalized adults clinical setting empiric therapy duration comments suppurative pyogenic orofacial odontogenic infection, including. The patient may also present with a history of multiple extractions and endodontic treatment for pain relief 7. In order to understand how odontogenic infections are treated, the dentist must be familiar with the terminology concerning infection and the pathophysiology of inflammation, which are described below. Practice guidelines are systematically developed statements to assist practitioners and patients in making decisions about appropriate health care for specific clinical circumstances.
The pathogenesis of infection in orofacial region due to odontogenic origin is a common clinical issue. An odontogenic infection is an infection that originates within a tooth or in the closely surrounding tissues. Bacteriological findings and antimicrobial resistance in odontogenic and nonodontogenic chronic maxillary sinusitis. In rare cases they can lead to sepsis, which may pose a vital threat to the patient. The underlying infectious process may be of odontogenic or nonodontogenic origin. While odontogenic infections are daily encountered in dental and oral and maxillofacial surgery practices, some practitioners may be unfamiliar with the wide. Nonodontogenic oral and maxillofacial infections aspergillus. Odontogenic pain, a common malady globally and the most prevalent type of orofacial pain, originates from dental structures, pulpal or periodontal. What are the antibiotics of choice for odontogenic infections. Odontogenic and nonodontogenic tumors of the jaws introduction odontogenic and nonodontogenic tumors of the jaws are a relatively rare and heterogeneous group of benign and malignant neoplasms, hamartomas, and other bonerelated lesions that demonstrate great variability in etiology, biologic behavior, and clinical significance. The most common nonodontogenic infections of the mouth are bacterial mucosal infections 5. These infections tend to spread along planes of least resistance from the supporting structures of the affected tooth.
What every practitioner needs to know this is a broad subject area. Toothache odontogenic and non odontogenic pain pdf free. Mar 29, 2018 non odontogenic bacterial infections are not commonly seen in contemporary oral medicine practice, but there is a worldwide resurgence of these conditions, and they have become more important in differential diagnosis and can pose a significant health problem for both patients and clinicians. Jaw cysts are sacklike pouches that fill with fluid and form within the tissues of the jaw. This website provides free medical books this website provides over 0 free medical books and more for all students and doctors this website the best choice for medical students during and after learning medicine.
Nonodontogenic bacterial infections are not commonly seen in contemporary oral medicine practice, but there is a worldwide resurgence of. Dental pain is the most common type of orofacial pain accounting for 26. Differential diagnosis for odontogenic pain is outlined in table 1. The purpose of this study was to analyse characteristics concerning etiology and progress of severe odontogenic infections with a fulminant development. Before the advent of antibiotics, upper respiratory infections were the most common, but now the prevalence of odontogenic infection is on the increase in spite of developments in medicine and improvements in dental care. An understanding of the dentists limitations is important in order to ensure the safety and wellbeing of patients presenting with odontogenic infections. Necrosis of the pulp is the result of deep caries of a tooth, to which the pulp responds with a typical inflammatory reaction. What are the antibiotics of choice for odontogenic. Former dean, faculty of dental medicine alazhar university.
Odontogenic sinusitis is most common among 4060 year olds with a slight female predominance. All patients with odontogenic infections requiring. This condition represents a carefully balanced equilibrium between microorganisms and host resistance preventing further spreading of the infection. Bacteriological findings and antimicrobial resistance in odontogenic and non odontogenic. On the other hand, nonodontogenic pain may be described as tingling, shooting, burning, nonlocalized, which crosses the midline. A differential diagnosis of orofacial pain, distinguishing between odontogenic pathologies and nonodontogenic painful etiologies, is a requisite before taking any clinical or pharmacological decision for pain management. While odontogenic infections are daily encountered in dental and oral and maxillofacial surgery practices, some practitioners may be unfamiliar with the wide range of other infections of diverse etiology, some of them relatively uncommon, or even rare.
Odontogenic and nonodontogenic pain may occur due to a variety of factors and causes. Trigeminal neuralgia or tic douloureux is an intermittent pain of great severity, which commences in the 3 rd. Patients can present with pain of odontogenic or non odontogenic origin, arising from the facial area, temporomandibular joints, ear, eyes, pharynx and larynx. Pain of odontogenic and nonodontogenic origin pocket. Among odontogenic dnsls, 15 had the dental infection in the second or third mandibular molar. Nasopalatine duct cyst cyst of the incisal canal incisive papilla cyst is a nonodontogenic developmental cyst located in the incisive canal or in the anterior palatine papilla and develops from the embryonic ducts of scarpa and stenson. These growths are not just limited to the jaws, because they can form anywhere within or on the body. The next most common form of odontogenic infection is the periodontal abscess. Odontogenic infection oi originates in teeth or in surrounding tissues, affecting the periapical bone from where it spreads towards either neighboring structures continuous propagation or structures located further away distant propagation 1214.
Periodontology 2000 nonodontogenic infections in dentistry. Odontogenic and non odontogenic cysts flashcards quizlet. Topographical classification is often applied to this complex region. Questioning the justification of frontal sinusotomy for. If it does not regress completely, it may become subacute or chronic. Odontogenic infection dentist6 free download as powerpoint presentation. They are mixed aerobicanaerobic with 60% caused by anaerobic and aerobic bacteria, 35% by aerobic bacteria, and 5% by anaerobic bacteria only. They can range in severity from a mild buccal space infection to a severe lifethreatening multispace infection. Intrabony cysts are most common in the jaws, because the mandible and maxilla are the only bones with epithelial. An overview of odontogenic infections was presented including an overview of management and guidelines for referral. Nonodontogenic facial pain can be caused by inflammation due to tumour, infection, or trauma. Attributes of good guidelines include validity, reliability, reproducibility, clinical applicability, clinical flexibility, clarity, multidisciplinary process. Odontogenic infections, consisting primarily of dental caries and periodontal disease gingivitis and periodontitis, are common and have local eg, tooth loss and, in some cases, systemic implications.
Radiology of cysts of the jaws columbia university. Non odontogenic infection immunology health sciences. Toothache odontogenic and non odontogenic pain pdf. Patients can present with pain of odontogenic or nonodontogenic origin, arising from the facial area, temporomandibular joints, ear, eyes, pharynx and larynx. Pain of odontogenic and nonodontogenic origin pocket dentistry. Principles of management and prevention of odontogenic infections chapter 16 of contemporary oral and maxillofacial surgery2014 seyed vahid malek hosseini shahid sadoughi university of medical sciences 2.
Regions often presenting as orofacial pain complaints include the sinuses, salivary gland, ears, eyes, throat, mandibular, and maxillary bone pathology. Despite being a wellknown disease entity, many cases are referred to otorhinolaryngologists by both doctors and dentists. Calcifying odontogenic cyst odontogenic keratocyst okc an okc is a non inflammatory odontogenic cyst that arises from the dental lamina. Nonodontogenic infections in turn are associated to maxillofacial fractures, submandibular sialoadenitis, infections of the salivary glands. Classification of odontogenic infectionsare classified into. Pdf nonodontogenic oral and maxillofacial infections. Most of nonodontogenic infections are associated with an underlying medical condition. Complications, diagnosis, and treatment of odontogenic. Nonodontogenic infections in dentistry gunnar dahle. Chapter 21 odontogenic and nonodontogenic tumors of the jaws introduction. The most common causes for odontogenic infection to be established are dental caries, deep fillings, failed root canal. A manual for nurses and midwives in the who european region has been written with the aim of developing the knowledge, skills and attitudes of nurses and midwives regarding infections and infectious diseases and their prevention and control.
Odontogenic is a medical term for tissues that gives origin to teeth. Occurring predominantly in females, the cause is usually unknown but considered related to he infection of the nerve by herpes simplex virus. Although rare in the postantibiotic era, deep space. Use the link below to share a fulltext version of this article with your friends and colleagues. However, pain has both sensory and emotional components. However, intraoral clinical and xray examination fails to discover an odontogenic source of infection, and even if possible odontogenic infectious focus is identified, typical signs of acute odontogenic infection, such as oral vestibule swelling and redness, tooth mobility, or sensitivity to axial percussion are missing. Chapter 21 odontogenic and non odontogenic tumors of the jaws introduction. Histopathologic features of chronic sinusitis precipitated by odontogenic infection. Jun 21, 2018 odontogenic is a medical term for tissues that gives origin to teeth. Definition and management of odontogenic maxillary. Jul 15, 2016 covert narcissist signs you are dealing with a master manipulatorlisa a romano podcast duration. Odontogenic and non odontogenic tumors of the jaws are a relatively rare and heterogeneous group of benign and malignant neoplasms, hamartomas, and other bonerelated lesions that demonstrate great variability in etiology, biologic behavior, and clinical significance. Ulrich klein dmd, dds ms, in bermans pediatric decision making fifth edition, 2011.
Untreated odontogenic infections can cause lifethreatening complications such as. Predisposing factors for these infections include conditions that make the skin more fragile or local host defenses less effective, such as obesity, previous cutaneous cuts, venous insufficiency, lymphatic obstruction or other causes. Odontogenic infection an overview sciencedirect topics. In the united states, it is estimated that 25 percent of adults over the age of 60 have lost all their teeth edentulism, approximately one. Odontogenic versus nonodontogenic deep neck space infections. Principles of management and prevention of odontogenic.
External or internal trauma to the mandibular angle region d. Non odontogenic infection free download as powerpoint presentation. Infections of the oral cavity, neck, and head infectious. Therefore, a seemingly simple odontogenic infection, under the right circumstances, may have fatal complications. Management of odontogenic and nonodontogenic oral pain. Introduction most common chief complaint of the patient visiting a dental clinic is orofacial pain 1. Nonodontogenic infections in dentistry wiley online library. Odontogenic infections often arise from dental caries usually the mandibular teeth or from dental extraction. Cavernous sinus thrombosis, brain abscess, airway obstruction, and mediastinitis are possible complications of dental infections. Dentists therefore need to have a thorough understanding of infectious. Furthermore, about 70% of odontogenic infections occur as periapical inflammation, i.
The dominant isolates are strictly anaerobic gramnegative rods and grampositive cocci. Know the causes, signs, symptoms, treatment and spread of odontogenic infections. Acute necrotizing ulcerative gingivitis anug is more common in immunocompromised patients. Nonodontogenic toothache a clinical dilemma khushbu ajmera1, sanjyot mulay2 1mds 2nd year post graduate student in the department of conservative dentistry and endodontics, dr. Neck spaces infection in diabetic and non diabetic patients.
Most odontogenic and many orofacial infections arise from the commensal oral mixed flora, with a substantial proportion of anaerobes. Diagnosis and management of odontogenic oral and facial. Non odontogenic facial pain can be caused by inflammation due to tumour, infection, or trauma. Chang and kilhwa yoo and sung hwan yoon and jiwon ha and seunggon jung and minsuk kook and hongju park and sunyoul. Pdf differential diagnosis of nonodontogenic sinusitis. These infections may spread into the parapharyngeal and retropharyngeal spaces, involving the airway and mediastinum. Analysis of maxillofacial and neck spaces infection in. Odontogenic infection in our study originated from a pulpal focus in 493 82. Odontogenic infection dentist6 human head and neck.
Bacteriological findings and antimicrobial resistance in. Oral pain of nonodontogenic origin can originate from the intraoral structures, such as buccal mucosa, gingival tissues, and alveolar bone. This article reports a differential diagnosis of nonodontogenic sinusitis in the region of molars with an intimate relationship with the maxillary sinus mucosa. Tooth andor its supporting structures are often source of pain. Odontogenic infections can be severe if not treated and are associated with mortality rate of 10 to 40%. The usual cause of odontogenic infections is necrosis of dental pulp, which is followed by bacterial invasion through the pulp chamber and into the deeper tissues.
Odontogenic cyst are a group of jaw cysts that are formed from tissues involved in odontogenesis tooth development. Pdf odontogenic infection involving the secondary fascial. Acute apical periodontitis acute dentoalveolar abscess space infection around the face local extension depends on the tooth involved. The topics to be covered include odontogenic orofacial space infections. More than 90% of all infections in the head and neck region can be traced back to an odontogenic origin. Nonodontogenic jaw cysts are cysts arising from epithelial remnants of embryonic ducts left behind after embryonal facial and jaw development. This is characterized by rapid progression and is associated with typical signs and symptoms. Quizlet flashcards, activities and games help you improve your grades. Despite the reported high prevalence of msdo, and the persistence of sinus disease if the odontogenic source. All dentists should be comfortable with prompt diagnosis and management of these types of infections. Odontogenic infections are one of the most common dental problems, which affect 80%90% of the population. It might be associated with a headache, joint pain, muscular pain and emotional stress. Dentists therefore need to have a thorough understanding of infectious diseases in order to diagnose such infections correctly and to decide whether.
Odontogenic infections are mainly a consequence of pulpitis that leads initially to periapical infection and a dental abscess. The periapical infection is the most common form of odontogenic infection. Odontogenic cysts are closed sacs, and have a distinct membrane derived from rests of odontogenic epithelium. Pdf antibiotics in odontogenic infections an update. For example, ludwigs angina constitutes an infection that has spread to involve the submental and bilateral submandibular and sublingual spaces which could cause impingement and embarrassment of the airway figs. Aerobic microbiology and culture sensitivity of head and neck space infection of odontogenic origin. The dilemma the clinician faces is finding the correct origin of this pain whereby an effective treatment will provide relief.
Although odontogenic infections are usually confined to the alveolar ridge vicinity, they can spread into deep fascial spaces. Odontogenic infections are generally polymicrobial and from endogenous oral flora. What is odontogenic infectioncausessymptomstreatment. We compared the ct features betw een odontogenic and.