Odontogenic Infections: Etiology and Management

Background: odontogenic infection is a common problem facing the dentist and maxillofacial surgeon in their daily practice. Objectives: To determine the involved fascial spaces, the pathogenic bacteria and their antibiotic sensitivity in order to guide clinicians in proper management of odontogenic...

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Main Authors: Ahmed Jassam Al-Naqeeb, Hala Jassam Mohammed Al-Naqee
Format: Article
Language:English
Published: University of Anbar 2019-06-01
Series:Al-Anbar Medical Journal
Subjects:
Online Access:https://amj.uoanbar.edu.iq/article_170882_464bb321196eb760fedd9ea3270f4140.pdf
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author Ahmed Jassam Al-Naqeeb
Hala Jassam Mohammed Al-Naqee
author_facet Ahmed Jassam Al-Naqeeb
Hala Jassam Mohammed Al-Naqee
author_sort Ahmed Jassam Al-Naqeeb
collection DOAJ
description Background: odontogenic infection is a common problem facing the dentist and maxillofacial surgeon in their daily practice. Objectives: To determine the involved fascial spaces, the pathogenic bacteria and their antibiotic sensitivity in order to guide clinicians in proper management of odontogenic infections. Materials and Methods: Pus samples were obtained from  patients with odontogenic infections by needle aspiration or sterile swab at the time of abscess drainage. The samples were cultured aerobically and anaerobically conditions, followed by identification of bacteria using different biochemical tests and sensitivity test by disk diffusion method. Results: This study included (20) patients, (11) patients were male and (9) female. The submandibular space was the most commonly involved. A mixed facultative anaerobic and strict anaerobic growth was observed in the cultures. Viridans streptococci was the predominant bacteria (42.42%), while the least isolated bacteria was Fusobacterium spp (9.1%). The isolated bacteria were highly susceptible to azithromycin (87.87%) and least susceptible to amoxicillin (39.39%). Conclusion: Incision and drainage of involved fascial space with the removal of causative tooth and the use of appropriate antibiotic remain the ideal treatment option for odontogenic infection.
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spelling doaj-art-35da128a4c6e4671b98331e4e6f77bf62024-12-01T20:09:00ZengUniversity of AnbarAl-Anbar Medical Journal2706-62072664-31542019-06-011516910.33091/amj.2019.170882170882Odontogenic Infections: Etiology and ManagementAhmed Jassam Al-Naqeeb0Hala Jassam Mohammed Al-Naqee1Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Anbar, Ramadi, Anbar, IraqDepartment of Human Anatomy, College of Medicine, University of Anbar, Ramadi, Anbar, IraqBackground: odontogenic infection is a common problem facing the dentist and maxillofacial surgeon in their daily practice. Objectives: To determine the involved fascial spaces, the pathogenic bacteria and their antibiotic sensitivity in order to guide clinicians in proper management of odontogenic infections. Materials and Methods: Pus samples were obtained from  patients with odontogenic infections by needle aspiration or sterile swab at the time of abscess drainage. The samples were cultured aerobically and anaerobically conditions, followed by identification of bacteria using different biochemical tests and sensitivity test by disk diffusion method. Results: This study included (20) patients, (11) patients were male and (9) female. The submandibular space was the most commonly involved. A mixed facultative anaerobic and strict anaerobic growth was observed in the cultures. Viridans streptococci was the predominant bacteria (42.42%), while the least isolated bacteria was Fusobacterium spp (9.1%). The isolated bacteria were highly susceptible to azithromycin (87.87%) and least susceptible to amoxicillin (39.39%). Conclusion: Incision and drainage of involved fascial space with the removal of causative tooth and the use of appropriate antibiotic remain the ideal treatment option for odontogenic infection.https://amj.uoanbar.edu.iq/article_170882_464bb321196eb760fedd9ea3270f4140.pdfodontogenic infectionsorofacial spacesbacterial cultureantibiotic sensitivity metrics
spellingShingle Ahmed Jassam Al-Naqeeb
Hala Jassam Mohammed Al-Naqee
Odontogenic Infections: Etiology and Management
Al-Anbar Medical Journal
odontogenic infections
orofacial spaces
bacterial culture
antibiotic sensitivity metrics
title Odontogenic Infections: Etiology and Management
title_full Odontogenic Infections: Etiology and Management
title_fullStr Odontogenic Infections: Etiology and Management
title_full_unstemmed Odontogenic Infections: Etiology and Management
title_short Odontogenic Infections: Etiology and Management
title_sort odontogenic infections etiology and management
topic odontogenic infections
orofacial spaces
bacterial culture
antibiotic sensitivity metrics
url https://amj.uoanbar.edu.iq/article_170882_464bb321196eb760fedd9ea3270f4140.pdf
work_keys_str_mv AT ahmedjassamalnaqeeb odontogenicinfectionsetiologyandmanagement
AT halajassammohammedalnaqee odontogenicinfectionsetiologyandmanagement