Odontogenic maxillofacial space infections at a tertiary care center in North India: A five-year retrospective study

George C. Mathew, Laxman Kumar Ranganathan, Sumir Gandhi, Mini Elizabeth Jacob, Inderjot Singh, Manisha Solanki, Saurab Bither

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Objective: Odontogenic infections contribute to a significant proportion of maxillofacial space infections (MSI) across the world. MSI can cause several life-threatening complications despite skillful management. The objective of this study was to review the clinical characteristics, management, and outcome of odontogenic MSI treated at a tertiary care center, and to identify the factors predisposing to life-threatening complications. Methods: A retrospective chart review of all patients treated for MSI from January 2006 to December 2010 at the Christian Medical College Hospital in Ludhiana, North India, was conducted. Results: Out of 137 patients identified, 66.4% were men. Mean patient age was 40 years, and 24.1% of the patients were diabetic. The most common origin was pulpal (70.8%), the most common space involved was the submandibular space, and the most common teeth responsible were the lower third molars. Twenty patients (14.6%) developed complications. Diabetes, multiple space involvement, and a total leukocyte count of ≥15×10 9/l were associated with complications. Conclusions: Patients with MSI who present with multiple space involvement, a high leukocyte count, and those with diabetes are at higher risk of developing life-threatening complications and need to be closely monitored.

Original languageEnglish (US)
Pages (from-to)e296-e302
JournalInternational Journal of Infectious Diseases
Volume16
Issue number4
DOIs
StatePublished - Apr 2012
Externally publishedYes

Keywords

  • Abscess
  • Antibiotic
  • Complication
  • Infection
  • Maxillofacial
  • Odontogenic

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

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