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All Journal Journal of Case Reports in Dental Medicine
Ariestiana, Yossi Y.
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Dentistry Health Professions

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Management of Severe Spreading Odontogenic Infection in Third Trimester of Pregnancy: A Case Report Ariestiana, Yossi Y.; Sylvyana, Melita; Tasman, Abel
Journal of Case Reports in Dental Medicine Vol 2, No 3 (2020)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v2i3.136

Abstract

Objective: Odontogenic infections are the most prevalent disease worldwide that presenting initially as localized and could spread causing facial cellulitis and if not treated will develop into more serious facial spaces infections. Infections are common in pregnancy due to hormonal changes and altered immunological activity aggravating response to dental infection resulting in serious life threatening condition to the mother and to the foetus. The present paper reviews the emergency treatment in the third semester of pregnancy patient with spreading odontogenic infections.Method: A case report of 23-year old female with 28 weeks gestation admitted with toothache, right submandibular swelling, and severe trismus consistent with spreading of odontogenic infection into mandibular space. Her treatment included emergent incision and drainage of associated space, extraction of the offending teeth, and intravenous antibiotic coverage was explained. Mother and foetus were also assessed by the Obstetric and Gynaecology Unit.Result: Severe infection was successfully resolved. The patient condition improved and proceeded to a normal delivery with a healthy child.Conclusion: A third semester pregnancy patient with severe spreading odontogenic infection need a holistic and accurate emergency treatment by considering the foetal and maternal health and safety while following well established clinical guidelines in managing odontogenic infection
A severe effect of anterior chest wall infection from odontogenic cause: Case Report Karlin, Christiadi; Ariestiana, Yossi Y.; Ghazali, Mohammad
Journal of Case Reports in Dental Medicine Vol 7, No 1 (2025)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v7i1.272

Abstract

Objective: Odontogenic infections can be life-threatening if left untreated, those can spread multi- directional to superior, inferior, anterior, and posterior regions. It can travel down the neck to the supraclavicular fossa, axilla, and chest wall, potentially reaching the deltopectoral triangle. Immediate treatment is essential to prevent the infection from reaching the mediastinum. Methods: A 20 years old male presented to the ER at Hasanuddin University Hospital with swelling on the right cheek extended to chin, neck, and upper part of chest since 4 days before admission. He experienced diculty breathing and had a fever. Examination found tachypnea, tachycardia, fever 37.4°C, neck move limitation, mouth opening limitation, classical sign of inammation, and leukocytosis. Patient suspected as abscess of submandible extended to neck, and chest. Incision and drainage accompanied with tooth extraction was performed and support therapy such as antibiotic treatment, nutritional support, extraoral massage, and chest compressive gauze. Results: The pleurovertebral and costopleural ligaments are key factors in determining whether infection in the deep neck fascial planes will spread to the mediastinum or the anterior chest wall. Strong ligaments direct the infection to the supercial chest wall, while weak ligaments allow the infection to spread deeper into the mediastinum. Conclusion: Comprehensive and rapid management of extraoral and intraoral drainage incisions and extraction of the causative tooth, chest compressive splinting and adequate medication and optimal nutritional therapy can prevent further spread of infection and provide a good prognosis.
Co-Authors Abel Tasman Ghazali, Mohammad Karlin, Christiadi Melita Sylvyana, Melita