Facial antibioma formation: a case report

Odontogenic infections are associated with a variety of microorganisms. antibiotics are commonly used for the management of various dental infections and have a proven role in decreasing morbidity and mortality caused by infectious diseases. the frequent and over usage of antibiotics has been associated with a number of consequences such as the selection of drug resistant strains, and the formation of antibiomas. antibiomas are characterized by the formation of a localized pathology surrounded by thick fibrous tissues in response to long term antibiotics use. an established antibioma is characterized by a tough fibrous swelling accompanied by painful or painless swelling, intermittent fever and constitutional symptoms. in this article, we are reporting the case of a facial antibioma formed due to prolonged use of antibiotics prescribed for a residual periapical infection following endodontic treatment. in addition, the association of using antibiotics in this context is discussed.

Acutely infected teeth: to extract or not to extract?

Abstract: Not only laymen but also dentists generally believe that extraction of acutely infected teeth should be avoided until the infection subdues by using systemic antibiotics. The aim of this study was to compare perioperative complications in routine extractions of acutely infected teeth with extractions of asymptomatic teeth. This prospective study was performed with 82 patients. Severe pain on percussion of the relevant tooth was considered as basic criteria for acute infection. The acutely infected teeth were labeled as the study group (n = 35) and the asymptomatic teeth as the control group (n = 47). The extractions were done using standard procedures. The amount of anesthetic solution used and duration of extractions were recorded. Postoperative severe pain and exposed bone with no granulation tissue in the extraction socket were indications of alveolar osteitis (AO). The level of statistical significance was accepted as 0.05. Symptoms that could indicate systemic response, including fever, fatigue, and shivering were not found. There was no statistically significant difference between groups in terms of AO, amount of anesthetic solution used, and duration of extraction. The presence of an acute infection characterized by severe percussion pain is not a contraindication for tooth extraction. Infected teeth should be extracted as soon as possible and the procedure should not be postponed by giving antibiotics.

overview of odontogenic infections. When to refer?

Dental and Medical practitioners as well as specialists in medicine and dentistry are often faced with the challenge of managing patients with infections. These infections can range in their severity from those that may only require antibiotic therapy to those that may require aggressive surgical intervention. Oral and maxillofacial infections, in particular, have the tendency to spread rapidly along fascial planes and if left untreated they may lead to highly morbid clinical conditions with severe complications that may ultimately lead to death. Careful diagnosis and sound clinical judgment have the potential to reduce morbidity associated with odontogenic infections. The success of these treatments are, in part, dependent on the virulence of the pathogen involved, the resistance of the host and strict adherence to sound medical, pharmacological and surgical principles. An overview of the principles of antibiotic therapy, diagnostic laboratory and imaging studies and the principles of surgical management will be presented

Utilización del compuesto trióxido mineral MTA en casos de apexificación / The uses of mineral trioxide agregate MTA in apexification cases

Este estudio corresponde a una serie de 20 casos donde se utilizó el compuesto trióxido mineral MTA para tratar distintos casos de apexificación. Se seleccionaron pacientes que presentaban piezas permanentes superiores, no vitales, con antecedentes de traumatismo, e interrupción del desarrollo radicular, cuyas edades fluctuaban entre los diez y catorce años. El propósito de este estudio fue conocer las propiedades, ventajas e indicaciones del MTA y la viabilidad del protocolo utilizado en estos tratamientos. De acuerdo al protocolo del tratamiento, los conductos radiculares fueron irrigados con hipoclorito de sodio al 2.5 por ciento y medicados con una pasta de hidroxido de calcio por 15 días. Seguidamente, la porción apical fue sellada con MTA (3mm) y la porción remanente con gutapercha y cemento Grossman. Estos casos, que tradicionalmente fueron tratados con hidróxido de calcio por extensos períodos de tiempo, al ser sellados con MTA, fueron dados de alta en una sola sesión, y completaron el cierre radicular en un plazo de 6 a 8 meses. Sin embargo, son necesarios nuevos ensayos clínicos que prueben la efectividad de este material.

Eficácia do diclofenaco potássico no tratamento de processos inflamatórios em odontologia: estudo multicêntrico / Efficacy of potassic diclofenac in the treatment of inflammatory processes in odontology: multicenter study

Estudo multicéntrico, aberto, näo comparativo, realizado de março de 1985 a novembro de 1986. Um total de 4027 pacientes, portadores de afecçöes odontológicas, foi avaliado por 888 odontólogos. As afecçöes relatadas foram classificadas em cinco grupos: endodônticas, dentárias, periodônticas, traumáticas e outras. De modo geral, todos os sintomas apresentaram melhoras, sendo que a avaliaçäo global da eficácia terapêutica mostrou resultados exelentes ou bons em 94,7 por cento dos casos. Apenas 9,6 por cento dos pacientes relataram a ocorrência de efeitos colaterais, sendo que destes, 93,3 por cento eram de natureza leve ou moderada. Na avaliaçäo global da tolerabilidade, esta foi considerada boa ou excelente em 93,8 por cento dos pacientes. A ocorrência de efeitos colaterais foi maior na presença de medicaçöes concomitantes do que durante o emprego isolado do diclofenaco potássico, sendo esta diferença estatisticamente significativa (P < 0,01). Conclui-se que o diclofenaco potássico consistiu uma opçäo segura para o tratamento das afecçöes odontológicas acompanhadas de processsos inflamatórios e/ou dolorosos