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1.
Eur J Oral Sci ; 130(4): e12884, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35781706

RESUMO

This study assessed whether systemic antibiotics are beneficial or harmful in patients who present with an acute periodontal abscess or pericoronitis, with or without systemic involvement, and, if antibiotics are beneficial, which type, dosage, and duration are the most effective. Medline, Embase, and the Cochrane Library were screened from 1948 up to 1 April 2022 for systematic reviews, randomised clinical trials (RCTs), and other studies. Dedicated websites were consulted for systematic reviews, clinical practice guidelines, and health technology assessments on the topic. Outcomes of interest comprised tooth survival, swelling, pain, tooth mobility, periodontal probing depth, suppuration, adverse effects, quality of life measurements, and medication required for pain relief. Overall, five guidelines, seven systematic reviews, 15 RCTs, and 34 other studies were identified and selected for full-text assessment, but none of them fulfilled the inclusion criteria. At present there is no single randomised or non-randomised controlled trial assessing the harms and clinical effectiveness of systemic antibiotics in adults with a periodontal abscess or pericoronitis.


Assuntos
Pericoronite , Abscesso Periodontal , Adulto , Antibacterianos/uso terapêutico , Humanos , Dor , Pericoronite/tratamento farmacológico , Abscesso Periodontal/tratamento farmacológico , Revisões Sistemáticas como Assunto
2.
BMJ Case Rep ; 14(1)2021 Jan 26.
Artigo em Inglês | MEDLINE | ID: mdl-33500312

RESUMO

Fusobacterium nucleatum is a periodontal commensal and pathogen. In rare cases, these anaerobic gram-negative bacilli have been reported to cause pyogenic liver abscesses (PLAs). We describe a patient who developed a periodontal abscess during the COVID-19 pandemic and was unable to access the restricted General Dental Services at this time. She subsequently developed a F. nucleatum bacteraemia and liver abscess. The non-specific signs and symptoms experienced meant the patient self-isolated due to suspected COVID-19 infection and presentation to hospital was delayed. We also include the results of a literature search of other cases of PLAs attributed to F. nucleatum PLAs often develop insidiously. They require percutaneous drainage and prolonged antimicrobial therapy. Clinicians should be aware of this rare complication of a dentoalveolar infection in a patient who is systemically unwell.


Assuntos
Infecções por Fusobacterium/diagnóstico , Abscesso Hepático Piogênico/microbiologia , Abscesso Periodontal/microbiologia , Antibacterianos/uso terapêutico , Bacteriemia/diagnóstico , COVID-19/epidemiologia , Drenagem , Feminino , Infecções por Fusobacterium/diagnóstico por imagem , Infecções por Fusobacterium/tratamento farmacológico , Humanos , Abscesso Hepático Piogênico/diagnóstico por imagem , Abscesso Hepático Piogênico/tratamento farmacológico , Pessoa de Meia-Idade , Pandemias , Quarentena , SARS-CoV-2 , Tempo para o Tratamento , Tomografia Computadorizada por Raios X
4.
Artigo em Espanhol | LILACS, BDNPAR | ID: biblio-1337596

RESUMO

La periodontitis crónica es una patología caracterizada por la destrucción de los tejidos de soporte del diente. Existe evidencia científica de la presencia en bolsas periodontales de Pseudomonas aeruginosa, bacteria que altera la microbiota subgingival. Ha sido asociada al fracaso en el tratamiento de la periodontitis y podría constituir un riesgo para la salud general de los pacientes. El objetivo de esta investigación fue determinar la frecuencia de P. aeruginosa en bolsas periodontales de pacientes con periodontitis crónica que acudieron a la cátedra de Periodoncia de la Universidad Autónoma de Asunción. El estudio fue observacional descriptivo de corte transversal, para el mismo fueron seleccionados pacientes con periodontitis crónica que cumplían con los criterios de inclusión. Las piezas dentariasseleccionadas para la toma de muestras fueron aisladas con rollos de algodón estéril, y una vez removida la placa bacteriana supragingival, se retiró la placa subgingival de las bolsas periodontales por medio de curetas de Gracey y se introdujeron en tubos de ensayo que contenían medio de Stuart, para luego llevar las muestras hasta el laboratorio de microbiología para su análisis. Del total de 14 muestras, solo una dio positivo a P. aeruginosa representando el 7,14%. El microrganismo aislado resultó resistente a los antibióticos utilizados como coadyuvantes en el tratamiento de la periodontitis crónica,al igual que en otros trabajos encontrados en la literatura internacional. La presencia de estas bacterias dificulta el control de la enfermedad periodontal y podría significar un riesgo para desarrollar infecciones oportunistas, especialmente en los pacientes inmunodeprimidos


Chronic periodontitis is a pathology characterized by the destruction of tooth supporting tissues. There is scientific evidence of the presence in periodontal pockets of Pseudomonas aeruginosa, a bacterium that alters the subgingival microbiota and that has been associated with failure to treat periodontitis and could constitute a risk to patient general health. The objective of this research was to determine the frequency of P. aeruginosa in periodontal pockets of patients with chronic periodontitis who attend the Chair of Periodontology at the Autonomous University of Asunción. Descriptive, cross-sectional observational study, in which patients with chronic periodontitis who met the inclusion criteria were selected. The pieces selected for sampling were isolated with sterile cotton rolls, and once the supragingival bacterial plaque had been removed, the subgingival plaque was removed from the periodontal pockets by means of Gracey curettes and placed in test tubes containing Stuart medium, then the samples were taken to the microbiology lab for analysis. Of the total of 14 samples, only one was positive for P. aeruginosa, representing 7.14%. The isolated microorganism was resistant to the antibiotics used as adjuvants in the treatment of chronic periodontitis, as in other studies found in the international literature. The presence of these bacteria makes it difficult to control periodontal disease and could pose a risk for developing opportunistic infections, especially in immunosuppressed patients


Assuntos
Humanos , Masculino , Feminino , Abscesso Periodontal/microbiologia , Pseudomonas aeruginosa , Periodontite Crônica , Curetagem Subgengival
5.
BMJ Case Rep ; 13(7)2020 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-32690568

RESUMO

Chronic apical periodontitis associated with dental pulp necrosis is the main cause of odontogenic extraoral cutaneous sinus openings. These tracts are often initially misdiagnosed unless the treating clinician considers a dental aetiology. This case report of a 19-year-old woman describes the diagnosis and treatment of an extraoral cutaneous sinus tract of odontogenic origin. Non-surgical conservative endodontic therapy was opted as the involved teeth were restorable. One month after the completion of obturation, there was closure of the sinus tract. One year follow-up showed complete resolution of the sinus tract with minimal scar formation.


Assuntos
Fístula Cutânea/etiologia , Fístula Cutânea/terapia , Abscesso Periodontal/complicações , Desbridamento Periodontal/métodos , Periodontite/terapia , Obturação Retrógrada/métodos , Tratamento do Canal Radicular/métodos , Adulto , Feminino , Humanos , Resultado do Tratamento , Adulto Jovem
6.
BMC Infect Dis ; 20(1): 133, 2020 Feb 12.
Artigo em Inglês | MEDLINE | ID: mdl-32050917

RESUMO

BACKGROUND: Vertebral osteomyelitis can be attributed to many factors including immunosuppression, diabetes, malignancy, collagen disease, periodontal disease, open fractures, and endoscopic procedures. Anaerobic bacteria, such as Veillonella species, are found in the oral cavity and are rarely implicated in the infection. This report describes vertebral osteomyelitis secondary to a dental abscess with positive Veillonella cultures. CASE DESCRIPTION: A 76-year-old man presented to the hospital due to back pain with a four-day history of fever and chills. CT scans revealed several abscesses in the lumbar region as well as indications of vertebral osteomyelitis. After a psoas drain, the patient began antibiotics with a combination of ampicillin-sulbactam, metronidazole, and levofloxacin, but due to the patient's penicillin allergy, he was initially desensitized to this antibiotic for a significant period of time. Laminectomies, foraminotomies, and facetectomies were performed, but the infection spread to vertebral levels. The patient was then switched to a combination of vancomycin, metronidazole, and levofloxacin which eliminated the infection. Final laminectomy was performed with posterior segmental instrumentation and arthrodesis. Post-operatively, there were no signs of infection. The patient recovered well and regained mobility. Deeper examination of the patient's medical history revealed a severe tooth abscess immediately before the onset of bacteremia. CONCLUSION: We believe that a delay in the onset of antibiotic treatment is what led to the initial bacteremia that ultimately took root in the lower lumbar vertebrae. To the best of our ability, we could identify only one other case that linked vertebral osteomyelitis to the oral cavity.


Assuntos
Abscesso/tratamento farmacológico , Bacteriemia/microbiologia , Osteomielite/etiologia , Osteomielite/terapia , Abscesso Periodontal/complicações , Abscesso/diagnóstico por imagem , Idoso , Antibacterianos/uso terapêutico , Dor nas Costas/diagnóstico por imagem , Dor nas Costas/tratamento farmacológico , Bacteriemia/tratamento farmacológico , Bacteriemia/etiologia , Foraminotomia , Humanos , Laminectomia , Vértebras Lombares/microbiologia , Vértebras Lombares/cirurgia , Masculino , Osteomielite/diagnóstico por imagem , Osteomielite/microbiologia , Abscesso Periodontal/microbiologia , Tomografia Computadorizada por Raios X , Veillonella/patogenicidade
7.
Rev. esp. cir. oral maxilofac ; 41(4): 172-177, oct.-dic. 2019. graf
Artigo em Espanhol | IBECS | ID: ibc-191802

RESUMO

INTRODUCCIÓN: Las infecciones cervicofaciales constituyen un motivo de consulta muy frecuente en los servicios de Urgencias de nuestro país, siendo con frecuencia causa de gran morbilidad y de importantes complicaciones, incluyendo el compromiso de la vía aérea. Por todo ello, un diagnóstico y tratamiento precoces son de vital importancia. El objetivo principal es realizar un estudio observacional retrospectivo sobre los pacientes diagnosticados de infección cervicofacial grave en nuestro centro, analizando múltiples variables demográficas, el tratamiento administrado, la duración del ingreso y las complicaciones observadas. MATERIAL Y MÉTODOS: Estudio observacional descriptivo retrospectivo sobre una muestra de 47 pacientes diagnosticados de infección cervicofacial grave en nuestro centro entre abril de 2016 y marzo de 2018. Se recogen y analizan múltiples variables: sexo, etiología, clínica asociada, aislamiento microbiológico, tratamiento, comorbilidades, duración de ingreso y complicaciones asociadas. RESULTADOS: El 51 % de la muestra fueron pacientes menores de 50 años sin comorbilidades asociadas. Las comorbilidades más frecuentes fueron los hábitos tóxicos (tabaco y alcohol), hipertensión arterial y diabetes. Respecto a la etiología, el 91 % fueron odontogénicas, siendo los cordales inferiores las piezas dentales afectadas con mayor frecuencia (79,06 %). La clínica característica de presentación fue la tríada de tumefacción facial, dolor y trismus (hasta el 60 %). El espacio cervicofacial afectado con mayor frecuencia fue el submandibular (56 %). El aislamiento microbiológico mostró que la mayoría fueron infecciones polimicrobianas mixtas (18 de 38 aislamientos) con predominio de los grupos Streptococo y Prevotella. Las complicaciones encontradas fueron: dos pacientes con obstrucción de vía aérea superior que precisaron traqueostomía previa intubación, un hematoma postquirúrgico, tres reintervenciones por mala evolución clínica y un paciente con mediastinitis. CONCLUSIONES: De los resultados obtenidos podemos concluir que la etiología odontogénica es la más frecuente, siendo el espacio submandibular el más afectado. En el Hospital Ramón y Cajal de Madrid, la mayoría de las infecciones cervicofaciales graves son mixtas con microrganismos aislados aerobios y anaerobios. El tratamiento combinado con cirugía y antibioterapia intravenosa fue de elección. Amoxicilina-Clavulánico fue el antibiótico más utilizado. Las complicaciones evolutivas graves son poco frecuentes con un tratamiento adecuado


INTRODUCTION: Cervical infections are a very common reason for consultation in the emergency services of our country. However, in certain cases, these infections are a cause of a great morbidity and important complications, including the compromise of the upper airway. For all these reasons, early diagnosis and treatment are of a great importance. The main objective is to perform a retrospective study of patients diagnosed with severe cervicofacial infection in our department, analyzing multiple demographic variables, treatment administered, time of hospitalization and complications observed. MATERIAL AND METHODS: Retrospective descriptive observational study based on a sample of 47 patients diagnosed with severe cervicofacial infection in our center between April 2016 and March 2018. Multiple variables were collected, among which are: sex, etiology, associated symptoms, microbiological isolation, treatment established, comorbidities, time of hospital admission and complications. RESULTS: 51 % of the sample were patients under 50 years of age without comorbidities. The most frequent comorbidities were toxic habits (tobacco and alcohol), hypertension and diabetes. Regarding the etiology, 91 % were odontogenic, being the third inferior molars the most frequently affected (79.06 %). The characteristic clinical presentation was the triad of facial swelling, pain and trismus (up to 60 %). The most frequently affected cervicofacial space was the submandibular space (56 %). The microbiological isolation showed that the majority were mixed polymicrobial infections (18 of 38 isolates) with predominance of the Streptococcus and Prevotella groups. The complications that we found were: two upper airway obstructions, a cervical bleeding, three reinterventions for a bad clinical evolution and a patient with mediastinitis. CONCLUSIONS: We can conclude that odontogenic etiology is the most frequent in severe cervicofacial infections, with the submandibular space being the most affected. Most of severe cervicofacial infections in Ramón y Cajal Hospital were polymicrobial and mixed infections. The combined treatment with surgery and intravenous antibiotic therapy was the therapeutic option chosen for all patients. Amoxicillin-Clavulanic was the most used broad-spectrum antibiotic. Complications are uncommon with an adequate treatment


Assuntos
Humanos , Abscesso Periodontal/terapia , Resistência Microbiana a Medicamentos/imunologia , Antibacterianos/uso terapêutico , Infecções dos Tecidos Moles/terapia , Doenças da Glândula Submandibular/microbiologia , Testes de Sensibilidade Microbiana/estatística & dados numéricos , Complicações Pós-Operatórias/epidemiologia , Estudos Retrospectivos , Tabagismo/complicações
10.
Pergunta e resposta em Português | SOF - Segunda opinião formativa | ID: sof-41858

RESUMO

A melhor opção de antibiótico para puérpera durante a lactação são os antibióticos mais empregados em odontologia, como as penicilinas, a eritromicina e a clindamicina, que são excretados no leite materno em baixas concentrações(1). Sendo que seu uso é compatível com o aleitamento materno (1,2).
Dentre as outras categorias de fármacos, a dipirona sódica é um analgésico seguro para o controle da dor leve a moderada durante a lactação, da mesma forma que o paracetamol.
A aspirina deve ser evitada por interferir na agregação plaquetária e pelo risco associado à síndrome de Reye (1).
O ibuprofeno, o diclofenaco e o cetorolaco podem ser empregados em lactantes para o controle da dor e de edemas de maior intensidade, da mesma forma que os corticosteroides (dexametasona ou betametasona) (1).


Assuntos
Abscesso Periodontal/tratamento farmacológico , Gravidez , Complicações Infecciosas na Gravidez/tratamento farmacológico
11.
Compend Contin Educ Dent ; 40(3): 172-177, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30829499

RESUMO

This case report describes the management of a mandibular first molar with an additional distolingual root (radix entomolaris) and grade III cervical enamel projection through a multidisciplinary approach. Diagnosis for the case was endodontic-periodontal lesion due to non-vitality and associated advanced periodontal destruction. The patient was treated with drainage of the periodontal abscess with adjunct antibiotics, phase I periodontal therapy, endodontic therapy, radiculoplasty, regenerative periodontal therapy, replacement of the missing right mandibular second molar, and long-term maintenance. Follow-up of the patient up to 9 months has been uneventful. Cases of advanced periodontal destruction typically show some degree of tooth mobility, which was absent in this case. The article discusses the tripod effect as well as the increased surface area for periodontal attachment provided by the additional root contributing to the non-mobility of the involved tooth.


Assuntos
Esmalte Dentário/anormalidades , Dente Molar/anormalidades , Abscesso Periodontal/terapia , Anormalidades Dentárias/terapia , Humanos , Masculino , Mandíbula , Pessoa de Meia-Idade , Dente Molar/diagnóstico por imagem , Abscesso Periodontal/diagnóstico por imagem , Abscesso Periodontal/etiologia , Radiografia Dentária , Anormalidades Dentárias/complicações , Anormalidades Dentárias/etnologia
12.
Indian J Dent Res ; 29(6): 781-786, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30589008

RESUMO

Context: Knowledge of the microbial composition of abscessed primary tooth is limited. Aim: The aim was to investigate the presence of 10 oral bacterial species in samples from abscessed primary tooth root canals using microarray technology and to determine their association with clinical findings. Subjects and Methods: The samples were collected from root canals of 20 primary molars with acute primer infection. The bacterial composition of the samples was semi-quantitatively defined using a microarray system (ParoCheck®). Clinical parameters included the presence of spontaneous pain, mobility, percussion sensitivity and swelling. Statistical Analysis: Data were statistically analyzed by Student' t-test, Fisher's exact Chi-square test, Freeman-Halton-Fisher's exact test, and Spearman's rho correlation analysis. Results: All the tested species were detected in the samples. Fusobacterium nucleatum was the most frequent bacterium (100%), followed by Parvimonas micra (65%), Provetella intermedia (45%), and Treponema denticola (45%). According to paired bacterial combinations, F. nucleatum was significantly positively correlated with P. intermedia and P. micra (P < 0.05). T. denticola was significantly positively correlated with Porphyromonas gingivalis, Tannerella forsythia, Campylobacter rectus, and P. micra, while it was negatively correlated with Eikenella corrodens (P < 0.05). No statistically significant relationships were found between the presence of any bacteria and clinical findings. Conclusion: Microarray technology used in this study has demonstrated the presence of various bacteria with varying proportions in the root canals of abscessed primary teeth. The results regarding the high rate of certain bacterial combinations suggest the enhanced pathogenicity due to additive or synergistic effects of these microbial combinations.


Assuntos
Cavidade Pulpar/microbiologia , Fusobacterium nucleatum/isolamento & purificação , Dente Molar/microbiologia , Abscesso Periodontal/microbiologia , Prevotella intermedia/isolamento & purificação , Dente Decíduo/microbiologia , Treponema denticola/isolamento & purificação , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Análise em Microsséries
13.
Gen Dent ; 66(5): 73-76, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30188861

RESUMO

Conventional treatment for the management of 2- to 3-walled intrabony defects is the use of allograft or alloplasts. Autogenous grafts are the gold standard because of their osteogenic potential. Mandibular tori are an ideal site for harvesting bone because their excision causes no structural, esthetic, or functional compromise to the patient. This case report describes the use of an autogenous graft obtained from a mandibular torus. The graft was utilized, in particulate form, to fill an intrabony defect at the mandibular right central incisor. The mandibular torus provided sufficient graft material and eliminated the need for a second surgical site. A follow-up at 1 year revealed reduction in clinical attachment loss and complete resolution of tooth mobility.


Assuntos
Mandíbula/transplante , Abscesso Periodontal/cirurgia , Adulto , Processo Alveolar/cirurgia , Autoenxertos/transplante , Humanos , Incisivo , Masculino
14.
J Clin Periodontol ; 45 Suppl 20: S78-S94, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29926493

RESUMO

OBJECTIVE: To critically evaluate the existing literature on acute lesions occurring in the periodontium (periodontal abscesses [PA], necrotizing periodontal diseases [NPD], and endo-periodontal lesions [EPL]) to determine the weight of evidence for the existence of specific clinical conditions that may be grouped together according to common features. The ultimate goal is to support an objective classification system. IMPORTANCE: Although PA, NPD, and EPL occur with relatively low frequency, these lesions are of clinical relevance, because they require immediate management and might severely compromise the prognosis of the tooth. FINDINGS: In general, the evidence available to define these three conditions was considered limited. PA and EPL are normally associated with deep periodontal pockets, bleeding on probing, suppuration, and almost invariably, with pain. EPL are also associated with endodontic pathology. NPDs have three typical features: pain, bleeding, and ulceration of the gingival interdental papilla. The available data suggested that the prognosis of PA and EPL are worse in periodontitis than in nonperiodontitis patients. Lesions associated with root damage, such as fractures and perforations, had the worst prognosis. NPD progression, extent and severity mainly depended on host-related factors predisposing to these diseases. CONCLUSIONS: PA should be classified according to the etiological factors involved, with the most frequent being those occurring in pre-existing periodontal pockets. NPD are clearly associated with the host immune response, which should be considered in the classification system for these lesions. EPLs should be classified according to signs and symptoms that have direct impact on their prognosis and treatment, such as presence or absence of fractures and perforations, and presence or absence of periodontitis.


Assuntos
Abscesso Periodontal , Doenças Periodontais , Periodontite , Humanos , Bolsa Periodontal , Periodonto
15.
J Periodontol ; 89 Suppl 1: S85-S102, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29926942

RESUMO

OBJECTIVE: To critically evaluate the existing literature on acute lesions occurring in the periodontium (periodontal abscesses [PA], necrotizing periodontal diseases [NPD], and endo-periodontal lesions [EPL]) to determine the weight of evidence for the existence of specific clinical conditions that may be grouped together according to common features. The ultimate goal is to support an objective classification system. IMPORTANCE: Although PA, NPD, and EPL occur with relatively low frequency, these lesions are of clinical relevance, because they require immediate management and might severely compromise the prognosis of the tooth. FINDINGS: In general, the evidence available to define these three conditions was considered limited. PA and EPL are normally associated with deep periodontal pockets, bleeding on probing, suppuration, and almost invariably, with pain. EPL are also associated with endodontic pathology. NPDs have three typical features: pain, bleeding, and ulceration of the gingival interdental papilla. The available data suggested that the prognosis of PA and EPL are worse in periodontitis than in nonperiodontitis patients. Lesions associated with root damage, such as fractures and perforations, had the worst prognosis. NPD progression, extent and severity mainly depended on host-related factors predisposing to these diseases. CONCLUSIONS: PA should be classified according to the etiological factors involved, with the most frequent being those occurring in pre-existing periodontal pockets. NPD are clearly associated with the host immune response, which should be considered in the classification system for these lesions. EPLs should be classified according to signs and symptoms that have direct impact on their prognosis and treatment, such as presence or absence of fractures and perforations, and presence or absence of periodontitis.


Assuntos
Abscesso Periodontal , Doenças Periodontais , Periodontite , Humanos , Bolsa Periodontal , Periodonto
16.
Ned Tijdschr Geneeskd ; 162: D2237, 2018.
Artigo em Holandês | MEDLINE | ID: mdl-29600925

RESUMO

A 7-year-old boy was referred to the paediatric clinic with a swollen cheek since one day. Intraoral examination revealed erythematous and swollen gingivae in the right upper quadrant. The consulted maxillofacial surgeon diagnosed him with a canine fossa abscess. The patient recovered quickly after incision and drainage, followed by antibiotic therapy.


Assuntos
Antibacterianos/administração & dosagem , Drenagem/métodos , Maxila , Abscesso Periodontal , Criança , Diagnóstico Bucal/métodos , Humanos , Masculino , Maxila/patologia , Maxila/cirurgia , Abscesso Periodontal/diagnóstico , Abscesso Periodontal/tratamento farmacológico , Abscesso Periodontal/fisiopatologia , Abscesso Periodontal/cirurgia , Ferida Cirúrgica , Resultado do Tratamento
18.
Belo Horizonte; s.n; 2018. 48 p. ilus, graf, tab.
Tese em Português | BBO - Odontologia | ID: biblio-1102704

RESUMO

Infecções ontogênicas são condições clínicas caracterizadas pela disseminação do processo infeccioso aos tecidos e espaços fasciais da região de cabeça e pescoço a partir de foco dentário, podendo provocar complicações graves, como angina de Ludwig. As principais causas das infecções Ontogênicas são: cárie dentária, infecção dento alveolar, pericoronarite e infecções pós-cirúrgicas. O objetivo do presente trabalho é trazer conhecimento acerca do tema, e fazer um levantamento de dados dos procedimentos terapêuticos, relacionados à infecção, realizados no Hospital Metropolitano Odilon Behrens (HMOB) em Belo Horizonte, MG - Brasil no período de junho de 1990 a setembro de 2018. Os resultados apontam que o ano com maior número de pacientes atendidos foi 2017, e que a média de procedimentos/ano é de 2:1 aproximadamente. O procedimento de drenagem mais realizado foi a drenagem via canal, evidenciando que a principal causa de infecção odontogênica é de origem periapical; e que a representatividade em percentual de drenagens quando comparada com os demais procedimentos realizados significa uma média de 15%, o que confirma a necessidade de elaboração de medidas de prevenção de saúde bucal, e investimento em programas de educação acerca do tema, comum no cotidiano do Cirurgião Dentista.


Ontogenic infections are clinical conditions characterized by the dissemination of the infectious process to the tissues and fascial spaces of the head and neck region from the dental focus, which can lead to serious complications such as Ludwig's angina. The main causes of Ontogenic infections are: dental caries, dentoalveolar infection, pericoronitis and postoperative infections. The objective of the present study is to bring knowledge about the subject and to collect data on the therapeutic procedures related to the infection, performed at the Metropolitan Hospital Odilon Behrens (HMOB) in Belo Horizonte, MG, Brazil, from June 1990 to September of 2018. The results indicate that the year with the greatest number of patients attended was 2017, and that the average number of procedures / year is approximately 2: 1. The most commonly performed drainage procedure was canal drainage, evidencing that the main cause of odontogenic infection is of periapical origin; and that the representativeness in percentage of drainage when compared to the other procedures performed means an average of 15%, which confirms the need for elaboration of oral health prevention measures and investment in education programs on the subject, common in daily life of the Dentist.


Assuntos
Abscesso Periapical , Abscesso Periodontal , Periodontite , Drenagem , Cárie Dentária , Infecção Focal Dentária , Infecções , Terapêutica , Antibacterianos
19.
Aten. prim. (Barc., Ed. impr.) ; 49(10): 611-618, dic. 2017. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-169953

RESUMO

Nuestro objetivo es intentar contribuir al uso racional de los antibióticos prescritos por los médicos de familia cuando un paciente consulta por un problema odontológico. Actualmente la pregunta que nos debemos hacer es si hay que tomar antibiótico, en lugar de cuál dar. Revisamos las principales infecciones odontológicas, cuál debe ser el tratamiento adecuado y el papel de la prevención. Es necesario conocer la complejidad de la microflora de la cavidad oral, pues de ella dependerá la conveniencia de antibioterapia, la evolución hacia la curación o la progresión de algunas infecciones odontogénicas. La placa bacteriana, formada por el biofilm, se comporta como una barrera para la acción de los antimicrobianos. Es en la prevención de su formación, así como en la eliminación mecánica de esta una vez formada, en lo que el médico de familia debe insistir. Debemos transmitir a la población que los antibióticos no curan el dolor dental


Our aim is to contribute to the rational use of antibiotics prescribed by family doctors when a patient consults for a dental problem. Nowadays we should not ask which antibiotic to give. The question has to be if we need to prescribe antibiotics in front of the most common odontogenic infections seen in our practice. We review the main dental infections, which should be their appropriate management and the role of prevention. We need to know the complexity of the oral microbiome because it’l depend on the appropriateness of the antibiotherapy, the evolution towards cure or progression of some odontogenic infections. The bacterial plaque, formed by the biofilm, behaves as a barrier to the action of antimicrobials. It’s in the prevention of its development as well as in it mechanical elimination once shaped, in what the family doctor should insist. We must transmit antibiotics don’t heal dental pain


Assuntos
Humanos , Doenças Dentárias/microbiologia , Infecções Bacterianas/tratamento farmacológico , Atenção Primária à Saúde/estatística & dados numéricos , Antibioticoprofilaxia , Odontologia Baseada em Evidências/tendências , Controle de Doenças Transmissíveis/métodos , Abscesso Periodontal/tratamento farmacológico , Estomatite/microbiologia , Peri-Implantite/tratamento farmacológico
20.
Vet Rec ; 181(20): 536-537, 2017 11 18.
Artigo em Inglês | MEDLINE | ID: mdl-29150580
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