ORAL AND MAXILLOFACIAL INFECTIONS TOPAZIAN PDF

Thoroughly updated to reflect extensive changes in the medical field, this New Edition presents a unique blend of the latest research findings, along with theory and pragmatic therapy. Topics new to this Edition include: anatomical considerations; antimicrobial pharmacology; pulpal infection; infection related to facial esthetic procedures; infection related to reconstruction; and infections in pediatric patients. Several chapters have been revised to address early and late complications, bacterial and protozoal infections, and hepatitis and AIDS. Comprehensive coverage with a clinical focus makes Oral and Maxillofacial Infections suitable for both the practitioner and student. The entire head and neck region is covered, presenting comprehensive coverage of the infections seen by oral-maxillofacial and ENT surgeons.

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E-mail: moc. This article has been cited by other articles in PMC. Abstract Objective: The aim of this retrospective study was to evaluate the involvement of fascial spaces, their bacteriology, sensitivity to antibiotics and management of odontogenic infection in patients of age less than 60 years. Resuls: The mandibular 3rd molar was found to be the most commonly offending tooth, followed by the mandibular 2nd molar.

The submandibular space was the most frequently involved fascial space both in single fascial space infections and multiple fascial space infections. Mixed growth aerobic and anaerobic was seen in culture smears of 60 patients, only aerobic bacterial growth was seen in 25 patients and anaerobic bacterial growth was seen in culture smears of 15 patients.

Streptococcus viridans was the most frequently isolated bacteria among the aerobes, whereas Bacteroides and Prevotella were the most common bacterial species among anaerobes. Empirical antibiotic therapy in the form of Co amoxiclav and Metronidazole was given.

Conclusion: It was concluded that odontogenic infections were mixed aerobic—anaerobic infections. Anaerobic as well as aerobic cultures were necessary to isolate all pathogens. Successful management of these infections depends on changing the environment through decompression, removal of the etiologic factor and by choosing the proper antibiotic.

Keywords: Antibiotic sensitivity, fascial space infection, odontogenic infection Introduction Odontogenic infection has plagued human kind for as long as the human species has existed.

Yet, even after centuries of research, mankind has not succeeded in eradicating bacterial infections. Generally, in the orofascial region, most bacterial infections involve either a disturbance of the normal flora or a displacement of the normal organisms to the site, where they are usually not seen. They may range from periapical abscesses to superficial and deep infections in the neck. If untreated, they generally spread into the contiguous fascial spaces masseteric, sublingual, submandibular, temporal, buccal, canine and parapharyngeal and may lead to additional complications.

Hence, early recognition of infections and appropriate therapy is essential. The aim of the present study is to determine the anatomic and microbiologic considerations of odontogenic infections of both maxilla and mandible, their clinical manifestations and discuss their response to medical as well as surgical treatment.

Materials and Methods This study consisted of a retrospective analysis of patients aged less than 60 years with odontogenic infections who received management between December and November Inclusion criteria consisted of patients with or without a history of systemic diseases like hypertension, diabetes mellitus and human immunodeficiency virus HIV , frequency of offending teeth, distribution of single and multiple fascial space involvement and its bacteriology, antibiotic sensitivity and management.

Routine investigations of blood and complete urine examination were carried out. For bacteriological examination, the pus sample was collected by aspiration from the abscess site with a disposable gauge needle and syringe. The collected sample was immediately transferred to pre-reduced thioglycollate broth prepared and sterilized in a bijou bottle and then transported to the clinical microbiology laboratory for gram staining, bacterial culture and antimicrobial sensitivity.

One of the culture plates was incubated at 37oC in the incubator under aerobic environment. Second culture plate was incubated in an anaerobic jar Himedia: Shown in Figure 1 in which anaerobic conditions were created using chemicals supplied by Himedia LEB: Shown in Figure 2.

This was incubated at 37oC for 48 hours. The bacteria isolated were identified.

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Odontogenic infections: Microbiology and management

Thoroughly updated to reflect extensive changes in the medical field, this New Edition presents a unique blend of the latest research findings, along with theory and pragmatic therapy. Topics new to this Edition include: anatomical considerations; antimicrobial pharmacology; pulpal infection; infection related to facial esthetic procedures; infection related to reconstruction; and infections in pediatric patients. Several chapters have been revised to address early and late complications, bacterial and protozoal infections, and hepatitis and AIDS. Comprehensive coverage with a clinical focus makes Oral and Maxillofacial Infections suitable for both the practitioner and student.

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Oral and Maxillofacial Infections

E-mail: moc. This article has been cited by other articles in PMC. Abstract Objective: The aim of this retrospective study was to evaluate the involvement of fascial spaces, their bacteriology, sensitivity to antibiotics and management of odontogenic infection in patients of age less than 60 years. Resuls: The mandibular 3rd molar was found to be the most commonly offending tooth, followed by the mandibular 2nd molar. The submandibular space was the most frequently involved fascial space both in single fascial space infections and multiple fascial space infections. Mixed growth aerobic and anaerobic was seen in culture smears of 60 patients, only aerobic bacterial growth was seen in 25 patients and anaerobic bacterial growth was seen in culture smears of 15 patients.

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Oral and Maxillofacial Infections 4th Ed - Topazian

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