Severe infections after teeth removal - are we doing enough in preventing them?


Journal

Journal of clinical and experimental dentistry
ISSN: 1989-5488
Titre abrégé: J Clin Exp Dent
Pays: Spain
ID NLM: 101603132

Informations de publication

Date de publication:
Mar 2022
Historique:
received: 11 01 2022
accepted: 12 02 2022
entrez: 23 3 2022
pubmed: 24 3 2022
medline: 24 3 2022
Statut: epublish

Résumé

The present study clarified features and prehospital care in patients with severe infection after teeth removal. Patients who were hospitalized for infection following teeth removal were included in this study. Background variables and infection severity parameters were compared between patients who underwent elective and acute teeth removal prior to hospitalization. Additionally, associations of these variables with antibiotic use were evaluated. Of the 118 patients included in the study, teeth removal was due to acute infection in 64% and removal was elective in 36%. The time span from teeth removal to hospitalization varied considerably (from <1 day to 205 days). The variation was significantly greater in patients with preceding acute removal than those with elective removal ( Severe infection can develop with a long delay after acute teeth removal. More attention should be paid to preceding symptoms and early effective treatment of these infections. A more precise timing of antibiotic use could reduce severe postoperative infections in elective teeth removal.

Sections du résumé

Background UNASSIGNED
The present study clarified features and prehospital care in patients with severe infection after teeth removal.
Material and Methods UNASSIGNED
Patients who were hospitalized for infection following teeth removal were included in this study. Background variables and infection severity parameters were compared between patients who underwent elective and acute teeth removal prior to hospitalization. Additionally, associations of these variables with antibiotic use were evaluated.
Results UNASSIGNED
Of the 118 patients included in the study, teeth removal was due to acute infection in 64% and removal was elective in 36%. The time span from teeth removal to hospitalization varied considerably (from <1 day to 205 days). The variation was significantly greater in patients with preceding acute removal than those with elective removal (
Conclusions UNASSIGNED
Severe infection can develop with a long delay after acute teeth removal. More attention should be paid to preceding symptoms and early effective treatment of these infections. A more precise timing of antibiotic use could reduce severe postoperative infections in elective teeth removal.

Identifiants

pubmed: 35317298
doi: 10.4317/jced.59314
pii: 59314
pmc: PMC8916597
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e254-e262

Informations de copyright

Copyright: © 2022 Medicina Oral S.L.

Déclaration de conflit d'intérêts

Conflicts of interest The authors have no financial or non-financial interests to disclose.

Références

J Clin Med. 2020 Sep 30;9(10):
pubmed: 33008023
J Craniomaxillofac Surg. 2019 Feb;47(2):334-340
pubmed: 30600196
J Oral Maxillofac Surg. 2007 Sep;65(9):1700-6
pubmed: 17719386
Br J Oral Maxillofac Surg. 2020 May;58(4):409-415
pubmed: 31987682
J Am Dent Assoc. 2018 May;149(5):372-381.e1
pubmed: 29703279
Br Dent J. 2018 Jun 22;224(12):962-966
pubmed: 29999002
Cochrane Database Syst Rev. 2012 Nov 14;11:CD003811
pubmed: 23152221
Aust Dent J. 2000 Sep;45(3):179-86; quiz 214
pubmed: 11062935
Natl J Maxillofac Surg. 2015 Jul-Dec;6(2):136-43
pubmed: 27390486
Antibiotics (Basel). 2019 May 02;8(2):
pubmed: 31052566
Aust Dent J. 2017 Mar;62(1):52-57
pubmed: 27121371
Br J Oral Maxillofac Surg. 2020 Jul;58(6):675-680
pubmed: 32507644
J Craniomaxillofac Surg. 2015 Mar;43(2):285-9
pubmed: 25555896
J Craniomaxillofac Surg. 2013 Dec;41(8):e208-12
pubmed: 23465635
J Clin Exp Dent. 2021 May 1;13(5):e499-e504
pubmed: 33981398
J Korean Assoc Oral Maxillofac Surg. 2020 Feb;46(1):49-57
pubmed: 32158681
Eur Arch Otorhinolaryngol. 2020 Mar;277(3):863-872
pubmed: 31797041
Tob Control. 2006 Oct;15(5):352-8
pubmed: 16998168
J Transl Med. 2019 Jul 15;17(1):225
pubmed: 31307469
Eur J Clin Pharmacol. 2017 Aug;73(8):1027-1032
pubmed: 28462430
J Craniomaxillofac Surg. 2017 Nov;45(11):1854-1859
pubmed: 28939205
Surg Infect (Larchmt). 2014 Feb;15(1):64-8
pubmed: 24116736
J Oral Maxillofac Surg. 2020 Jun;78(6):893-901
pubmed: 32151651
Clin Oral Investig. 2010 Aug;14(4):459-65
pubmed: 19449042
Clin Oral Investig. 2021 Apr;25(4):1925-1932
pubmed: 32789814
J Am Dent Assoc. 2016 May;147(5):320-7
pubmed: 26857041
Br J Oral Maxillofac Surg. 2014 Jan;52(1):54-7
pubmed: 24029441
Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Nov;114(5 Suppl):S199-208
pubmed: 23063398
Indian J Otolaryngol Head Neck Surg. 2017 Sep;69(3):282-290
pubmed: 28929056
Open Forum Infect Dis. 2017 Nov 15;5(1):ofx250
pubmed: 29326959

Auteurs

Niina Rautaporras (N)

DDS, Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Johanna Uittamo (J)

MD, DDS, PhD, Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Jussi Furuholm (J)

DDS, Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Johanna Snäll (J)

MD, DDS, PhD, Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Classifications MeSH