Chronic dentoalveolar abscess in a pediatric patient with rare drainage

Authors

Keywords:

Dental focal infection, Infection control, Diagnosis, Cellulitis (phlegmon), Abscess, Periapical abscess.

Abstract

Introduction: Infections of the maxillomandibular complex are common in dentistry and may be easily reversed, depending on the professional's ability to diagnose and treat promptly, as well as the patient's immunocompetence. In most cases their etiology is dental, i.e. a mixed microbiota with presence of Streptococci and Peptostreptococci. These bacteria are associated to the process of pulp necrosis and dentoalveolar abscess formation. When this condition develops from the lower molars, dissemination usually occurs through the buccal vestibular space. However, there are cases that do not follow this pattern, allowing a molar to spread through the buccal, mandibular, submandibular, sublingual and submental spaces.

Objective: Report a case of odontogenic infection from pulp necrosis of the lower first molar (36) with atypical dissemination to the submandibular space in a pediatric patient.

Clinical case: Female 8-year-old patient with an episode of hospitalization for diagnosis and treatment of a facial infection, according to her medical / dental record. The infection was diagnosed as cellulitis and dental origin was discarded. Antibiotic therapy was started and the patient was discharged. After 9 months, the infection underwent a process of exacerbation with dissemination to the submandibular region. Analysis of the antecedents of the current condition, alongside physical and radiographic examination, led to the diagnosis of chronic dentoalveolar abscess with dissemination and drainage to the submandibular space, and the consequent indication of dental extraction and antibiotic therapy.

Conclusions: Early diagnosis and treatment are vital to avoid progression to severer complications such as mediastinitis and necrotizing fasciitis.

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Author Biographies

Sheinaz Farias Hassam, Faculdade UNIME de Ciências Agrárias e da Saúde

Graduanda em Odontologia pela Faculdade UNIME de Ciências Agrárias e da Saúde - FAS/UNIME.

Maiana Coelho Cardoso dos Santos, Faculdade UNIME de Ciências Agrárias e da Saúde

Graduada em Odontologia pela Faculdade UNIME de Ciências Agrárias e da Saúde.

Paulo Andrei Costa Coelho, Faculdade UNIME de Ciências Agrárias e da Saúde

Graduado em Odontologia pela Faculdade UNIME de Ciências Agrárias e da Saúde.

Tamara Costa Lopes Schiavotelo, Universidade Federal da Bahia UFBA

Especialista em Endodontia – Universidade Federal da Bahia UFBA.

MBA em Gestão em Saúde UCB – BA.

Mestranda em Endodontia – San Leopoldo Mandic, Campinas-SP.

Professora de Endodontia da Faculdade UNIME de Ciências Agrárias e da Saúde, Lauro de Freitas-BA.

Juliana Andrade Cardoso, Faculdade UNIME de Ciências Agrárias e da Saúde

Mestrado em Estomatologia Clínica, Pontifícia Universidade Católica do Rio Grande do Sul – PUC-RS, Porto Alegre, RS.

Especialização em Estomatologia, Faculdade UNIME de Ciências Agrárias e da Saúde.

Habilitação em Laserterapia, UNINGÃ-SM, Santa Maria, RS.

Professora dos Cursos de Odontologia da Faculdade UNIME de Ciências Agrárias e da Saúde, Lauro de Freitas, BA e UNINASSAU, Salvador e Lauro de Freitas, BA.

Jener Gonçalves de Farias, Faculdade UNIME de Ciências Agrárias e da Saúde. Universidade Estadual de Feira de Santana

Mestre em Cirurgia e Traumatologia Bucomaxilofacial Universidade de Pernambuco - Faculdade de Odontologia de Pernambuco FOP-UPE,.

Doutor em Estomatologia Universidade Federal da Paraíba UFRN.

Professor Titular da Universidade Estadual de Feira de Santana.

Professor do Curso de Odontologia da Faculdade UNIME de Ciências Agrárias e da Saúde.

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Published

2019-11-18

How to Cite

1.
Hassam SF, dos Santos MCC, Coelho PAC, Schiavotelo TCL, Cardoso JA, Farias JG de. Chronic dentoalveolar abscess in a pediatric patient with rare drainage. Rev Cubana Estomatol [Internet]. 2019 Nov. 18 [cited 2025 Mar. 9];56(4):1-13. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/2043

Issue

Vol. 56 No. 4 (2019): OCT- DEC

Section

Case Report

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