Toothache odontogenic and non odontogenic pain pdf free. Acute necrotizing ulcerative gingivitis anug is more common in immunocompromised patients. The periapical infection is the most common form of odontogenic infection. Necrosis of the pulp is the result of deep caries of a tooth, to which the pulp responds with a typical inflammatory reaction. Odontogenic pain, a common malady globally and the most prevalent type of orofacial pain, originates from dental structures, pulpal or periodontal. Most of nonodontogenic infections are associated with an underlying medical condition.
An odontogenic infection is an infection that originates within a tooth or in the closely surrounding tissues. Infections of the oral cavity, neck, and head infectious. An overview of odontogenic infections when to refer. While odontogenic infections are daily encountered in dental and oral and maxillofacial surgery practices, some practitioners may be unfamiliar with the wide range of other infections of diverse etiology, some of them relatively uncommon, or even rare. All patients with odontogenic infections requiring. They are mixed aerobicanaerobic with 60% caused by anaerobic and aerobic bacteria, 35% by aerobic bacteria, and 5% by anaerobic bacteria only. What are the antibiotics of choice for odontogenic. What are the antibiotics of choice for odontogenic infections.
For example, ludwigs angina constitutes an infection that has spread to involve the submental and bilateral submandibular and sublingual spaces which could cause impingement and embarrassment of the airway figs. Odontogenic infection an overview sciencedirect topics. Odontogenic infections are one of the most common dental problems, which affect 80%90% of the population. Nonodontogenic oral and maxillofacial infections aspergillus. Please tell us where you read or heard it including the quote, if possible. These growths are not just limited to the jaws, because they can form anywhere within or on the body. Odontogenic and non odontogenic cysts flashcards quizlet. Odontogenic infection is an infection that originates within a tooth or in the closely surrounding tissues and can extend beyond natural barriers and result in potentially lifethreatening. Nasopalatine duct cyst cyst of the incisal canal incisive papilla cyst is a nonodontogenic developmental cyst located in the incisive canal or in the anterior palatine papilla and develops from the embryonic ducts of scarpa and stenson.
The topics to be covered include odontogenic orofacial space infections. Bacteriological findings and antimicrobial resistance in. However, pain has both sensory and emotional components. Occasionally, infections could develop following an anesthetic injection or a surgical procedure 1. Pdf while odontogenic infections are daily encountered in dental and oral and maxillofacial surgery practices, some practitioners may be unfamiliar. Oral pain of nonodontogenic origin can originate from the intraoral structures, such as buccal mucosa, gingival tissues, and alveolar bone. Practice guidelines are systematically developed statements to assist practitioners and patients in making decisions about appropriate health care for specific clinical circumstances. Odontogenic and nonodontogenic pain may occur due to a variety of factors and causes. These infections may spread into the parapharyngeal and retropharyngeal spaces, involving the airway and mediastinum. Odontogenic infection in our study originated from a pulpal focus in 493 82.
This is characterized by rapid progression and is associated with typical signs and symptoms. A manual for nurses and midwives in the who european region has been written with the aim of developing the knowledge, skills and attitudes of nurses and midwives regarding infections and infectious diseases and their prevention and control. Management of odontogenic and nonodontogenic oral pain. Furthermore, about 70% of odontogenic infections occur as periapical inflammation, i. Analysis of maxillofacial and neck spaces infection in. In order to understand how odontogenic infections are treated, the dentist must be familiar with the terminology concerning infection and the pathophysiology of inflammation, which are described below. Principles of management and prevention of odontogenic infections 1. Nonodontogenic bacterial infections are not commonly seen in contemporary oral medicine practice, but there is a worldwide resurgence of. The usual cause of odontogenic infections is necrosis of dental pulp, which is followed by bacterial invasion through the pulp chamber and into the deeper tissues. We compared the ct features betw een odontogenic and. Differential diagnosis for odontogenic pain is outlined in table 1. This website provides free medical books this website provides over 0 free medical books and more for all students and doctors this website the best choice for medical students during and after learning medicine.
Dentists therefore need to have a thorough understanding of infectious diseases in order to diagnose such infections correctly and to decide whether. Attributes of good guidelines include validity, reliability, reproducibility, clinical applicability, clinical flexibility, clarity, multidisciplinary process. Pdf differential diagnosis of nonodontogenic sinusitis. Jul 15, 2016 covert narcissist signs you are dealing with a master manipulatorlisa a romano podcast duration. The most common nonodontogenic infections of the mouth are bacterial mucosal infections 5. Diagnosis and management of odontogenic oral and facial. Tooth andor its supporting structures are often source of pain. Odontogenic and nonodontogenic tumors of the jaws are a relatively rare and heterogeneous group of benign and malignant neoplasms, hamartomas, and other bonerelated lesions that demonstrate great variability in etiology, biologic behavior, and clinical significance. While odontogenic infections are daily encountered in dental and oral and maxillofacial surgery practices, some practitioners may be unfamiliar with the wide.
It might be associated with a headache, joint pain, muscular pain and emotional stress. The dominant isolates are strictly anaerobic gramnegative rods and grampositive cocci. In the united states, it is estimated that 25 percent of adults over the age of 60 have lost all their teeth edentulism, approximately one. Odontogenic versus nonodontogenic deep neck space infections. Odontogenic and non odontogenic tumors of the jaws are a relatively rare and heterogeneous group of benign and malignant neoplasms, hamartomas, and other bonerelated lesions that demonstrate great variability in etiology, biologic behavior, and clinical significance. Odontogenic infections are generally polymicrobial and from endogenous oral flora. Odontogenic infection is a complicated dental problem that originates within a tooth or in the adjacent tissues that hold the tooth. N this volume of periodontology 2000 is dedicated to nonodontogenic infections that may be present in patients attending dental clinics. Calcifying odontogenic cyst odontogenic keratocyst okc an okc is a non inflammatory odontogenic cyst that arises from the dental lamina. Intrabony cysts are most common in the jaws, because the mandible and maxilla are the only bones with epithelial.
Cellulitis of nonodontogenic origin is most commonly caused by. These infections tend to spread along planes of least resistance from the supporting structures of the affected tooth. Chapter 21 odontogenic and non odontogenic tumors of the jaws introduction. Neck spaces infection in diabetic and non diabetic patients.
Odontogenic infection oi originates in teeth or in surrounding tissues, affecting the periapical bone from where it spreads towards either neighboring structures continuous propagation or structures located further away distant propagation 1214. Often they may be complaining of pain from their teeth. Nonodontogenic toothache a clinical dilemma khushbu ajmera1, sanjyot mulay2 1mds 2nd year post graduate student in the department of conservative dentistry and endodontics, dr. Use the link below to share a fulltext version of this article with your friends and colleagues. Jun 21, 2018 odontogenic is a medical term for tissues that gives origin to teeth. Know the causes, signs, symptoms, treatment and spread of odontogenic infections. Pdf antibiotics in odontogenic infections an update. Pdf nonodontogenic oral and maxillofacial infections. This condition represents a carefully balanced equilibrium between microorganisms and host resistance preventing further spreading of the infection. Dentists therefore need to have a thorough understanding of infectious. Odontogenic medical definition merriamwebster medical. If it does not regress completely, it may become subacute or chronic.
Odontogenic infection of porphyromonas gingivalis p. External or internal trauma to the mandibular angle region d. More than 90% of all infections in the head and neck region can be traced back to an odontogenic origin. Odontogenic infections can be severe if not treated and are associated with mortality rate of 10 to 40%. Cavernous sinus thrombosis, brain abscess, airway obstruction, and mediastinitis are possible complications of dental infections. Microbiology and antibiotic sensitivity of head and neck space infections of odontogenic origin. The dilemma the clinician faces is finding the correct origin of this pain whereby an effective treatment will provide relief. Odontogenic infection dentist6 free download as powerpoint presentation. Bacteriological findings and antimicrobial resistance in odontogenic and nonodontogenic chronic maxillary sinusitis. Examples of nonodontogenic infections are that of the skin, tonsils, or maxillary sinuses.
Despite the reported high prevalence of msdo, and the persistence of sinus disease if the odontogenic source. Odontogenic is a medical term for tissues that gives origin to teeth. Ulrich klein dmd, dds ms, in bermans pediatric decision making fifth edition, 2011. Nonodontogenic infections in dentistry wiley online library. Odontogenic infection dentist6 human head and neck. Non odontogenic infection free download as powerpoint presentation. Nonodontogenic infections in dentistry gunnar dahle. Non odontogenic jaw cysts are cysts arising from epithelial remnants of embryonic ducts left behind after embryonal facial and jaw development.
Odontogenic orofacial infections arise either from dental caries or periodontal infections that have extended beyond the alveolar bone to involve the fascial spaces around the face and oral cavity. Pain of odontogenic and nonodontogenic origin pocket dentistry. Odontogenic infections, consisting primarily of dental caries and periodontal disease gingivitis and periodontitis, are common and have local eg, tooth loss and, in some cases, systemic implications. Complications, diagnosis, and treatment of odontogenic. Radiology of cysts of the jaws columbia university. Therefore, a seemingly simple odontogenic infection, under the right circumstances, may have fatal complications.
What every practitioner needs to know this is a broad subject area. Among odontogenic dnsls, 15 had the dental infection in the second or third mandibular molar. The next most common form of odontogenic infection is the periodontal abscess. They can range in severity from a mild buccal space infection to a severe lifethreatening multispace infection. All dentists should be comfortable with prompt diagnosis and management of these types of infections. Chang and kilhwa yoo and sung hwan yoon and jiwon ha and seunggon jung and minsuk kook and hongju park and sunyoul. Regions often presenting as orofacial pain complaints include the sinuses, salivary gland, ears, eyes, throat, mandibular, and maxillary bone pathology. Nonodontogenic oral and maxillofacial infections intechopen. Odontogenic infections should be taken seriously when they occur. Moreover, antimicrobial susceptibility was evaluated in the isolated bacteria. Questioning the justification of frontal sinusotomy for. Untreated odontogenic infections can cause lifethreatening complications such as.
Nonodontogenic jaw cysts are cysts arising from epithelial remnants of embryonic ducts left behind after embryonal facial and jaw development. Before the advent of antibiotics, upper respiratory infections were the most common, but now the prevalence of odontogenic infection is on the increase in spite of developments in medicine and improvements in dental care. Non odontogenic infection immunology health sciences. Despite being a wellknown disease entity, many cases are referred to otorhinolaryngologists by both doctors and dentists. Chapter 21 odontogenic and nonodontogenic tumors of the jaws introduction. Occurring predominantly in females, the cause is usually unknown but considered related to he infection of the nerve by herpes simplex virus. Odontogenic sinusitis is most common among 4060 year olds with a slight female predominance.
Bacteriological findings and antimicrobial resistance in odontogenic and non odontogenic. Aerobic microbiology and culture sensitivity of head and neck space infection of odontogenic origin. An overview of odontogenic infections was presented including an overview of management and guidelines for referral. Topographical classification is often applied to this complex region. However, not all the cases with orofacial pain are associated with an odontogenic etiology. Predisposing factors for these infections include conditions that make the skin more fragile or local host defenses less effective, such as obesity, previous cutaneous cuts, venous insufficiency, lymphatic obstruction or other causes. Toothache odontogenic and non odontogenic pain pdf for free. Mar 29, 2018 non odontogenic bacterial infections are not commonly seen in contemporary oral medicine practice, but there is a worldwide resurgence of these conditions, and they have become more important in differential diagnosis and can pose a significant health problem for both patients and clinicians. Acute apical periodontitis acute dentoalveolar abscess space infection around the face local extension depends on the tooth involved. Former dean, faculty of dental medicine alazhar university. Toothache odontogenic and non odontogenic pain pdf. The patient may also present with a history of multiple extractions and endodontic treatment for pain relief 7. Quizlet flashcards, activities and games help you improve your grades.
Jaw cysts are sacklike pouches that fill with fluid and form within the tissues of the jaw. Nonodontogenic infections in turn are associated to maxillofacial fractures, submandibular sialoadenitis, infections of the salivary glands. However, intraoral clinical and xray examination fails to discover an odontogenic source of infection, and even if possible odontogenic infectious focus is identified, typical signs of acute odontogenic infection, such as oral vestibule swelling and redness, tooth mobility, or sensitivity to axial percussion are missing. Severe odontogenic infections with septic progress a. Although odontogenic bacterial infections are by far more common than non odontogenic bacterial infections in the oral cavity, the latter can pose serious health.
Patients can present with pain of odontogenic or nonodontogenic origin, arising from the facial area, temporomandibular joints, ear, eyes, pharynx and larynx. The purpose of this study was to analyse characteristics concerning etiology and progress of severe odontogenic infections with a fulminant development. Periodontology 2000 nonodontogenic infections in dentistry. Patients can present with pain of odontogenic or non odontogenic origin, arising from the facial area, temporomandibular joints, ear, eyes, pharynx and larynx. What is odontogenic infectioncausessymptomstreatment. Pdf odontogenic infection involving the secondary fascial. Principles of management and prevention of odontogenic. In rare cases they can lead to sepsis, which may pose a vital threat to the patient. Pain of odontogenic and nonodontogenic origin pocket. Odontogenic infections often arise from dental caries usually the mandibular teeth or from dental extraction. An understanding of the dentists limitations is important in order to ensure the safety and wellbeing of patients presenting with odontogenic infections. A differential diagnosis of orofacial pain, distinguishing between odontogenic pathologies and nonodontogenic painful etiologies, is a requisite before taking any clinical or pharmacological decision for pain management. Nonodontogenic facial pain can be caused by inflammation due to tumour, infection, or trauma. Introduction most common chief complaint of the patient visiting a dental clinic is orofacial pain 1.
The underlying infectious process may be of odontogenic or nonodontogenic origin. This article reports a differential diagnosis of nonodontogenic sinusitis in the region of molars with an intimate relationship with the maxillary sinus mucosa. Definition and management of odontogenic maxillary. Aspirates from 59 patients with chronic maxillary sinusitis 47 non odontogenic, 12 odontogenic, collected during a 3year period, were microbiologically processed for aerobic and anaerobic bacteria. Chang and kilhwa yoo and sung hwan yoon and jiwon ha and seunggon jung and minsuk kook and hongju park and sunyoul ryu and heekyun oh, journaljournal of the. Histopathologic features of chronic sinusitis precipitated by odontogenic infection.
Guidelines for treatment of odontogenic infections in hospitalized adults clinical setting empiric therapy duration comments suppurative pyogenic orofacial odontogenic infection, including. Odontogenic infections are mainly a consequence of pulpitis that leads initially to periapical infection and a dental abscess. The pathogenesis of infection in orofacial region due to odontogenic origin is a common clinical issue. Non odontogenic facial pain can be caused by inflammation due to tumour, infection, or trauma. Odontogenic cysts are closed sacs, and have a distinct membrane derived from rests of odontogenic epithelium. The most common causes for odontogenic infection to be established are dental caries, deep fillings, failed root canal. Odontogenic and nonodontogenic tumors of the jaws introduction odontogenic and nonodontogenic tumors of the jaws are a relatively rare and heterogeneous group of benign and malignant neoplasms, hamartomas, and other bonerelated lesions that demonstrate great variability in etiology, biologic behavior, and clinical significance. Airway management is critical as odontogenic infections can compromise.