Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 7 , Pages 1093-1103 , July 2006

Severe Odontogenic Infections, Part 1: Prospective Report

  • Thomas R. Flynn, DMD

      Affiliations

    • Assistant Professor, Oral and Maxillofacial Surgery, Harvard School of Dental Medicine; and Associate Visiting Surgeon, Massachusetts General Hospital, Boston, MA
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Flynn: Harvard School of Dental Medicine, 188 Longwood Avenue, Boston, MA 02115
  • ,
  • Rabie M. Shanti

      Affiliations

    • Howard Hughes Medical Institute-National Institutes of Health Research Scholar, National Institutes of Health, Bethesda, MD; and Predoctoral Candidate, Harvard School of Dental Medicine, Boston, MA
  • ,
  • Michael H. Levi, ScD

      Affiliations

    • Co-Director, Microbiology, Montefiore Medical Center; and Associate Professor of Pathology (Clinical), Albert Einstein College of Medicine, Bronx, NY
  • ,
  • Arthur K. Adamo, DDS

      Affiliations

    • Director, Oral and Maxillofacial Surgery, North Bronx Healthcare Network; and Associate Clinical Professor of Oral and Maxillofacial Surgery, Albert Einstein College of Medicine, Bronx, NY
  • ,
  • Richard A. Kraut, DDS

      Affiliations

    • Professor and Chairman, Department of Oral and Maxillofacial Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY
  • ,
  • Norman Trieger, DMD, MD

      Affiliations

    • Chairman Emeritus and Professor, Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY

References 

  1. Dodson TB , Barton JA , Kaban LB . Predictors of outcome in children hospitalized with maxillofacial infections (A linear logistic model) . J Oral Maxillofac Surg . 1991;49:838
  2. Biederman GR , Dodson TB . Epidemiologic review of facial infections in hospitalized pediatric patients . J Oral Maxillofac Surg . 1994;52:1042
  3. Peters ES , Fong B , Wormuth DW , et al.   Risk factors affecting hospital length of stay in patients with odontogenic infections . J Oral Maxillofac Surg . 1996;54:1386
  4. Huang TT , Liu TC , Chen PR , et al.   Deep neck infection (Analysis of 185 cases) . Head Neck . 2004;26:854
  5. Chen MK , Wen YS , Chang CC , et al.   Predisposing factors of life-threatening deep neck infection (Logistic regression analysis of 214 cases) . J Otolaryngol . 1998;27:141
  6. Krishnan V , Johnson JV , Helfrick JF . Management of maxillofacial infections (A review of 50 cases) . J Oral Maxillofac Surg . 1993;51:868
  7. Indresano AT , Haug RH , Hoffman MJ . The third molar as a cause of deep space infections . J Oral Maxillofac Surg . 1992;50:33
  8. Haug RH , Hoffman MJ , Indresano AT . An epidemiologic and anatomic survey of odontogenic infections . J Oral Maxillofac Surg . 1991;49:976
  9. Storoe W , Haug RH , Lillich TT . The changing face of odontogenic infections . J Oral Maxillofac Surg . 2001;59:739
  10. Flynn TR . Anatomy and surgery of deep fascial space infections . In:  Kelly JJ editors. Oral and Maxillofacial Surgery Knowledge Update 1994 . Rosemont, IL: American Association of Oral and Maxillofacial Surgeons; 1994;p. 79–107
  11. Flynn TR . Anatomy of oral and maxillofacial infections . In:  Topazian RG ,  Goldberg MH ,  Hupp JR editor. Oral and Maxillofacial Infections . (ed 4). Philadelphia, PA: WB Saunders; 2002;p. 188–213
  12. Brook I , Frazier EH , Gher ME . Aerobic and anaerobic microbiology of periapical abscess . Oral Microbiol Immunol . 1991;6:23
  13. Lewis MAO , Parkhurst CL , Douglas CWI , et al.   Prevalence of penicillin resistant bacteria in acute suppurative oral infection . J Antimicrob Chemother . 1995;35:785
  14. von Konow L , Kondell PA , Nord CE , et al.   Clindamycin versus phenoxymethylpenicillin in the treatment of acute oral infections . Eur J Clin Microbiol Infect Dis . 1992;11:1129
  15. Kuriyama T , Nakagawa K , Karasawa T , et al.   Past administration of beta-lactam antibiotics and increase in the emergence of beta-lactamase-producing bacteria in patients with orofacial odontogenic infections . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2000;89:186
  16. Brook I , Lewis MAO , Sandor GKB , et al.   Clindamycin in dentistry (More than just effective prophylaxis for endocarditis?) . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2005;100:550
  17. von Konow L , Kondell PA , Nord CE . Clindamycin versus phenoxymethylpenicillin in the treatment of acute orofacial infections . Eur J Clin Microbiol Infect Dis . 1992;11:1129
  18. Gilmore WC , Jacobus NV , Gorbach SL , et al.   A prospective double-blind evaluation of penicillin versus clindamycin in the treatment of odontogenic infections . J Oral Maxillofac Surg . 1988;46:1065
  19. Mangundjaja S , Hardjawinata K . Clindamycin vs. ampicillin in the treatment of odontogenic infections . Clin Ther . 1990;12:242
  20. Kannangara DW , Thadepalli H , McQuirter JL . Bacteriology and treatment of dental infections . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 1980;50:103
  21. Ylijoki S , Suuronen R , Jousimies-Somer H , et al.   Differences between patients with or without the need for intensive care due to severe odontogenic infections . J Oral Maxillofac Surg . 2001;59:867
  22. Chow AW , Roser SM , Brady FA . Orofacial odontogenic infections . Ann Intern Med . 1978;88:392
  23. Shockley WW . Ludwig angina (A review of current airway management) . Arch Otolaryngol Head Neck Surg . 1999;125:600
  24. Heimdahl A , Von Konow L , Satoh T , et al.   Clinical appearance of orofacial infections of odontogenic origin in relation to microbiological findings . J Clin Microbiol . 1985;22:299
  25. Lewis MAO , MacFarlane TW , McGowan DA . A microbiological and clinical review of the acute dentoalveolar abscess . Br J Oral Maxillofac Surg . 1990;28:359
  26. Sakamoto H , Kato H , Sato T , et al.   Semiquantitative bacteriology of closed odontogenic abscesses . Bull Tokyo Dent Coll . 1998;39:103
  27. Kuriyama T , Karasawa T , Nakagawa K , et al.   Bacteriologic features and antimicrobial susceptibility in isolates from orofacial odontogenic infections . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2000;90:600
  28. Stefanopoulos PK , Kolokotronis AE . The clinical significance of anaerobic bacteria in acute orofacial odontogenic infections . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2004;98:398
  29. Miller WD , Furst IM , Sandor GKB , et al.   A prospective blinded comparison of clinical examination and computed tomography in deep neck infections . Laryngoscope . 1999;109:1873
  30. Freeman RK , Valliere E , Verrier ED , et al.   Descending necrotizing mediastinitis (An analysis of the effects of serial surgical debridement on patient mortality) . J Thorac Cardiovasc Surg . 2000;119:260
  31. Obayashi N , Ariji Y , Goto M , et al.   Spread of odontogenic infection originating in the maxillary teeth (Computerized tomographic assessment) . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2004;98:223
  32. Oshima A , Ariji Y , Goto M , et al.   Anatomical considerations for the spread of odontogenic infection originating from the pericoronitis of impacted mandibular third molar (Computed tomographic analyses) . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2004;98:589
  33. Yonetsu K , Izumi M , Nakamura T . Deep facial infections of odontogenic origin (CT assessment of pathways of space involvement) . AJNR Am J Neuroradiol . 2002;23:468
  34. Flynn TR , Stokes LN , Lee AM , et al.   Molecular microbiology of orofacial infections . J Oral Maxillofac Surg . 2002;60(suppl 1):72

PII: S0278-2391(06)00373-9

doi: 10.1016/j.joms.2006.03.015

Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 7 , Pages 1093-1103 , July 2006