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Related Experiment Videos

Midline odontogenic infections: a continuing diagnostic problem.

Helen Witherow1, Pratibha Washan, Peter Blenkinsopp

  • 1Maxillofacial Unit, Queen Mary's Hospital, Roehampton Lane, SW15 5PN, London, UK.

British Journal of Plastic Surgery
|June 7, 2003
PubMed
Summary

Odontogenic infections can manifest as facial skin lesions, often misdiagnosed. Early dental vitality testing and radiographs are crucial for accurate diagnosis and appropriate treatment of these occult infections.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dermatology
  • Infectious Diseases

Background:

  • Cutaneous sinus tracts and facial swellings of odontogenic origin are documented but frequently misdiagnosed.
  • Misdiagnosis leads to inadequate and unnecessary treatments, delaying proper management.

Observation:

  • Presents two cases of midline odontogenic infections initially presenting as skin lesions.
  • Patients had no subjective dental complaints and unremarkable intraoral examinations.
  • Both cases involved prolonged treatment periods with multiple surgical interventions before correct diagnosis.

Findings:

  • Facial lesions can arise from occult, chronic odontogenic infections.
  • Vitality testing of teeth and radiographic examination are essential diagnostic tools.

Related Experiment Videos

  • Recurrent facial lesions after excision warrant investigation for underlying dental pathology.

    • Implications:

    • Highlights the importance of considering odontogenic infections in facial skin lesions, especially recurrent ones.
    • Emphasizes the need for increased clinician awareness of dental causes for seemingly dermatological issues.
    • Advocates for routine use of dental vitality testing and radiography in diagnosing unexplained facial lesions.