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Odontogenic infections. Complications. Systemic manifestations
Yolanda Jiménez1, José Vicente Bagán, Judith Murillo
1Facultad de Medicina y Odontologia, Universidad de Valencia, Valencia. quin@ctv.es
Medicina Oral, Patologia Oral Y Cirugia Bucal
|December 8, 2004
Summary
Odontogenic infections originate in teeth and spread to surrounding tissues, potentially causing severe systemic complications. Understanding patient and microbial factors is crucial for managing these infections and preventing spread.
Area of Science:
- Dentistry
- Oral Surgery
- Infectious Diseases
Background:
- Odontogenic infections originate in the tooth or surrounding tissues.
- They can spread to adjacent structures, including bone and periosteum.
- Potential for distant spread to critical areas like the brain, pharynx, and lungs exists.
Purpose of the Study:
- To define odontogenic infections and their potential for severe complications.
- To highlight the factors influencing the spread of these infections.
- To emphasize the importance of host resistance and microbial virulence.
Main Methods:
- Literature review and synthesis of existing knowledge on odontogenic infections.
- Analysis of pathways for infection dissemination (direct and hematogenous).
- Discussion of host-related (systemic and local) and microorganism-related factors.
Main Results:
- Odontogenic infections can lead to serious conditions such as intracranial, retropharyngeal, and pulmonary infections.
- Hematogenous spread can cause endocarditis and rheumatic conditions.
- Infection spread is influenced by the interplay between patient immunity and microbial virulence.
Conclusions:
- Odontogenic infections pose significant risks due to their potential for widespread dissemination.
- Host factors like immunodeficiency and diabetes, alongside microbial virulence, dictate infection outcomes.
- Effective management requires addressing both the source of infection and the host's defense mechanisms.