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Severe odontogenic infection: An emergency. Case report
Marcelo Guzmán-Letelier1, Claudia Crisosto-Jara2, Camilo Diaz-Ricouz3
1DDS, Maxillofacial Surgeon, Associate Professor, San Sebastián University Dental School. Valdivia, Chile Maxillofacial Surgeon, Hospital Base Valdivia, Chile.
Journal of Clinical and Experimental Dentistry
|February 18, 2017
Summary
Severe odontogenic infections, like Ludwig's angina, can be life-threatening. Prompt surgical decompression and antibiotic treatment are crucial for managing these dental infections and maintaining patient airways.
Area of Science:
- Dentistry
- Oral Surgery
- Infectious Diseases
Background:
- Odontogenic infections (OI) are common in dental practice and can affect all age groups.
- While most OI respond to standard treatments, some can lead to severe complications, particularly in immunocompromised individuals.
Observation:
- Ludwig's angina, a severe form of diffuse cellulitis, presents with rapid, bilateral head and neck swelling.
- This condition poses a significant threat to the airway and can be fatal if not managed promptly.
Findings:
- The case highlights the critical importance of airway maintenance in severe dental infections.
- Effective management involves surgical decompression alongside appropriate antibiotic therapy.
Implications:
- Early recognition and intervention are vital for improving outcomes in severe odontogenic infections.
- This approach can prevent fatal complications and reduce morbidity associated with deep head and neck infections.

