Maternal and Foetal care in odontogenic infections: A well curated management

Odontogenic and orofacial infections resulting from dental issues are uncommon but cause significant complications. Early intervention is crucial to prevent severe consequences, including deep neck space infections and potentially life-threatening complications. Pregnancy leads to hormonal changes, causing physiological and oral cavity alterations. These changes affect in gingival vascular system, immune response, chemical composition, pH levels, and sub-gingival flora. Managing severe neck infections during pregnancy is challenging due to potential risks for both the mother and fetus. Prompt treatment is essential to avoid complications such as airway obstruction and the associated need for emergency tracheostomy. Pregnancy can also lead to complications like preterm delivery, low birth weight, and maternal or fetal mortality.

A 28 year old pregnant female reported to university teaching hospital to outpatient department of oral and maxillofacial surgery, with complaint of swelling over lower right side of face and reduced mouth opening. On clinical examination it was diagnosed as sub mandibular and pterygoid space infection, primary cause being 47. Looking at the severity patient was advised for incision and drainage under general anesthesia after getting a fitness.

Untreated dental decay in pregnant women can progress to facial space infections with life-threatening consequences. In emergencies, incision and drainage may be necessary under general anesthesia to prevent severe complications.

This comprehensive approach not only addressed the odontogenic infection effectively but also ensured the well-being of both the mother and the developing foetus, exemplifying the importance of tailored care in managing pregnant individuals with dental concerns.