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Facial Cellulitis of Unusual Odontogenic Origin
Alexandre Perez1, Valerio Cimini1, Vincent Lenoir2
1Unit of Oral Surgery and Implantology, Division of Oral and Maxillofacial Surgery, Department of Surgery, Geneva University Hospitals, Faculty of Medicine, University of Geneva, 1205 Geneva, Switzerland.
Facial swelling in a man was caused by a fractured wisdom tooth, not a jaw fracture. Prompt extraction resolved the odontogenic infection and swelling.
Area of Science:
- Dentistry
- Oral Surgery
- Infectious Diseases
Background:
- Facial swelling can present diagnostic challenges.
- Odontogenic infections are common dental emergencies.
Observation:
- A healthy male patient presented with unilateral facial swelling.
- Radiographic imaging revealed a fractured, impacted wisdom tooth (third molar).
- No mandibular fracture was identified despite a history of facial trauma.
Findings:
- The facial swelling was diagnosed as cellulitis.
- The cellulitis was directly linked to the fractured wisdom tooth.
- Extraction of the wisdom tooth led to complete resolution of symptoms.
Implications:
- Fractured wisdom teeth can lead to serious odontogenic infections.
- Prompt diagnosis and management are crucial for favorable outcomes.
- This case underscores the importance of considering dental causes for facial swelling, even after trauma.
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