References

Thomas SJ, Hughes C, Atkinson C, Ness AR, Revington P Is there an epidemic of admissions for surgical treatment of dental abscesses in the UK?. Br Med J. 2008; 336:1219-1220
Carter L, Starr D Alarming increase in dental sepsis. Br Dent J. 2006; 200
Green AW, Flower EA, New NE Mortality associated with odontogenic infection!. Br Dent J. 2001; 190:529-530
Currie WJR, Ho V An unexpected death associated with an acute dentoalveolar abscess – report of a case. Br J Oral Maxillofac Surg. 1993; 31:296-298
Bulut M, Balci V, Akköse S, Armağan E Fatal descending necrotising mediastinitis. Emerg Med J. 2004; 21:122-123
, 2nd edn. Dundee: SDCEP; 2011

The importance of early intervention in the treatment of dental infection

From Volume 41, Issue 1, January 2014 | Pages 68-72

Authors

Paul Paterson

BDS(Hons), MFDS RCPS(Glasg)

Dental Foundation Trainee in Oral and Maxillofacial Surgery, Oral and Maxillofacial Surgery Department, Monklands Hospital, Airdrie

Articles by Paul Paterson

Elizabeth Hannah Nichols

BDS, MJDF RCS(Eng)

Senior House Officer in Oral and Maxillofacial Surgery, Queen Margaret Hospital, Dunfermline

Articles by Elizabeth Hannah Nichols

Katie Watson

BDS

Senior House Officer in Oral and Maxillofacial Surgery, Monklands Hospital, Airdrie

Articles by Katie Watson

Deborah Boyd

BDS, FDS RCPS, MBChB MRCS

Specialist Registrar in Oral and Maxillofacial Surgery, Ninewells Hospital, Dundee, UK

Articles by Deborah Boyd

Abstract

With recent reports of increasing hospital admissions relating to dental infection, the authors believe it is time to re-visit the importance of its effective early treatment. A series of three cases is used to illustrate the potentially life-threatening progression of what, in the early stages, is an easily treatable condition.

Clinical Relevance: The principles of effective management of dental infection are highlighted in the first instance and then indications for specialist maxillofacial referral are discussed.

Article

Recent reports have highlighted a worrying rise in the number of patients admitted to hospital for incision and drainage of dental abscesses under general anaesthetic.1,2

An article reviewing such hospital admissions in England as a whole found that the number almost doubled between 1998 and 2006.1 A group of authors in Hull Royal Infirmary have reported a less dramatic, but still substantive, increase of 47% in their unit between 1999 and 2004.2

Fortunately, death from dental sepsis is rare in the UK.3,4 However, there is still the potential for significant associated morbidity. A series of three cases is presented which have been referred recently to maxillofacial departments across Scotland. We believe these serve to highlight the ease with which a simple dento-alveolar infection can become potentially life-threatening.

Register now to continue reading

Thank you for visiting Dental Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Up to 2 free articles per month
  • New content available