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Article: Volume 47 Number 2 Page 144 - February 2020

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  Dental Update 475: 144-148

Paediatric dentistry:  Odontogenic Infections with Cutaneous Involvement in Children: a Case Series

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Abstract: Cutaneous involvement of dental sepsis is a rare occurrence in children. It often presents as a diagnostic dilemma, especially in the absence of oral symptoms, with initial presentation to non-dental professionals. This article discusses three cases of children presenting with cutaneous involvement of odontogenic origin to two paediatric dentistry departments in the UK. All cases had delayed presentations and were initially submitted to ineffective treatment, with significant impact on the children’s well-being. Final management included antibiotic therapy, drainage and extraction of the septic tooth. These three cases highlight the importance of considering a dental aetiology for localized inflammatory and purulent skin lesions of the mandible. Prompt diagnosis and early treatment are determinant for early resolution and avoidance of systemic or psychological complications.

Clinical relevance: This article discusses diagnosis and management of three different presentations of odontogenic sepsis with cutaneous involvement in children.

Author notes: Joana Monteiro, LMD, MDentSci, MPaed Dent, FDS RCS, Consultant in Paediatric Dentistry (email: joana.monteiro@nhs.net), Adèle Johnson, BDS, MFDS, MClinDent, MPaedDent, FDS RCS, Consultant in Paediatric Dentistry, Eastman Dental Hospital, Pathanjali Kandiah, BDS, MFDS RCSEd, Dip Sed, MDentSci(Paeds), MPaedDent, FDS Paed Dent, Consultant in Paediatric Dentistry, Manchester Dental Hospital, Higher Cambridge Street, Manchester M15 6FH, Prabhleen Anand, IQE, BDS, MMedSc, FDS RCS(Eng) MPaedDent, FDS(Paed Dent), Consultant in Paediatric Dentistry, Eastman Dental Hospital, 47-49 Huntley Street, London, WC1E 6DG and Stephen Fayle, BDS, MDSc, MRCD(C), FDS RCS, Consultant in Paediatric Dentistry, Leeds Dental Hospital, The Worsley Building, Clarendon Way, Leeds LS2 9LU, UK.

Objective: To highlight the importance of considering a dental aetiology for localized inflammatory and purulent skin lesions of the mandible.

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