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Article: Volume 49 Number 6 Page 500 - June 2022

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  Dental Update 501: 500-504

Oral surgery:  Necrotizing Fasciitis: A Severe Complication of Odontogenic Infection

CPD:  CPD  0:24   (closes in 30 days)

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Abstract: Necrotizing fasciitis is a rare complication of dental infection and is associated with a significant mortality rate. Prompt recognition and urgent referral are therefore essential. Surgical debridement and broad-spectrum intravenous antibiotic therapy are the mainstay of management. This report outlines a case of necrotizing fasciitis of odontogenic origin in an otherwise healthy 32-year-old patient.

Clinical relevance: This article highlights odontogenic necrotizing fasciitis to the dental team, discusses its management and serves as a reminder of the potential severe complications of unmanaged dental infection.

Author notes: Lewis Olsson, BDS(Hons), MFDS, RCPSG, Year 3 Medical Student, University of Glasgow. Hannah Muir, BDS, MFDS, RCPSG, DCT3 Oral Surgery, Edinburgh Dental Institute. Jaime Grant, MBChB, MRCSEd, BDS(Hons), FRCS(OMFS), Craniofacial Fellow, Birmingham Women’s and Children’s Hospital. Marieke T Brands, DDS, MD, LLM, PhD, OMFS Consultant, University Hospital Monklands. Drazsen Vuity, MD, DMD, FRCSEd (OMFS), OMFS Consultant, University Hospital Crosshouse. email: lewis_777@live.co.uk

Objective: The reader should gain an awareness of necrotizing fasciitis as a consequence of dental infection.

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