Article: Volume 46 Number 2 Page 180 - February 2019

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  Dent Update 2019; 46: 180-182

Paediatric dentistry:  Life-Threatening Paediatric Odontogenic Cellulitis Secondary to a Partially Erupted Primary Molar

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Abstract: A 15-month-old male was admitted to hospital with a facial swelling of unknown origin which was of rapid onset over three hours, resulting in airway occlusion and septic shock. Ultimately, the swelling was found to be of odontogenic origin and was managed with high dose intra-venous antibiotics. Cellulitis of the face can be life-threatening and it is important to be aware of the clinical signs and ensure that the patient receives appropriate care to prevent deterioration.

Clinical relevance: It is essential for dentists in primary and secondary care to recognize and understand how to manage or refer a patient with facial cellulitis, and also for medical teams to seek prompt dental input in cases of facial swelling with a possible dental cause

Author notes: Libby Richardson, BDS(Hons), MFDS RCS(Edin), DCT2 Paediatric Dentistry, Urshla Devalia, BDS, MFDS, DipClinHyp, MPaedDent RCS(Eng), FRCS Paed Dent RCS(Glas), Consultant Paediatric Dentist, Great Ormond Street Hospital for Children, Great Ormond Street, London WC1N 3JH, UK.

Objective: To describe the signs and management of facial cellulitis of odontogenic origin.