Large Odontogenic Abscess in the Left Submandibular Region: Case Report
DOI:
https://doi.org/10.21270/archi.v11i5.5973Keywords:
Bacterial Infections, Sugery, Oral, DrainageAbstract
Odontogenic infections are recurrent in the dental environment, however, they should not be underestimated since they have a high potential to lead the patient's health to serious clinical conditions. In addition, clinical and imaging tests are essential for identifying the physiological changes associated with odontogenic infections and, therefore, early diagnosis in order to better select the clinical approach and surgical management. In this case report, the patient presented an odontogenic infection derived from numerous residual roots in the left submandibular region and in the middle third of the face. After clinical and radiographic evaluation, surgical treatment was chosen for the extraction of infectious foci and intraoral drainage of purulent exudate under abundant irrigation and 0.9% saline solution. An extraction procedure and drainage of the exudate were performed under local anesthesia and with previous intravenous administration of ampicillin with sulbactam and metronidazole. After the procedure, the patient was instructed to stimulate warm compresses and physical therapy to facilitate the drainage of the purulent collection at home. Medications were maintained orally and the patient was returned to the hospital for reassessment and 48 hours. Two days after the procedure and with exiguous drainage, there was a decrease in drainage, the drain was removed and the patient received dental treatment instructions for the other dental elements and the need for oral rehabilitation. Therefore, in order to prevent the advancement of odontogenic infection to deeper tissues of the face and neck, as well as to preserve the airway, an immediate approach may be required to ensure a good prognosis.
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