Management of acute orofacial infection of odontogenic origin in children - Diagnosis, clinic and pharmacology

Infections of odontogenic origin are those that are generated and evolve from a tooth, either by a process of pulpal or periodontal infection. These infections spread to other tissues and put the patient's life at risk.

The abscess and cellulitis are the manifestations of the progressive phases of the infectious process. It is important to know their differences, and the clinical and pharmacological management.

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We share a clinical and pharmacological management manual for orofacial infections (abscess and cellulitis) of odontogenic origin in children.

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👉 READ AND DOWNLOAD "Management acute orofacial infection of odontogenic origin in children" IN FULL IN PDF👈

Management acute orofacial infection of odontogenic origin in children 1° Edition. 2016. Oral Health Division Ministry of Health Malaysia.

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Odontogenic facial cellulitis in a pediatric patient - Diagnosis, treatment and multidisciplinary management

Facial cellulitis is an infectious process, usually odontogenic, that puts the life of the pediatric patient at serious risk if it does not have the appropriate treatment. The immune system of the child patient is not developed enough to deal with this type of infection.

Facial cellulite spreads to other anatomical regions, aponeurotic plane and tissue spaces. Clinically, facial cellulite is of a soft consistency and with inflammatory signs. Early diagnosis and treatment prevents serious consequences of cellulite.

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Treatment of facial cellulite in an infant must be immediate, and multidisciplinary management is necessary in many cases. We share an article that teaches us how to identify, diagnose and treat facial cellulite in pediatric patients.

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Ludwig's Angina. Presentation of a pediatric case

👉 READ AND DOWNLOAD "Odontogenic facial cellulitis in a pediatric patient - Diagnosis, treatment and multidisciplinary management" IN FULL IN PDF👈

Giunta Crescente C, Soto de Facchin M, Acevedo Rodríguez AM. Medical-dental considerations in the care of children with facial cellulitis of odontogenic origin. A disease of interest for pediatricians and pediatric dentists. Arch Argent Pediatr 2018;116(4):e548-e553.

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Guidelines for the management of traumatic dental injuries in the primary dentition

Dental traumas in pediatric patients represent 18% of all injuries and that is due to the activities of children, and they occur more frequently when they learn to crawl, walk or run.

The lesions can compromise dental tissue (enamel, dentin, root), dental pulp, alveolar bone, and periodontal ligaments. Soft tissues such as lips and cheeks are also included.

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We share an article that does not offer different recommendations for the diagnosis and treatment of traumatic injuries in the primary dentition.

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👉 READ AND DOWNLOAD "Guidelines for the management of traumatic dental injuries in the primary dentition" IN FULL IN PDF👈

Day PF, Flores MT, O’Connell AC, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol 2020;36(4):343-359. https://doi.org/10.1111/edt.12576

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Reimplantation of avulsed permanent teeth after three days: Clinical case in a pediatric patient

Dental avulsion consists of the total detachment of the tooth from the socket, as a consequence of a strong trauma that affects the oral cavity. Given this urgency, it is important to go to the dentist to be able to reimplant it.

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By means of dental reimplantation, the avulsed tooth is inserted into its socket, and then a clinical and radiographic follow-up is carried out in order to ensure the success of the treatment.

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We share an article that reports two clinical cases of patients who suffered an avulsion, and the teeth were reimplanted after 72 hours. Subsequent evaluation confirms the success of the procedure.

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Ize‑Iyamu and Saheeb: Reimplantation of avulsed dry permanent teeth after three days. Nigerian Journal of Clinical Practice • Jan-Mar 2013 • Vol 16 • Issue 1

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Reimplantation of avulsed dry permanent teeth after three days: A report of two cases

Avulsion is a traumatic injury which results in loss of the tooth from the alveolus, while reimplantation is the technique of reinserting an avulsed tooth into the alveolus or tooth socket after its loss.

The success of reimplantation depends on many factors among which are the time lapse before the tooth is reimplanted in the socket and the storage medium of the avulsed tooth.

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Other factors which may affect the success of reimplantation include the condition of the tooth, particularly the periodontal ligament tissue remaining on the root surface, sex, age, type of tooth reimplanted, stage of root formation, type of cleansing procedure following contamination of the root surface, duration of splinting, and the use of antibiotics.

With favorable conditions such as the periodontal ligament remaining on the root surface, the tooth stored in adequate storage medium for not more than 60 minutes, and immediate reimplantation after the accident, the tooth may be retained for as long as 5 to 10 years and few for a lifetime, but some fail soon after reimplantation.

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Unfavorable conditions include teeth out of the mouth for more than 6 hours in no storage media and without periodontal ligament on the root surface.



° njcponline.com
° Nigerian Journal of Clinical Practice
° IN Ize-Iyamu, BDO Saheeb

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First Aid for dental injuries in children

Children are susceptible to accidents, these can seriously compromise the integrity of the teeth. It is important to stay calm and visit a dentist quickly.

The treatment to be performed will depend on the commitment of the injury. Sometimes trauma only involves the tooth enamel, but the dental pulp, bone, and ligaments may also be involved.

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We share with you the first actions you should take in the event of an accident involving the child's teeth.

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Dental trauma in children: What can we do?

Dental trauma occurs in a higher percentage in children and adolescents. The causes are falls and injuries related to games and sports.

Although oral accidents are not fatal, they do compromise the child's health


Dental trauma should be attended to immediately by a professional, since not only the teeth would be compromised, but also the bone and soft parts such as the lip and tongue.

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How to handle dental trauma?

Dental accidents and trauma occur with some frequency, the highest incidence is in children and adolescents, but adults are not oblivious to these events. Trauma can involve not only the tooth, but also the lips, gums, and bone.


It is important to act immediately and take the injured person to a dental hospital or clinic. Getting to a dentist within 30 minutes after the accident can make a difference.

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What is a dental emergency? What emergencies require treatment during the COVID-19 outbreak?

The authorities have imposed a quarantine in order to prevent the spread of Covid-19, and in order for that to happen, many locals have been forced to close.


Dentists must close their dental offices and only attend to dental emergencies, during the Covid-19 outbreak. The video we share defines what a dental emergency is and how the clinic staff and patients should be cared for.

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COVID 19: Oral Health and ADA Recommendations

We all know that the best way to prevent the spread and increase of the disease is by keeping a social distance, since the virus is highly contagious. For this, the authorities issue confinement rules in order to avoid contagion.


Dr. O shares how the COVID - 19 mandates affect dental health. While dental health is very important, many states and cities have mandated that patients only go to the dentist for dental emergencies. The ADA has provided advice for patients to follow in addressing their dental needs during these unprecedented times.

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CORONAVIRUS : What to do if there is a dental emergency during the lockdown?

Quarantine is a measure that was imposed for the care of the population, since March 23, we cannot leave if it is not strictly necessary.

This obviously causes concern for our well-being and that of our family.


During this period we are not exempt from suffering from some type of dental emergency, therefore, it is important to know how to contact your dentist, know what services they continue to provide and what to do if a dental emergency occurs while isolating yourself.

READ FULL ARTICLE HERE

Souce : Phoebe Jobling / manchestereveningnews.co.uk

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