1/20. Potentially fatal oro-facial infections: five cautionary tales.Five cases of oro-facial infection leading to life-threatening complications are reported. Although all had been treated with antibiotics prior to maxillofacial referral, lack of surgical intervention had allowed progressive infection. The importance of resuscitation, supportive therapy, extraction of involved teeth to remove the source of infection and drainage of pus is emphasised- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/20. 16-year remission of rheumatoid arthritis after unusually vigorous treatment of closed dental foci.This report describes a remission of rheumatoid arthritis (RA) of 16 years duration, apparently caused by the extraction of endodontically well-treated, healthy looking teeth. The only clue that the teeth were contributing to the disease pathogenesis in this case of RA was that the patient was able to reproducibly induce severe attacks of arthritis after prolonged, heavy pressure on some of his teeth treated with root canal fillings. After extraction, a small pus layer was found to cover the apices of the clinically healthy looking teeth. The rheumatoid factor (RF) became negative and the patient remained symptom free for the next 16 years. The possible connections between micro-organisms in closed dental foci under constant pressure and the chronicity and exacerbations of RA are discussed.- - - - - - - - - - ranking = 2keywords = extraction (Clic here for more details about this article) |
3/20. erythema nodosum of dental origin.The association of erythema nodosum and dental infectious foci has rarely been described in the literature. This report concerns four women who developed erythema nodosum either following dental treatment associated with gingival bleeding or due to infectious dental foci. In these cases, tooth extraction, removal of dental deposits, interrupted pulp treatment, apical periodontitis, or a relicted root were identified as causes of the development of erythema nodosum. Upon admission to the hospital, these patients also presented fever and and a maximally elevated erythrocyte sedimentation rate (ESR). In all instances, surgical treatment of the dental foci and/or administration of antibiotics rapidly led to the regression of the erythema nodosum, as well as to the normalization of body temperature and ESR. The cases described indicate that antecedent dental treatment and the possible presence of infectious dental foci should be considered in the differential diagnosis of erythema nodosum when taking the patient's medical history. This approach may avoid unnecessary, possibly invasive diagnostic procedures and can lead to rapid improvement in the patient's clinical status.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
4/20. Paediatric necrotizing fasciitis complicating third molar extraction: report of a case.Necrotizing fasciitis is an uncommon but well-described entity. In the paediatric population compromising risk factors are frequently absent. We describe the successful treatment of a case of cervicofacial necrotizing fasciitis in a healthy 14-year-old male following routine extraction of an uninfected wisdom tooth for orthodontic purposes.- - - - - - - - - - ranking = 5keywords = extraction (Clic here for more details about this article) |
5/20. Intraorbital abscess: a rare complication after maxillary molar extraction.BACKGROUND: The orbit is prone to being affected by an odontogenous infection, owing to its anatomical proximity to the maxillary sinus. A possible reason for an ophthalmic manifestation of a dental abscess is extraction of an acutely inflamed tooth. CASE DESCRIPTION: The authors describe the treatment of a man who had painful swelling and redness in the area of his right eye after having a maxillary molar extracted a few days previous. A general dentist referred the patient to the clinic after he began to experience a progressive deterioration of vision of his right eye. Emergency surgical intervention prevented impending loss of vision, and subsequent healing was uneventful. CLINICAL IMPLICATIONS: To avoid serious complications, clinicians should not perform a tooth extraction when the patient is in the acute stage of a maxillary sinus infection. Appropriate diagnostic imaging and profound evaluation of the clinical state play major roles in managing the treatment of patients with inflammatory processes that involve the oral and paraoral regions.- - - - - - - - - - ranking = 6keywords = extraction (Clic here for more details about this article) |
6/20. Orbital abscess: visual loss following extraction of a tooth--case report.OBJECTIVE: It is the purpose of this article to alert the general practitioner to the severe consequences that may result from a tooth extraction, including the loss of vision, despite the use of antibiotics. CONCLUSIONS: Early and aggressive treatment is critical in obstructing the spread of infection toward the orbits, the eyes, and eventually the brain.- - - - - - - - - - ranking = 5keywords = extraction (Clic here for more details about this article) |
7/20. Subperiosteal abscess of the orbit: an unusual complication of the third molar surgery.Few procedures in oral surgery show severe complications with the potential to result in life-threatening problems. Subperiosteal orbital abscess is an extremely rare but transcendent complication arising spontaneously or after dental surgery. This report describes a case of subperiosteal abscess of the orbit in a 57-year-old man that occurred following the uneventful extraction of the left maxillary third molar. In the emergency department, proptosis and extraocular muscle dysfunction were marked but no decrease in visual acuity was observed. Echography, computed tomography scan, and magnetic resonance imaging allowed distinction from other types of orbital inflammation. Surgical drainage confirmed the diagnosis. In this patient, orbital abscess was probably caused by extension of the infection to the pterygopalatine and infratemporal regions progressing next to the inferior orbital fissure. This report highlights the difficulty in the clinical diagnosis of this complication.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
8/20. cavernous sinus thrombosis following odontogenic and cervicofacial infection.cavernous sinus thrombosis (CST) is rarely seen clinically as a complication of infectious processes since the discovery of penicillin. At the present time, dental abscess is an uncommon cause of CST. We now report our experiences with a 60-year-old diabetic male, who developed CST 38 days after extraction of an infected upper third molar tooth. The importance of eradicating regional cervicofacial foci of infection is stressed.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
9/20. osteomyelitis of the mandible: a complication of routine dental extractions in alcoholics.osteomyelitis is a rare sequel to a dental extraction. Three cases are described where osteomyelitis followed routine dental extractions in patients with a history of alcoholism. It is suggested that depression of the host's defences, due to alcoholism, modified the response to and the spread of this serious infection. Such patients represent a high risk group and should be identified prior to treatment to avoid unnecessary complications.- - - - - - - - - - ranking = 6keywords = extraction (Clic here for more details about this article) |
10/20. Selective anesthesias of peripheral branches of the trigeminal nerve due to odontogenic infection.infection of dental origin may induce anesthesias of peripheral branches of the trigeminal nerve and should be considered in the differential diagnosis of such neuropathies. This article presents two cases in which focal odontogenic infection caused sensory disruption at peripheral points along the maxillary and mandibular divisions of the trigeminal nerve. In both cases resolution of symptoms followed extraction of teeth responsible for the infection.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
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