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Dental emergency management of odontogenic facial infection for general practitioners
Zefry Z. Abidin1, Lukman H. Hidayat2, Ariyati Retno Pratiwi3, Marisa Pramasheilla4, Labieb Fairuz5.
Introduction: Dental emergency was uncommon medical events. In several cases, a correct diagnosis was required for effective and safe patient management. General dental practitioners should be well trained to manage dental emergency efficiently. Patients may present severe condition of oral and maxillofacial infection, hence dentist may get overwhelmed by patients’ situation. Odontogenic infections involving canine fossa rarely occur, but if left un-treated may lead into more severe complication. The aim of present study is to determine the expand of general prac-titioners’ competency in treating odontogenic infections; including determining differential diagnosis, performing emergency treatment, medications, and referral consideration. Case Presentation: A 17 years old male was referred for assessment of right facial swelling. Patient has had a history of injury 4 years ago on his upper incisives and the teeth were left untreated. Clinical examination showed extra oral swelling on the right side of the nose and intraorally from the buccal mucosa of tooth 11 and 12 extending to the lips. Radiographic examination showed radiolucency on the apices of tooth 11 and 12. A current diagnosa of fossa canina abscess were made following the assessment. Initial therapy was done through incisional drainage on mucobucal fold of tooth 11 and 12, followed with drainage place-ment and antibiotic prescription. Pain and swelling has reduced significantly on the first and second follow up, thus drain was removed. The symptoms have completely resolved on third follow up and patient was referred to pursue endodontic treatment. Conclusion: Odontogenic infections still pose a grave danger to the healthcare community. Thorough examination and adequate treatment planning could prevent further complications.
Affiliation:
- Universitas Brawijaya, Indonesia
- Universitas Brawijaya, Indonesia
- Universitas Brawijaya, Indonesia
- Universitas Brawijaya, Indonesia
- Universitas Brawijaya, Indonesia
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Indexation |
Indexed by |
MyJurnal (2021) |
H-Index
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3 |
Immediacy Index
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0.000 |
Rank |
0 |
Indexed by |
Scopus 2020 |
Impact Factor
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CiteScore (0.2) |
Rank |
Q4 (Medicine (all)) |
Additional Information |
SJR (0.144) |
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