Factors inﬂuencing Management Outcome of Hospitalised Patients with Odontogenic Infection

Aloosi, Suha; Abdullah, Hydar; Alhamdani, Faaiz

	Factors inﬂuencing Management Outcome of Hospitalised Patients with Odontogenic Infection
Journal of Oral and Dental Research
Article 1, Volume 4, Issue 2, 2017, Pages 72-81
Authors
Suha Aloosi; Hydar Abdullah; Faaiz Alhamdani
Abstract
Introduction: Facial cellulitis and abscesses are common in public health problems and early recognition and management is critical, as they are becoming more severe with a noticeable increase in hospitalization. Despite the plethora of studies on odontogenic infections, there are no previously published studies about odontogenic infection outcome of the Iraqi population. Aim: This study was conducted to determine factors inﬂuencing the clinical outcomes of hospitalized patients with odontogenic infections. Material and methods: This cross sectional study was carried out in the oral and maxillofacial surgery department in Sulaimani teaching hospital, Kurdistan-Iraq. Sixty patients with odontogenic infection were hospitalised and treated surgically by incision and drainage, removal of the cause and antibiotic. Treatment outcomes were evaluated. The data were statistically analyzed and compared. Results The highest incidence of infections was found in the sub-mandibular and infra-orbital spaces (28.3% and 28.3% respectively). A signifcant relationship was found between trismus severity and the space involved (p= 0.000). Sub-masseteric space was more associated with grade III trismus and the longest duration of hospitalization. The relationship between type of involved space and duration of hospitalization was signifcant (p=0.000). Patients treated with Amoxicillin showed statistical reduction in the duration of the drain need (p = 0.022), hospitalization time (p = 0.002). A signifcant negative relation between the time of removal of infection cause and duration of hospitalization (p=0.001) was seen. The study showed a positive correlation between severity of trismus and duration of drain placement (p=0.001), duration of antibiotic and hospitalization (p=0.00). Conclusion Early removal of the causative tooth and severity of trismus seem to inﬂuence the odontogenic infection management outcome in terms of duration of antibiotic use, duration of drainage and hospital stay.

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