Clinical Characterics, Laboratory Features, and Management of Odontogenic Facial Cellulitis
Küçük Resim Yok
Tarih
2018
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Aves Yayincilik, Ibrahim Kara
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: Dental caries remain one of the most common chronic diseases in childhood, globally. The purpose of this study is to determine clinical characteristics and treatment modalities of pediatric patients with odontogenic facial cellulitis. Material and Methods: Medical records of children with odontogenic facial cellulitis hospitalized in pediatric infectious disease clinic were analyzed retrospectively between January 2013 and December 2017. Results: Ninety-eight patients (43 girls, 55 boys) with median age of 86 months (min-max: 19-207 months) were evaluated. Forty-five (45.9%) patients had no regular toothbrushing habits. Forty-eight (48.9%) patients had no any dental treatment procedure history. Eighteen (18.3%) patients had never recoursed to a dentist. Seventy-five patients (76.5%) were diagnosed with odontogenic facial cellulitis for the first time. Four patients (4%) were hospitalized with the same diagnosis previously. On admission, 37 (37.8%) patients had fever. On admission, the mean white blood cell (WBC) count, erythrocyte sedimentation rate, and C-reactive protein (CRP) were 11.981 +/- 4.433/mm(3), 29.1 +/- 17.6 mm/h and 35.2 +/- 39.4 mg/L, respectively. The mean duration of intravenous antibiotic treatment was 5.5 +/- 2.5 days, and total medical treatment was 12.5 +/- 2.9 days. Ampicillin-sulbactam was started to 82 (83.7%) of the patients. Clindamycin was added to 15 (15.3%) patients. Increased mean WBC count on admission was correlated with duration of hospital stay (p = 0.036), while increased CRP level was correlated with total medical treatment duration (p = 0.032). Patients who received clindamycin had longer duration of intravenous and total medical treatment (p < 0.001 and p < 0.001). Conclusion: If dental caries are not recognized and treated immediately, they may spread into surrounding connective tissue as cellulitis and may lead to hospitalization in young patients. Oral health is a mainstone of life-long well-being, so oral health problems should be considered as a major public health problem and preventive measures should be taken to improve oral health.
Açıklama
Anahtar Kelimeler
Child, Dental Caries, Facial Cellulitis
Kaynak
Journal Of Pediatric Infection
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
12
Sayı
2
