Deep Neck Infection Caused By Wisdom Tooth


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Karabiyik Z. , Kiranatli M.

Necmettin Erbakan University International Dental Congress, Konya, Turkey, 2 - 03 October 2021, pp.299

  • Publication Type: Conference Paper / Summary Text
  • City: Konya
  • Country: Turkey
  • Page Numbers: pp.299

Abstract

Aım: Our study was presented to increase the awareness of deep neck infection caused by wisdom tooth. METHODS
Deep neck infections are not rare and occur as a result of the several etiologies (tonsillitis, pharyngitis, foreign body ingestion,
odontojenic infections). Deep neck infections are dramatically decreased today due to use of antibiotics as ıt is compared to preantibiotic era. 49 years old-male patient was consulted for Kütahya Health Science University, Dentistry faculty, oral and
maxillofacial department for deep neck abscess which can be caused by odontojenic origin. Patient was sistemically
unremarkable. He had storyof abscess and pain related to lower left wisdom tooth region. He was smoker and had poor oral
hygiene. Before the patient was referred our department, he was treated as inpatient basis at otolarnygology clinic. IV route
was opened and antibiotic (avitaz [piperasilin+tazobactam]) and paracerol were prescribed for the patient during the inpatient
process. Patient was transferred for oral and maxillofacial department for the evaluation of causative left mesiangular impacted
wisdom tooth. Surgical removal of wisdom tooth was performed and surgical region was closed primarily under the antibiotic
covarage.
Result: Patient was followed strictly after the removal of wisdom tooth. After two weeks following wisdom tooth extraction,
neck swelling was resoluted.
Conclusıon: Odontogenic infections are the most common causes of deep neck infections in adults. Not only early diagnosis
but also antimicrobial and surgical therapy need to treat deep neck infections of odontogenic origin. Early recognition of
inflamation’s focus is key for management of patient. Patient should be treated with experienced clinician trained in the
management of airway problems.