ارزیابی تظاهرات بالینی عوارض و درمان عفونتهای ادنتوژنیک مطالعه بررسی مقطعی گذشته نگر.

Background. Odontogenic infections are significant challenges in dentistry and maxillofacial surgery, capable of rapid progression and severe complications. This study investigated the clinical manifestations, complications, and treatment approaches of these infections. Methods. This retrospective c...

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Publicado en:Medical Journal of Tabriz University of Medical Sciences Vol. 47; no. 4; pp. 469 - 479
Autores principales: نیکزاد شهیدی, سارا واثقی, طناز پورلک
Formato: research tables/charts Journal Article
Publicado: Tabriz University of Medical Sciences Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
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      pub: Tabriz University of Medical Sciences
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        atl: ارزیابی تظاهرات بالینی عوارض و درمان عفونتهای ادنتوژنیک مطالعه بررسی مقطعی گذشته نگر.
      aug:
        au:
          نیکزاد شهیدی
          سارا واثقی
          طناز پورلک
        affil: گروه گوش حلق بینی و جراحی سر و گردن دانشکده پزشکی دانشگاه علوم پزشکی تبریز، تبریز، ایران.
      sug:
        subj:
          Sociodemographic Factors
          Risk Assessment
          Length of Stay
          Tooth Diseases Symptoms
          Abscess Symptoms
          Hospitalization
          Tooth Diseases Therapy
          Human
          Retrospective Design
          Record Review
          Cross Sectional Studies
          Medical Records
          Hospitals
          Iran
          Multidisciplinary Care Team
          T-Tests
          Chi Square Test
          Analysis of Variance
          Treatment Outcomes
          Antibiotics Therapeutic Use
          Surgery, Operative
          Adolescence
          Adult
          Middle Age
          Male
          Female
          Referral and Consultation
          Smoking Complications
          Treatment Delay
          Dental Caries Etiology
          Clindamycin Administration and Dosage
          Periodontal Diseases Etiology
          Ceftriaxone Administration and Dosage
          Metronidazole Administration and Dosage
          Cephalosporins Administration and Dosage
          Bicuspid Pathology
          Molar Pathology
          Data Analysis Software
          Descriptive Statistics
          Early Diagnosis
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background. Odontogenic infections are significant challenges in dentistry and maxillofacial surgery, capable of rapid progression and severe complications. This study investigated the clinical manifestations, complications, and treatment approaches of these infections. Methods. This retrospective cross-sectional study analyzed medical records of 22 patients with odontogenic infections admitted to the ENT and Maxillofacial Surgery departments at Imam Reza Hospital, Tabriz, between 2016 and 2020. Demographic data, etiology, involved teeth, infected spaces, clinical symptoms, hospitalization duration, treatments received, and complications were analyzed using descriptive statistics. Results. The mean age of the patients was 38.32 ± 17.15 years, with 68.2% being male. The most commonly affected teeth were mandibular molars and premolars (63.6%). The most frequent symptoms were pain (100%) and cervical swelling (63.6%). The submandibular (45.5%) and parapharyngeal (22.7%) spaces were the most commonly involved spaces. All patients received antibiotics, and 86.4% underwent surgical intervention. The mean hospital stay was 6.86±2.96 days. Conclusion. A combination of surgical drainage and antibiotic therapy, primarily clindamycin, is effective in managing odontogenic infections. Early identification of warning signs such as cervical swelling and deep-space involvement is crucial in preventing severe complications. Practical Implications. Understanding the common causes of odontogenic abscesses and implementing appropriate treatment protocols can help reduce complications and improve patient management.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Persian
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