| Summary: | 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.
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