Odontogenic signs and symptoms as predictors of odontogenic infection
| Autor: | Jayne Batts, Timothy L. Cox, Michael T. Brennan, Michael S. Runyon, H. James Norton, Philip C. Fox, Peter B. Lockhart, M. Louise Kent |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Odontogenic infection
medicine.drug_class business.industry Antibiotics Dentistry Emergency department engineering.material medicine.disease law.invention Clinical trial Amalgam (dentistry) Randomized controlled trial law Toothache medicine engineering medicine.symptom Prospective cohort study business General Dentistry |
| Zdroj: | The Journal of the American Dental Association. 137:62-66 |
| ISSN: | 0002-8177 |
| DOI: | 10.14219/jada.archive.2006.0022 |
| Popis: | Background The authors conducted a study to determine if odontogenic signs and symptoms in the emergency department predicted the development of overt odontogenic infection at a follow-up dental visit. Methods One hundred ninety-five patients with odontalgia, but without overt signs of infection, were enrolled in a prospective, double-blind, randomized clinical trial. Data included dental diagnosis, pain characteristics, presence of caries and restorations, presence and size of periapical radiolucencies and other diagnostic test results. Results Thirteen of 134 subjects for whom data were available had signs of infection at the follow-up visit. Subjects in the follow-up infected (FU-I) group had larger baseline radiolucencies than did subjects in the follow-up noninfected (FU-NI) group, and restorations were more prevalent for involved teeth in the FU-I group than in the FU-NI group. Conclusions A relationship exists between radiolucency size and the presence of amalgam restorations in patients who develop clinical signs of infection. Penicillin did not appear to influence this progression. Clinical Implications Antibiotics are not effective in preventing the development of odontogenic infection when definitive dental therapy cannot be provided for acute pain in the absence of clinical signs of infection. Although the overall risk of developing infection is low, early treatment is indicated for teeth with larger periapical radiolucencies, amalgam restorations or both. |
| Databáze: | OpenAIRE |
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