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The importance of early intervention in the treatment of dental infection Paul Paterson Elizabeth Hannah Nichols Katie Watson Deborah Boyd Dental Update 2024 41:1, 707-709.
Authors
PaulPaterson
BDS(Hons), MFDS RCPS(Glasg)
Dental Foundation Trainee in Oral and Maxillofacial Surgery, Oral and Maxillofacial Surgery Department, Monklands Hospital, Airdrie
With recent reports of increasing hospital admissions relating to dental infection, the authors believe it is time to re-visit the importance of its effective early treatment. A series of three cases is used to illustrate the potentially life-threatening progression of what, in the early stages, is an easily treatable condition.
Clinical Relevance: The principles of effective management of dental infection are highlighted in the first instance and then indications for specialist maxillofacial referral are discussed.
Article
Recent reports have highlighted a worrying rise in the number of patients admitted to hospital for incision and drainage of dental abscesses under general anaesthetic.1,2
An article reviewing such hospital admissions in England as a whole found that the number almost doubled between 1998 and 2006.1 A group of authors in Hull Royal Infirmary have reported a less dramatic, but still substantive, increase of 47% in their unit between 1999 and 2004.2
Fortunately, death from dental sepsis is rare in the UK.3,4 However, there is still the potential for significant associated morbidity. A series of three cases is presented which have been referred recently to maxillofacial departments across Scotland. We believe these serve to highlight the ease with which a simple dento-alveolar infection can become potentially life-threatening.
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