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J Korean Acad Pediatr Dent. 2008;35(1): 136-143.
CASE REPORTS OF FASCIAL SPACE ABSCESS CAUSED BY ODONTOGENIC INFECTION
Ji-Eun Choi, Kyu-Ho Yang, Nam-Ki Choi, Sun-Mi Kim
Department of Pediatric Dentistry, College of Dentistry, Chonnam National University, Dental Research Institute and Second stage of BK21
Corresponding Author: Kyu-Ho Yang ,Tel: 062-220-5476, Email: hellopedo@hanmail.net
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ABSTRACT
Infections involved with the oral and maxillofacial area are associated with various anatomical structures. If the proper treatment is not done in an immediate period, the infections will be quite fatal. The causes of the infections are numerous, but the most common cause of odontogenic infections in children is a dental caries. It is known to lead to some kinds of diseases such as periapical abscess, cellulitis, osteomyelitis, Ludwig's angina, toxic shock syndrome and so on. The common pathogenic sequence of fascial abscess is a necrotic pulpal inflammation in the form of dentoalvelor abscess which spreads over and gradually penetrates into the fascial membranes through the cortical bones and finally contracts the potential fascial spaces. If the infections of oral maxillofacial area were penetrated into the surrounding soft tissues, then they would diffuse into the directions of the least tissue resistance along with the connective tissues and the fascial spaces. These infections can be properly cured by tooth extraction, endodontic therapy, surgical treatment including Incision & drainage and antibiotics. The purpose of the cases is to report the satisfactory treatment results in the patients derived from the canine fascial space abscesss or buccal fascial space ones of the odontogenic origin.
Keywords: Fascial space abscess | Odontogenic infection | Endodontic therapy | Antibiotics | Surgical drainage
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