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Into soft tissue intra oral or extra oral swelling or abscess depending on muscle attachments. Spread into adjacent surgical spaces along facial planes cellulitis. More dangerous distant spread
Maxillary teeth
Molars
PALATAL ABSCESS BUCCAL VESTIBULAR/ SULCULAR ABSCESS FACIAL SWELLING OR ABSESS which may lead to cellilitis.
Cellulitis from maxillary teeth cause swelling of upper half of face direction towards eye may cause dangerous complication CAVERNOUS SINUS THROMBOSIS.
Usually odontogenic infection remained confined in the peri apical area or periodontal pockets. Peri apical infections may perforate cortex and form local abscess or spread intra medullary chronic infection or focal osteomyelitis.
FACIAL SPACES
Fascialined areas-- potential spaces that do not exist in healthy persons. They become filled by pus or exudation during infection. Some contain neurovascular structure compartments. Others filled with loose areolar CT-- Clefts
Masseteric. Pterygomandibular. Superficial & deep temporal. This group is also known as the MASTICATOR SPACE because muscle & fascia of mastication bound them.
When bilateral submandibular, sublingual & submental spaces become involved --Ludwig's angina. It is a rapidly spreading cellulitis and commonly spread to secondary mandibular spaces. This usually produce life threatening condition.
Principles of management
Determine the severity of infection Evaluate the state of patients host defense mechanism
Determine , whether treated by GDP or refer to specialist Appropriate antibiotic & their proper administration Treat infection surgically Diet & i-v fluids Evaluate pts frequently
MANAGEMENT
Proper diagnosis. Antibiotics. Other Adjuncts. I&D