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Odontogenic infection starts as localised infection and may remain localised to the region where it started, or spread into adjacent or distant areas. It is estimated that 90–95% of all orofacial infections originate from the teeth or their supporting structures and are the most common infections in the oral and maxilofacial region. [3]
Odontogenic infections [ edit ] The submasseteric space is sometimes involved by the spread of odontogenic infections , such as a pericoronal abscess associated with an impacted mandibular third molar (lower wisdom tooth) when the apices of the tooth lie very close to or within the space.
Mouth infections, also known as oral infections, are a group of infections that occur around the oral cavity. They include dental infection , dental abscess , and Ludwig's angina . Mouth infections typically originate from dental caries at the root of molars and premolars that spread to adjacent structures.
Periapical periodontitis may develop into a periapical abscess, where a collection of pus forms at the end of the root, the consequence of spread of infection from the tooth pulp (odontogenic infection), or into a periapical cyst, where an epithelial lined, fluid-filled structure forms.
In oral and maxillofacial surgery, the fascial spaces are almost always of relevance due to the spread of odontogenic infections. As such, the spaces can also be classified according to their relation to the upper and lower teeth, and whether infection may directly spread into the space (primary space), or must spread via another space ...
Also infection can spread down the tissue spaces to the mediastinum which has significant consequences on the vital organs such as the heart. Another complication, usually from upper teeth, is a risk of sepsis traveling through pathways to which it can possibly lead to endocarditis , brain abscess (extremely rare), or meningitis (also rare).
Acute OM of the jaws may give a similar appearance to a typical odontogenic infection or dry socket, but cellulitis does not tend to spread from the periosteal envelope of the involved bone. If the infection is not controlled, the process becomes chronic and visible signs may be present, including draining fistulas, loosening of teeth and ...
Odontogenic infections may spread to involve the canine space. The most likely causative tooth is the maxillary canine or maxillary first premolar. [ 1 ] This occurs when pus (e.g. from a periapical abscess ), perforates the buccal cortical plate of the maxilla above the level of attachment of the levator anguli oris muscle.