IADR Abstract Archives
Outcome of 107 odontogenic cellulitis: a 5-year retrospective study
Objectives: The aim of the present study was to assess the outcome of odontogenic cellulitis (OOC) and to investigate influencing prognostic variables.
Methods: The records of 107 patients admitted for a cervicofacial cellulitis of dental origin at the ENT Department of la Rabta Teaching Hospital, Tunisia, over a 5-year period were reviewed. Data related to demographic characteristics, antibiotic and or anti-inflammatory intake, clinical and therapeutic features were collected and analysed using appropriate statistical tests. The level of significance was set at p<0.05.
Results: Patients were aged from 15 to 85 years, with a mean of 37±15.39 years and a male-female ratio of 1.2. Most of them (70%) consulted within four days. In patients with a medical history (27.2%), 12.1% had diabetes. Nearly 60% had taken either antibiotics (27.1%), anti-inflammatory (17.8%) drugs or both (14.9%). Swelling (100%), adenopathy (80.4%), fiever (51.4%) and trismus (71%) were the most presenting symptoms. Mandibular molars were involved in 68.2% of the cases. Diffused cellulitis were recorded in 51.4%. Mediastinal involvement was only noted in 2 cases. Medical treatment alone (45.8%) or combined to a surgical drainage (54.2%) was performed with the extraction of the causative tooth (38.3%). The mean length of hospital stay was 8.64±4.3days. Although, medical history (p=0.001) and particularly diabetes (p=0.03), age (0.02) and mean length of hospital stay (0.04) were significantly correlated to the extension of the cellulitis, the outcome was favourable in 96.3% of the cases.
Conclusions: Within the limits of the study, odontogenic cellulitis may be, particularly, severe in patients with a medical history. No prognostic factor is found to significantly influence the OOC.
Methods: The records of 107 patients admitted for a cervicofacial cellulitis of dental origin at the ENT Department of la Rabta Teaching Hospital, Tunisia, over a 5-year period were reviewed. Data related to demographic characteristics, antibiotic and or anti-inflammatory intake, clinical and therapeutic features were collected and analysed using appropriate statistical tests. The level of significance was set at p<0.05.
Results: Patients were aged from 15 to 85 years, with a mean of 37±15.39 years and a male-female ratio of 1.2. Most of them (70%) consulted within four days. In patients with a medical history (27.2%), 12.1% had diabetes. Nearly 60% had taken either antibiotics (27.1%), anti-inflammatory (17.8%) drugs or both (14.9%). Swelling (100%), adenopathy (80.4%), fiever (51.4%) and trismus (71%) were the most presenting symptoms. Mandibular molars were involved in 68.2% of the cases. Diffused cellulitis were recorded in 51.4%. Mediastinal involvement was only noted in 2 cases. Medical treatment alone (45.8%) or combined to a surgical drainage (54.2%) was performed with the extraction of the causative tooth (38.3%). The mean length of hospital stay was 8.64±4.3days. Although, medical history (p=0.001) and particularly diabetes (p=0.03), age (0.02) and mean length of hospital stay (0.04) were significantly correlated to the extension of the cellulitis, the outcome was favourable in 96.3% of the cases.
Conclusions: Within the limits of the study, odontogenic cellulitis may be, particularly, severe in patients with a medical history. No prognostic factor is found to significantly influence the OOC.