Epidemiology and variables involved in dental abscess: survey of dental emergency unit in Trieste
Objectives The objective of this epidemiologic study was to estimate the healing time of acute dental abscesses and to evaluate the main variables involved in the healing process itself. Subjects and Methods Among a sample of over 24 000 patients visited at the emergency dental unit, 688 subjects we...
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| Published in | Oral diseases Vol. 20; no. 5; pp. 499 - 504 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Denmark
Blackwell Publishing Ltd
01.07.2014
Wiley Subscription Services, Inc |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1354-523X 1601-0825 1601-0825 |
| DOI | 10.1111/odi.12164 |
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| Abstract | Objectives
The objective of this epidemiologic study was to estimate the healing time of acute dental abscesses and to evaluate the main variables involved in the healing process itself.
Subjects and Methods
Among a sample of over 24 000 patients visited at the emergency dental unit, 688 subjects were diagnosed with dental abscess and enrolled in the study. Case histories of all patients were collected to investigate the clinical course and healing time of dental abscess according to anamnestic and diagnostic data and therapeutic management. A multiple logistic regression model was performed to evaluate the association of each variable with the healing time required for dental abscess.
Results
Variables associated with increased healing time were spring seasonality at admission, pyretic state, trismus, involvement of multiple anatomic spaces, and spontaneous drainage. Moreover, administration of some, but not all, classes of antibiotics was also associated with an increased healing time.
Conclusions
The knowledge of variables involved in healing time for dental abscess is crucial in the optimization of managing such infections in terms of cost–benefit ratio. This would represent a valuable way to ensure a shortened and more effective healing. |
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| AbstractList | The objective of this epidemiologic study was to estimate the healing time of acute dental abscesses and to evaluate the main variables involved in the healing process itself.
Among a sample of over 24 000 patients visited at the emergency dental unit, 688 subjects were diagnosed with dental abscess and enrolled in the study. Case histories of all patients were collected to investigate the clinical course and healing time of dental abscess according to anamnestic and diagnostic data and therapeutic management. A multiple logistic regression model was performed to evaluate the association of each variable with the healing time required for dental abscess.
Variables associated with increased healing time were spring seasonality at admission, pyretic state, trismus, involvement of multiple anatomic spaces, and spontaneous drainage. Moreover, administration of some, but not all, classes of antibiotics was also associated with an increased healing time.
The knowledge of variables involved in healing time for dental abscess is crucial in the optimization of managing such infections in terms of cost-benefit ratio. This would represent a valuable way to ensure a shortened and more effective healing. Objectives The objective of this epidemiologic study was to estimate the healing time of acute dental abscesses and to evaluate the main variables involved in the healing process itself. Subjects and Methods Among a sample of over 24 000 patients visited at the emergency dental unit, 688 subjects were diagnosed with dental abscess and enrolled in the study. Case histories of all patients were collected to investigate the clinical course and healing time of dental abscess according to anamnestic and diagnostic data and therapeutic management. A multiple logistic regression model was performed to evaluate the association of each variable with the healing time required for dental abscess. Results Variables associated with increased healing time were spring seasonality at admission, pyretic state, trismus, involvement of multiple anatomic spaces, and spontaneous drainage. Moreover, administration of some, but not all, classes of antibiotics was also associated with an increased healing time. Conclusions The knowledge of variables involved in healing time for dental abscess is crucial in the optimization of managing such infections in terms of cost-benefit ratio. This would represent a valuable way to ensure a shortened and more effective healing. [PUBLICATION ABSTRACT] Objectives The objective of this epidemiologic study was to estimate the healing time of acute dental abscesses and to evaluate the main variables involved in the healing process itself. Subjects and Methods Among a sample of over 24 000 patients visited at the emergency dental unit, 688 subjects were diagnosed with dental abscess and enrolled in the study. Case histories of all patients were collected to investigate the clinical course and healing time of dental abscess according to anamnestic and diagnostic data and therapeutic management. A multiple logistic regression model was performed to evaluate the association of each variable with the healing time required for dental abscess. Results Variables associated with increased healing time were spring seasonality at admission, pyretic state, trismus, involvement of multiple anatomic spaces, and spontaneous drainage. Moreover, administration of some, but not all, classes of antibiotics was also associated with an increased healing time. Conclusions The knowledge of variables involved in healing time for dental abscess is crucial in the optimization of managing such infections in terms of cost–benefit ratio. This would represent a valuable way to ensure a shortened and more effective healing. The objective of this epidemiologic study was to estimate the healing time of acute dental abscesses and to evaluate the main variables involved in the healing process itself.OBJECTIVESThe objective of this epidemiologic study was to estimate the healing time of acute dental abscesses and to evaluate the main variables involved in the healing process itself.Among a sample of over 24 000 patients visited at the emergency dental unit, 688 subjects were diagnosed with dental abscess and enrolled in the study. Case histories of all patients were collected to investigate the clinical course and healing time of dental abscess according to anamnestic and diagnostic data and therapeutic management. A multiple logistic regression model was performed to evaluate the association of each variable with the healing time required for dental abscess.SUBJECTS AND METHODSAmong a sample of over 24 000 patients visited at the emergency dental unit, 688 subjects were diagnosed with dental abscess and enrolled in the study. Case histories of all patients were collected to investigate the clinical course and healing time of dental abscess according to anamnestic and diagnostic data and therapeutic management. A multiple logistic regression model was performed to evaluate the association of each variable with the healing time required for dental abscess.Variables associated with increased healing time were spring seasonality at admission, pyretic state, trismus, involvement of multiple anatomic spaces, and spontaneous drainage. Moreover, administration of some, but not all, classes of antibiotics was also associated with an increased healing time.RESULTSVariables associated with increased healing time were spring seasonality at admission, pyretic state, trismus, involvement of multiple anatomic spaces, and spontaneous drainage. Moreover, administration of some, but not all, classes of antibiotics was also associated with an increased healing time.The knowledge of variables involved in healing time for dental abscess is crucial in the optimization of managing such infections in terms of cost-benefit ratio. This would represent a valuable way to ensure a shortened and more effective healing.CONCLUSIONSThe knowledge of variables involved in healing time for dental abscess is crucial in the optimization of managing such infections in terms of cost-benefit ratio. This would represent a valuable way to ensure a shortened and more effective healing. |
| Author | Tirelli, G Perinetti, G Luzzati, R Di Lenarda, R Visintini, E Contardo, L Biasotto, M Gobbo, M Ottaviani, G Costantinides, F |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23879656$$D View this record in MEDLINE/PubMed |
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| References | Biasotto M, Chiandussi S, Costantinides F, Di Lenarda R (2009). Descending necrotizing mediastinitis of odontogenic origin. Recent Pat Antiinfect Drug Discov 4: 143-150. Smith AJ, Jackson MS (2003). Susceptibility of viridans group streptococci isolated from dento-alveolar infections to eight antimicrobial agents. J Antimicrob Chemother 52: 1045-1046. Brescó-Salinas M, Costa-Riu N, Berini-Aytés L, Gay-Escoda C (2006). Antibiotic susceptibility of the bacteria causing odontogenic infections. Med Oral Patol Oral Cir Bucal 11: E70-E75. Meningaud JP, Roudot-Thoraval F, Bertrand JC, Guilbert F (1998). Do temperature and atmospheric pressure affect the incidence of serious odontogenic infection? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85: 272-275. Storoe W, Haug RH, Lillich TT (2001). The changing face of odontogenic infections. J Oral Maxillofac Surg 59: 739-748. Keller CO, Feifel H, Bucher K, Reineke T, Riediger D (1998). Correlation of odontogenic soft tissue infection and thermal effects with special reference to temperature sense. Statistical analysis of 2.111 patients. Mund Kiefer Gesichtschir 2: 261-265. Kim MK, Nalliah RP, Lee MK, Allareddy V (2012). Factors associated with length of stay and hospital charges for patients hospitalized with mouth cellulitis. Oral Surg Oral Med Oral Pathol Oral Radiol 113: 21-28. Kuriyama T, Karasawa T, Nakagawa K, Saiki Y, Yamamoto E, Nakamura S (2000). Bacteriologic features and antimicrobial susceptibility in isolates from orofacial odontogenic infections. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90: 600-608. Davis EE, Deinard AS, Maïga EW (2010). Doctor, my tooth hurts: the costs of incomplete dental care in the emergency room. J Public Health Dent 70: 205-210. Khemaleelakul S, Baumgartner JC, Pruksakorn S (2002). Identification of bacteria in acute endodontic infections and their antimicrobial susceptibility. Oral Surg Oral Med Oral Radiol Oral Pathol Endod 94: 746-755. Kuriyama T, Absi EG, Williams DW, Lewis MA (2005). An outcome audit of the treatment of acute dentoalveolar infection: impact of penicillin resistance. Br Dent J 198: 759-763. Chavez de Paz LE (2007). Redefining the persistent infection in root canals: possible role of biofilm communities. J Endod 33: 652-662. Matthews DC, Sutherland S, Basrani B (2003). Emergency management of acute apical abscesses in the permanent dentition: a systematic review of the literature. J Can Dent Assoc 69: 660. Baumgartner JC, Xia T (2003). Antibiotic susceptibility of bacteria associated with endodontic abscesses. J Endod 29: 44-47. Brook I (2002). Antibiotic resistance of oral anaerobic bacteria and their effect on the management of upper respiratory tract and head and neck infections. Semin Resp Infect 17: 195-203. Ellison SJ (2009). The role of phenoxymethylpenicillin, amoxicillin, metronidazole and clindamycin in the management of acute dentoalveolar abscesses - a review. Br Dent J 206: 357-362. Kuriyama T, Karasawa T, Williams DW, Nakagawa K, Yamamoto E (2006). An increased prevalence of {beta}-lactamase-positive isolates in Japanese patients with dentoalveolar infection. J Antimicrob Chemother 58: 708-709. Biasotto M, Pellis T, Cadenaro M, Bevilacqua L, Berlot G, Di Lenarda R (2004). Odontogenic infections and descending necrotising mediastinitis: case report and review of the literature. Int Dent J 54: 97-102. Nair PNR (2004). Pathogenesis of apical periodontitis and the causes of endodontic failures. Crit Rev Oral Biol Med 15: 348-381. Palmer NO, Martin MV, Pealing R, Ireland RS (2000). An analysis of antibiotic prescriptions from general dental practitioners in England. J Antimicrob Chemother 46: 1033-1035. Ellison SJ (2011). An outcome audit of three-day antimicrobial prescribing for the acute dentoalveolar abscess. Br Dent J 211: 591-594. 2004; 54 2002; 17 2012; 113 2005; 198 2010 2002; 94 2006; 11 2000; 46 2004; 15 2006; 58 2003; 69 2000; 90 2001; 59 2003; 29 1998; 2 2009; 4 2010; 70 2009; 206 1998; 85 2007; 33 2003; 52 2011; 211 Matthews DC (e_1_2_6_18_1) 2003; 69 e_1_2_6_21_1 e_1_2_6_10_1 e_1_2_6_20_1 Brescó‐Salinas M (e_1_2_6_5_1) 2006; 11 e_1_2_6_9_1 e_1_2_6_8_1 e_1_2_6_19_1 e_1_2_6_4_1 e_1_2_6_7_1 e_1_2_6_6_1 e_1_2_6_13_1 e_1_2_6_14_1 e_1_2_6_3_1 e_1_2_6_11_1 e_1_2_6_23_1 e_1_2_6_2_1 e_1_2_6_12_1 e_1_2_6_22_1 e_1_2_6_17_1 e_1_2_6_15_1 e_1_2_6_16_1 |
| References_xml | – reference: Kuriyama T, Absi EG, Williams DW, Lewis MA (2005). An outcome audit of the treatment of acute dentoalveolar infection: impact of penicillin resistance. Br Dent J 198: 759-763. – reference: Keller CO, Feifel H, Bucher K, Reineke T, Riediger D (1998). Correlation of odontogenic soft tissue infection and thermal effects with special reference to temperature sense. Statistical analysis of 2.111 patients. Mund Kiefer Gesichtschir 2: 261-265. – reference: Meningaud JP, Roudot-Thoraval F, Bertrand JC, Guilbert F (1998). Do temperature and atmospheric pressure affect the incidence of serious odontogenic infection? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85: 272-275. – reference: Khemaleelakul S, Baumgartner JC, Pruksakorn S (2002). Identification of bacteria in acute endodontic infections and their antimicrobial susceptibility. Oral Surg Oral Med Oral Radiol Oral Pathol Endod 94: 746-755. – reference: Storoe W, Haug RH, Lillich TT (2001). The changing face of odontogenic infections. J Oral Maxillofac Surg 59: 739-748. – reference: Palmer NO, Martin MV, Pealing R, Ireland RS (2000). An analysis of antibiotic prescriptions from general dental practitioners in England. J Antimicrob Chemother 46: 1033-1035. – reference: Chavez de Paz LE (2007). Redefining the persistent infection in root canals: possible role of biofilm communities. J Endod 33: 652-662. – reference: Biasotto M, Pellis T, Cadenaro M, Bevilacqua L, Berlot G, Di Lenarda R (2004). Odontogenic infections and descending necrotising mediastinitis: case report and review of the literature. Int Dent J 54: 97-102. – reference: Brescó-Salinas M, Costa-Riu N, Berini-Aytés L, Gay-Escoda C (2006). Antibiotic susceptibility of the bacteria causing odontogenic infections. Med Oral Patol Oral Cir Bucal 11: E70-E75. – reference: Kuriyama T, Karasawa T, Williams DW, Nakagawa K, Yamamoto E (2006). An increased prevalence of {beta}-lactamase-positive isolates in Japanese patients with dentoalveolar infection. J Antimicrob Chemother 58: 708-709. – reference: Ellison SJ (2011). An outcome audit of three-day antimicrobial prescribing for the acute dentoalveolar abscess. Br Dent J 211: 591-594. – reference: Davis EE, Deinard AS, Maïga EW (2010). Doctor, my tooth hurts: the costs of incomplete dental care in the emergency room. J Public Health Dent 70: 205-210. – reference: Ellison SJ (2009). The role of phenoxymethylpenicillin, amoxicillin, metronidazole and clindamycin in the management of acute dentoalveolar abscesses - a review. Br Dent J 206: 357-362. – reference: Biasotto M, Chiandussi S, Costantinides F, Di Lenarda R (2009). Descending necrotizing mediastinitis of odontogenic origin. Recent Pat Antiinfect Drug Discov 4: 143-150. – reference: Matthews DC, Sutherland S, Basrani B (2003). Emergency management of acute apical abscesses in the permanent dentition: a systematic review of the literature. J Can Dent Assoc 69: 660. – reference: Kuriyama T, Karasawa T, Nakagawa K, Saiki Y, Yamamoto E, Nakamura S (2000). Bacteriologic features and antimicrobial susceptibility in isolates from orofacial odontogenic infections. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90: 600-608. – reference: Nair PNR (2004). Pathogenesis of apical periodontitis and the causes of endodontic failures. Crit Rev Oral Biol Med 15: 348-381. – reference: Baumgartner JC, Xia T (2003). Antibiotic susceptibility of bacteria associated with endodontic abscesses. J Endod 29: 44-47. – reference: Kim MK, Nalliah RP, Lee MK, Allareddy V (2012). Factors associated with length of stay and hospital charges for patients hospitalized with mouth cellulitis. Oral Surg Oral Med Oral Pathol Oral Radiol 113: 21-28. – reference: Smith AJ, Jackson MS (2003). Susceptibility of viridans group streptococci isolated from dento-alveolar infections to eight antimicrobial agents. J Antimicrob Chemother 52: 1045-1046. – reference: Brook I (2002). Antibiotic resistance of oral anaerobic bacteria and their effect on the management of upper respiratory tract and head and neck infections. Semin Resp Infect 17: 195-203. – volume: 2 start-page: 261 year: 1998 end-page: 265 article-title: Correlation of odontogenic soft tissue infection and thermal effects with special reference to temperature sense. Statistical analysis of 2.111 patients publication-title: Mund Kiefer Gesichtschir – volume: 15 start-page: 348 year: 2004 end-page: 381 article-title: Pathogenesis of apical periodontitis and the causes of endodontic failures publication-title: Crit Rev Oral Biol Med – volume: 52 start-page: 1045 year: 2003 end-page: 1046 article-title: Susceptibility of viridans group streptococci isolated from dento‐alveolar infections to eight antimicrobial agents publication-title: J Antimicrob Chemother – volume: 17 start-page: 195 year: 2002 end-page: 203 article-title: Antibiotic resistance of oral anaerobic bacteria and their effect on the management of upper respiratory tract and head and neck infections publication-title: Semin Resp Infect – volume: 85 start-page: 272 year: 1998 end-page: 275 article-title: Do temperature and atmospheric pressure affect the incidence of serious odontogenic infection? publication-title: Oral Surg Oral Med Oral Pathol Oral Radiol Endod – volume: 198 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The objective of this epidemiologic study was to estimate the healing time of acute dental abscesses and to evaluate the main variables involved in... The objective of this epidemiologic study was to estimate the healing time of acute dental abscesses and to evaluate the main variables involved in the healing... Objectives The objective of this epidemiologic study was to estimate the healing time of acute dental abscesses and to evaluate the main variables involved in... |
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| SubjectTerms | antibiotics Data Collection dental abscess Dental care Emergencies Emergency medical care Epidemiology Female Humans Infections Italy - epidemiology Male Middle Aged Periapical Abscess - epidemiology Periapical Abscess - physiopathology Periapical Abscess - therapy public health Wound healing |
| Title | Epidemiology and variables involved in dental abscess: survey of dental emergency unit in Trieste |
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