Department of Oral & Maxillofacial Surgery, Broward Health Medical Center, Nova Southeastern University College of Dental Medicine, 1600 S. Andrews Avenue, Fort Lauderdale, FL 33301, USA.
Private Practice, Infectious Diseases, 13550 South Jog Rd, Suite 202A, Delray, FL 33446, USA.
Oral Maxillofac Surg Clin North Am. 2022 Feb;34(1):169-177. doi: 10.1016/j.coms.2021.08.005. Epub 2021 Oct 30.
This article focuses on the antimicrobial therapy of head and neck infections from odontogenic origin. Odontogenic infections are among the most common infections of the oral cavity. They are sourced primarily from dental caries and periodontal disease (gingivitis and periodontitis). Many odontogenic infections are self-limiting and may drain spontaneously. However, these infections may drain into the anatomic spaces adjacent to the oral cavity and spread along the contiguous facial planes, leading to more serious infections. Antibiotics are an important aspect of care of the patient with an acute odontogenic infection. Antibiotics are not a substitute for definitive surgical management.
本文重点介绍源于齿源性的头颈部感染的抗菌治疗。齿源性感染是口腔最常见的感染之一。它们主要来源于龋齿和牙周病(牙龈炎和牙周炎)。许多齿源性感染是自限性的,可能会自行引流。然而,这些感染可能会排入口腔相邻的解剖间隙,并沿着相邻的面部平面扩散,导致更严重的感染。抗生素是治疗急性齿源性感染患者的重要方面。抗生素不能替代明确的手术治疗。