牙源性感染的危险因素、症状、治疗及并发症评估：一项20年的回顾性研究
An Evaluation of Risk Factors, Symptoms, Treatment and Complications of Odontogenic Infections: a retrospective study of 20 years.
作者信息
Costa Samuel Macedo, Trivellato Priscila Faleiros Bertelli, Sverzut Cassio Edvard, Trivellato Alexandre Elias
机构信息
Oral and Maxillofacial Surgery, Ribeirão Preto Dentistry School, University of São Paulo, Cafe Ave, 14, São Paulo, West Subsector Brazil.
出版信息
J Maxillofac Oral Surg. 2025 Feb;24(1):36-44. doi: 10.1007/s12663-024-02387-y. Epub 2024 Nov 14.
PURPOSE
Contribute to the understanding of the clinical course of patients admitted with odontogenic infections.
METHODS
Five hundred and seventy-three medical records were evaluated between 1st January 2002 and 31st December 2023 in a cohort study. All patients diagnosed with odontogenic infections, regardless of age, gender, race, or other demographic classifications, were included. Date of first visit, date of hospitalization, and discharge were collected. The signs and symptoms, laboratory and imaging abnormalities, and the conducted treatment were also documented.
RESULTS
Patients with poor socioeconomic status, those with serious systemic diseases, chemical dependents, alcoholics, and smokers present an increased relative risk of a worse clinical course. Another relevant point was the teeth involved in the picture, the lower molars, and premolars being the most relevant.
CONCLUSIONS
The results obtained allow us to conclude that the gold standard treatment is the removal of the cause, followed by incision and drainage of the spaces involved.
目的
有助于了解因牙源性感染入院患者的临床病程。
方法
在一项队列研究中，对2002年1月1日至2023年12月31日期间的573份病历进行了评估。纳入所有诊断为牙源性感染的患者，无论其年龄、性别、种族或其他人口统计学分类如何。收集首次就诊日期、住院日期和出院日期。还记录了体征和症状、实验室及影像学异常情况以及所进行的治疗。
结果
社会经济地位差的患者、患有严重系统性疾病的患者、药物依赖者、酗酒者和吸烟者出现临床病程恶化的相对风险增加。另一个相关要点是病变累及的牙齿，下颌磨牙和前磨牙最为相关。
结论
所获得的结果使我们能够得出结论，金标准治疗方法是去除病因，随后对受累间隙进行切开引流。
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