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Journal of Peking University (Health Sciences) ›› 2023, Vol. 55 ›› Issue (3): 543-547. doi: 10.19723/j.issn.1671-167X.2023.03.022

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Clinical analysis of patients with oral and maxillofacial infections in oral emergency

Zhe WANG1,Wei SUN1,Xue YANG1,Ying SONG2,Ai-ping JI1,Jie BAI1,*()   

  1. 1. Department of Oral Emergency, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing 100081, China
    2. Department of Medical Affairs, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing 100081, China
  • Received:2021-10-09 Online:2023-06-18 Published:2023-06-12
  • Contact: Jie BAI E-mail:jiebai1999@163.com
  • Supported by:
    the New Technology and New Therapy Project of Peking University School and Hospital of Stomatology(PKUSSNCT-18B06)

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Abstract:

Objective: To analyze the composition, incidence and clinical characteristics of oral and maxillofacial infections in oral emergency. Methods: A retrospective study on patients with oral and maxillofacial infections who visited the Department of Oral Emergency in Peking University School and Hospital of Stomatology from January 2017 to December 2019 was conducted. General characteristics, such as disease composition, gender, age distribution and position of involved teeth were analyzed. Results: A total of 8 277 patients with oral and maxillofacial infections were finally collected, including 4 378 male patients (52.9%) and 3 899 female patients (47.1%), with gender ratio of 1.12:1. The common diseases were periodontal abscess (3 826 cases, 46.2%), alveolar abscess (3 537 cases, 42.7%), maxillofacial space infection (740 cases, 9.0%), sialadenitis (108 cases, 1.3%), furuncle & carbuncle (56 cases, 0.7%) and osteomyelitis (10 cases, 0.1%). Male patients were more easily affected by periodontal abscess, space infection and furuncle & carbuncle than female patients with the gender ratios 1.24:1, 1.26:1, 2.50:1 individually, while the incidence of alveolar abscess, sialadenitis, furuncle & carbuncle had no significant gender difference. Different diseases were prone to occur at different ages. The peak ages of alveolar abscess were 5-9 and 27-67 years, while the peak age of periodontal abscess was 30-64 years. Space infection tended to occur between 21-67 years. There were 7 363 patients with oral abscess (3 826 patients with periodontal abscess and 3 537 patients with alveolar abscess), accounting for 88.9% of all the patients with oral and maxillofacial infections, involving 7 999 teeth, including 717 deciduous teeth and 7 282 permanent teeth. Periodontal abscess usually occurred in permanent teeth, especially the molar teeth. Alveolar abscess may occur in both primary teeth and permanent teeth. In primary teeth, the most vulnerable sites were primary molar teeth and maxillary central incisors while in permanent teeth the most vulnerable sites were first molar teeth. Conclusion: Understanding the incidence of oral and maxillofacial infection was conducive to the correct diagnosis and effective treatment of clinical diseases, as well as targeted education for patients of different ages and genders to prevent the occurrence of diseases.

Key words: Oral and maxillofacial infections, Retrospective analysis, Oral emergency, Epidemiology

CLC Number: 

  • R782.3

Table 1

Distribution of gender and ages for oral and maxillofacial infections"

Diseases Total, n Gender Age/years
Male Female 0-10 >10-20 >20-30 >30-40 >40-50 >50-60 >60-70 >70-80 >80
Periodontal abscess 3 826 55.4 44.6 1.2 2.6 14.6 19.9 19.9 21.2 13.7 4.6 2.2
Alveolar abscess 3 537 49.5 50.5 18.9 3.7 12.4 13.1 12.6 16.0 12.4 7.2 3.7
Space infection 740 55.7 44.3 5.4 3.5 22.7 16.8 13.5 17.8 12.7 4.6 3.0
Sialadenitis 108 49.1 50.9 2.8 8.3 21.3 21.3 19.4 9.3 11.1 3.7 2.8
Furuncle & carbuncle 56 71.4 28.6 3.6 14.3 17.9 26.8 12.5 7.1 14.3 3.6 0.0
Osteomyelitis 10 40.0 60.0 0.0 0.0 10.0 0.0 10.0 30.0 10.0 20.0 20.0
Total 8 277 52.9 47.1 9.2 3.3 14.5 16.7 16.2 18.4 13.0 5.7 2.9

Figure 1

Age distribution of oral and maxillofacial infections"

Figure 2

Position of permanent teeth with periodontal abscess"

Figure 3

Position of primary teeth with alveolar abscess"

Figure 4

Position of permanent teeth with alveolar abscess"

1 郭传瑸, 张益. 口腔颌面外科学[M]. 3版 北京: 北京大学医学出版社, 2021: 132.
2 Gonçalves L , Lauriti L , Yamamoto MK , et al. Characteristics and management of patients requiring hospitalization for treatment of odontogenic infections[J]. J Craniofac Surg, 2013, 24 (5): 458- 462.
doi: 10.1097/SCS.0b013e3182902e95
3 Zhang Q , Kreulen CM , Witter DJ , et al. Oral health status and prosthodontic conditions of Chinese adults: A systematic review[J]. Int J Prosthodont, 2007, 20 (6): 567- 572.
4 Ibiyemi ST , Okoje-Adesomoju VN , Dada-Adegbola HO , et al. Pattern of orofacial bacterial infections in a tertiary hospital in Southwest, Nigeria[J]. J West Afr Coll Surg, 2014, 4 (4): 112- 141.
5 Storoe W , Haug RH , Lillich TT . The changing face of odontoge-nic infections[J]. J Oral Maxillofac Surg, 2001, 59 (7): 739- 748.
doi: 10.1053/joms.2001.24285
6 Sakaguchi M , Sato S , Ishiyama T , et al. Characterization and management of deep neck infections[J]. Int J Oral Maxillofac Surg, 1997, 26 (2): 131- 134.
doi: 10.1016/S0901-5027(05)80835-5
7 Zhang CX , Tang YL , Zheng M , et al. Maxillofacial space infection experience in West China: A retrospective study of 212 cases[J]. Int J Infect Dis, 2010, 14 (5): 414- 417.
doi: 10.1016/j.ijid.2009.08.002
8 Han X , An J , Zhang Y , et al. Risk factors for life-threatening complications of maxillofacial space infection[J]. J Craniofac Surg, 2016, 27 (2): 385- 390.
doi: 10.1097/SCS.0000000000002416
9 Ladrillo TE , Hobdell MH , Caviness AC . Increasing prevalence of emergency department visits for pediatric dental care, 1997—2001[J]. J Am Dent Assoc, 2006, 137 (3): 379- 385.
doi: 10.14219/jada.archive.2006.0188
10 Qian Y , Ge Q , Zuo W , et al. Maxillofacial space infection experience and risk factors: A retrospective study of 222 cases[J]. Ir J Med Sci, 2021, 190 (3): 1045- 1053.
doi: 10.1007/s11845-020-02431-z
11 Farmakis ET , Palamidakis FD , Skondra FG , et al. Emergency care provided in a Greek dental school and analysis of the patients' demographic characteristics: A prospective study[J]. Int Dent J, 2016, 66 (5): 280- 286.
doi: 10.1111/idj.12245
12 Cheng Y , Cheung GS , Bian Z , et al. Incidence and factors associated with endodontic inter-appointment emergency in a dental teaching hospital in China[J]. J Dent, 2006, 34 (7): 516- 521.
doi: 10.1016/j.jdent.2005.12.003
13 Akinbami BO , Akadiri O , Gbujie DC . Spread of odontogenic infections in Port Harcourt, Nigeria[J]. J Oral Maxillofac Surg, 2010, 68 (10): 2472- 2477.
doi: 10.1016/j.joms.2010.01.019
14 Kudiyirickal MG , Hollinshead F . Clinical profile of orofacial infections: An experience from two primary care dental practices[J]. Med Oral Patol Oral Cir Bucal, 2012, 17 (4): 533- 537.
15 Osunde OD , Akhiwu BI , Efunkoya AA , et al. Management of fascial space infections in a Nigerian teaching hospital: A 4-year review[J]. Niger Med J, 2012, 53 (1): 12- 15.
doi: 10.4103/0300-1652.99823
16 Giunta-Crescente C , de Facchin M , Acevedo-Rodríguez AM . Medical-dental considerations in the care of children with facial cellulitis of odontogenic origin. A disease of interest for pediatricians and pediatric dentists[J]. Arch Argent Pediatr, 2018, 116 (4): 548- 553.
17 Ugboko VI , Owotade FJ , Ajike SO , et al. A study of orofacial bacterial infections in elderly Nigerians[J]. SADJ, 2002, 57 (10): 391- 394.
18 黄芳芳, 田玲, 韦倩, 等. 第三磨牙来源的口腔颌面部间隙感染危险因素分析[J]. 口腔颌面外科杂志, 2020, 30 (4): 234- 238.
doi: 10.3969/j.issn.1005-4979.2020.04.008
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