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At least 991 records · Page 55Linked to original sources
PubMed1977

Necrotizing fasciitis.

Necrotizing fasciitis is a relatively uncommon severe soft tissue infection that is characterized by rapid widespread superficial fascial necrosis with undermining of surrounding soft tissue. Recent advances in anaerobic culture techniques have allowed identification of anaerobic organisms, which are now considered to have a vital role in the pathogenesis of this soft tissue infection. Therapy requires both rapid institution of a high level of antibiotics and a radical surgical incision and drainage procedure. All of the aerobic and anaerobic organisms isolated in the reported case of necrotizing fasciitis arising from a periapically infected mandibular third molar demonstrated in vitro sensitivity to penicillin.

Adult↗
PubMed1977

[Pain in the maxillofacial area: diagnosis and treatment].

Based on characteristic case-reports the mostly occurring patterns of maxillo-facial pain are discussed. A description is given of pain in case of pulpitis, dento-alveolar abcess, dry socket, deep local periodonitis, temporomandibular joint arthrosis, dehiscence of the mandibular canal, maxillary sinusitis, malignant neoplasm. Trigeminal neuralgia, atypical facial neuralgia and psychogenic pains are discussed. The article concludes with a survey of the most important symptoms of these pain-syndromes in order to facilitate a correct diagnosis.

Adult↗
PubMed1989

[Diffuse spontaneous cervical cellulitis caused by anaerobic bacteria].

Nine cases of diffusal cervical cellulitis due to anaerobes were analysed. Some of them had right away extensions (to the inferior mediastinum or to the face). From these cases, the authors argue their treatment protocol. Surgery was performed immediately after diagnosis, and associated with intensive management. The excision of the necrotic tissue and the aperture of all cervical spaces (particularly the floor to the buccal cavity and the prevertebral space) were made. The source of infection was looked for (most often this being the teeth) and treated at the same time. Bacteriologic aero and anaerobic prelevements were done. A thoracic or facial surgery, being necessary because of persistency or appearance of extension, was performed secondary, after the patient was better prepared with a hyperoxygenation and a triple antibiotic therapy. Life prognosis improved with this treatment protocol. The gravity of the conditions presented by our patients depended more on the presence of an underlying disease (diabetes, immunosuppression, age...) or the delay of the diagnosis than on the cellulitis extension.

Adult↗
PubMed1978

[Unusual displacements of the lower molars].

Two unusual cases of maleruption of mandibular third molars associated with the retention of adjacent teeth and the presence of supernumerary teeth, respectively, are described. Due to the position of the crowns to each other, this phenomenon is termed "kissing teeth" in our clinic.

Adult↗
PubMed1978

[Microbial and resistance spectrum of jaw infections].

According to this investigation, antibiotic treatment of odontogenous abcesses should be directed primarily against streptococcus and staphylococcus, even if gram-negative pathogens have apparently increased. The response on the part of streptococcus to antibiotics has not changed essentially during the last five years. Staphylococcus however has developed a resistance to penicillin and ampicillin.

Anti-Bacterial Agents↗
PubMed1978

[Odontogenic soft tissue infections (localization, treatment and course in 1002 cases)].

Between 1965 and 1974, 1002 patients were treated on an in-patient basis for odontogenous soft-tissue infections. Abcesses were observed in 960 patients; inflammatory infiltrate, in 39 patients; a phlegmon, in 3 patients. The relation of male to female patients was 56:44. The 21- to 30-year-old age group was most frequently affected. Antibiotic therapy was administered over a period of weeks prior to admission in 87% of the patients. Operative procedures prior to admission had been performed on only a few patients.

Adult↗
PubMedDate not supplied

[Clinical trial of an amoxicillin and a tetracycline in dental infections].

Student's test was used to show that the symptomatological improvement obtained with amoxycillin (Velamox, Zambelletti) in 64% of patients with dental infection was significantly greater (p 0.05) than the 28% improvement given by a tetracycline (Ambramicina P vitaminica, Lepetit) in another group. Attention is also drawn to the fact that all forms of medical management in such cases must be regarded as coadjuvant to the treatment given by the dentist.

Administration, Oral↗