Update on Antimicrobial Therapy in Management of Acute Odontogenic Infection in Oral and Maxillofacial Surgery

Oral Maxillofac Surg Clin North Am. 2022 Feb;34(1):169-177. doi: 10.1016/j.coms.2021.08.005. Epub 2021 Oct 30.

Abstract

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.

Keywords: Antibiotics; Antimicrobial therapy; Caries; Head & neck infections; Incision and drainage; Odontogenic infections; Oral flora.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Dental Caries* / drug therapy
  • Drainage
  • Humans
  • Periodontal Diseases* / drug therapy
  • Periodontal Diseases* / surgery
  • Surgery, Oral*

Substances

  • Anti-Bacterial Agents