Title: Pregnancy Complicated By Odontogenic Facial Space Infection; A Study

Authors: Dr Tanveer Akhter, Dr Usma Jabeen, Dr Mohammed Israr Ul Khaliq, Dr Mohd Anwar

 DOI:  https://dx.doi.org/10.18535/jmscr/v4i11.10

Abstract

Introduction: Odontogenic neck space infections represent a severe disease with possible life-threatening complications. Therapy of severe neck infections is even more crucial during pregnancy because of the possible life-threatening situation for both the mother and the foetus.

Aim: The study was done to describes the course of a deep neck space infection in pregnant patients, commencing with typical symptoms of localized odontogenic infection and ending in a critical, life-threatening condition for the patient. 

Study Design /Material & Methods: The 14 pregnant females were randomly selected to describes the  course of a deep neck space infection in pregnant patients, commencing with typical symptoms of localized odontogenic infection and ending in a critical, life-threatening condition for the patient. Implications for dental and medical treatment during pregnancy, especially regarding odontogenic infections, are presented and discussed with findings in the international literature.

Conclusion: Infections are common in pregnancy due to hormonal changes and altered immunological activity aggravating response to plaque accumulation and caries resulting in serious life threatening condition, like Ludwigs Angina. So Every mother should be closely examined by her dentist before and during pregnancy to avoid any deleterious complications for herself and the foetus.

Keywords: Pregnancy, pregnant female, odontogenic facial space infections, Abscess, deep neck infection.

References

1.      B. F. Marple, “Ludwig angina: a review of current airway management,” Archives of Otolaryngology, vol. 125, no. 5, pp. 596–600, 1999.

2.      Smyth AG. Management of orofascial infections. In: Booth PW, Schendel SA, Hausamen JE. Maxillofacial Surgery. 2nd ed. Philadelphia: Elsevier publishers 2007; 1550-71.

3.      Turner M, Aziz SR. Management of the Pregnant Oral and Maxillofacial Surgery Patient. J Oral Maxillofac Surg. 2002; 60: 1479-88.

4.      Flynn RT, Susarla SM. Oral and maxillofacial surgery for pregnant patients. J Oral M.axillofac Surg. 2007; 19: 207-21.

5.      Flynn TR. Complex odontogenic infectio-ns. In: Hupp JR, 111 EE, Tucker MR. Contemporary Oral and Maxillofacial Surgery. 5th ed. India: Elsevier publishers 2009; 317-36.

6.      Suresh L, Radfar L. Pregnancy and lacta-tion. J Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 97(6): 672-82.

7.      McAuliffe F, Kametas N, Costello J, et al. Respiratory function in singleton and twin pregnancy. BJOG 2002; 109: 765-9.

8.      Garcia-Rio F, Pino JM, Gomez L, et al. Regulation of breathing and perception of dyspnea in healthy pregnant women. Chest 1996; 110: 446-53.

9.      Skatrud JB, Dempsey JA, Kaiser DG. Ventilatory response to medroxyprog-esterone acetate in normal subjects. J Appl Physiol Respir Environ Exerc Physiol 1978; 44: 393-44.

10.  Flynn TR, Shanti RM, Levy M, et al. Severe odontogenic infections: I. Prospective report. J Oral Maxillofac Surg 2006; 64:1093-103.

11.  Lawrenz D, Whitley B, Helfrick J. Consid-erations in the management of maxillof-acial infections in the pregnant patient. J Oral Maxillofac Surg 1996; 54: 474-85.

12.  Piriz RL, Angulair L, Gimenez MJ. Management of odontogenic infection of pulpal and periodontal origin. Med Oral Patol Oral Cir Bucal 2007; 12: 154-9.

13.  Neal D. Futran MD, DMD  Peterson's Principles of Oral and Maxillo Facial Surgery.  2nd edition by Michael Miloro, B.C. Decker, Inc., Hamilton, 2004, 1500  

14.  Rahman ZA, Hamimah H, Bunyarit SS. Clinical patterns of orofacial infections. Annal Dent Univ Malaya 2005; 12: 18-23.

15.  Rega AJ, Aziz SR, Ziccardi VB. Microbiology and antibiotic sensitivity of head and neck space Infections of odontogenic origin. J Oral Maxillofac Surg 2006; 64: 1377-80.

16.  Lee JK, Kim HD, Lim SC. Predisposing factors of complicated deep neck infection: An analysis of 158 cases. Younsei Med J 2007; 48: 55-62.

17.  Aroesty JH, Lanza JT, Lucente FE. Otolaryngology and pregnancy difficult management decisions. J Otolaryngol – Head and Neck Surg 1993;109(6): 1061-9.

18.  Silver RM, Peltier MR, Branch DW. The immunology of pregnancy. In: Creasy RK, Resnik R, eds. Maternal-Fetal Medicine: Principles and Practice. Philadelphia, Pa:W. B. Saunders; 2004:89-109.

19.  Scannapieco FA, Bush RB, Paju S. Periodontal disease as a risk factor for adverse pregnancy outcomes. A systematic review. Annals of Periodontology. 2003; 8: 70-78.

20.  Moore PA. Selecting drugs for the pregnant dental patient. Journal of the American Dental Association. 1998; 129(9): 1281-6.

21.  Duvekot JJ, Peeters LL. Maternal cardiovascular hemodynamic adaptation to pregnancy. Obstet Gynecol Surv 1994; 49(Suppl): S1-14.

22.  Diokno AC, Compton A, Seski J. Urologic evaluation of urinary tract infection in pregnancy. J Reprod Med 1986; 31: 23-6.

23.  Bottin R, Marioni G, Rinaldi R, Boninsegna M, Salvadori L, Staffieri A. Deep neck infection: a present-day complication. A retrospective review of 83 cases (1998–2001). Eur Arch Otorhinolar-yngol 2003;260:576–579.

Corresponding Author

Dr Mohammed Israr Ul Khaliq

Post Graduate Scholar, Dept of Oral and Maxillofacial Surgery,

Govt. Dental College & Hospital, Srinagar

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.