Acute Sub temporal and Infratemporal Dumbbell Abscess Secondary to Tooth Extraction: Case Report

Yam Bahadur Roka

doi:10.3126/egn.v3i01.38964

Abstract

To present a case of acute temporal and infratemporal dumbbell abscess following tooth extraction and discuss the possible anatomic pathways of spread of odontogenic infections. This is a case of right maxillary tooth extraction following which he developed local infection that spread to the temporal and sub temporal space. The history and examination revealed the infection spreading to the buccal and sub temporal space with trismus and feeding problems. Intraoral and external drainage along with antibiotics led to the resolution of the abscess. Of the many complications of tooth extraction infection spreading along the temporalis with formation of a dumbbell abscess can lead to severe discomfort and septicemia if not detected and treated early. A case with successful management and result are discussed.

Highlights

Simple tooth extraction can have disastrous complication as illustrated by this case report
The case report presented is of a 75-year-old man who was referred for progressively enlarging right side cheek and head along with fever and trismus following extraction of the upper second molar
Infection from odontogenic origin is common in the maxillofacial area and its spread depends on the origin of the infection itself.[2]

Summary

Introduction

Simple tooth extraction can have disastrous complication as illustrated by this case report. The case report presented is of a 75-year-old man who was referred for progressively enlarging right side cheek and head along with fever and trismus following extraction of the upper second molar. A 75-year-old male underwent extraction of his right tooth in a private dental clinic following which he developed progressively enlarging swelling of the right cheek. He had fever and was started on antibiotics. The dental surgeon on suspicion of abscess had incised and drained pus from the cheek before referring the patient to this hospital On examination he had high grade fever with associated severe trismus with difficulty in opening the mouth and swallowing. He was discharged on the tenth day with a week of antibiotics

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Discussion

Conclusion