Abstract
Deep neck infections are associated with high morbidity rates in dentistry. Early diagnosis and intervention play an essential part in decreasing morbidity rates. The present study aims to report a case of odontogenic deep neck infection after third molar extraction. A 51-year-old male patient underwent extraction of the mandibular right third molar. Seven days later, the patient developed symptoms and signs of progressive infection. Laboratorial and radiologic examinations in association with clinical investigations confirmed deep neck infection. Extraoral drainage was performed under orotracheal intubation. Postoperative laboratory tests and clinical examinations revealed signs of complete remission within a follow-up period of 10 days. Considering the invasive nature of pathogens related to deep neck infections, it is possible to infer that a combination of accurate diagnosis and early intervention plays an essential role in the field of maxillofacial surgery and pathology.
Highlights
Odontogenic infections may emerge as postoperative complications after dissemination of dental and periodontal pathogens
The present study aims to report a case of odontogenic deep neck infection after third molar extraction
Considering the invasive nature of pathogens related to deep neck infections, it is possible to infer that a combination of accurate diagnosis and early intervention plays an essential role in the field of maxillofacial surgery and pathology
Summary
Odontogenic infections may emerge as postoperative complications after dissemination of dental and periodontal pathogens. Surveys on the progression of odontogenic infections to deep spaces of the neck were performed during the past decade, indicating high prevalence rates. Considering the close association between dental treatments and high morbidity, the management of deep neck infections arouses the interest of general dental professionals, maxillofacial surgeons, stomatologists and radiologists. In this context, the present study reports a case of deep neck infection after tooth extraction, highlighting the clinical importance of early diagnosis and intervention in dentistry. Follow-up was performed 10 days after the surgical intervention, revealing no sequelae or signs of infection (Figure 4)
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