Microbiological Aspects Concerning the Etiology of Acute Odontogenic Inflammatory Diseases in the Soft Tissues of the Head and Neck Region

Authors

  • Mariia Faustova Department of Microbiology, Virology and Immunology, Poltava State Medical University, Poltava, Ukraine https://orcid.org/0000-0001-5327-6324
  • Oleksandr Nazarchuk Department of Microbiology, National Pyrohov Memorial Medical University, Vinnytsia, Ukraine https://orcid.org/0000-0001-7581-0938
  • Galina Loban’ Department of Microbiology, Virology and Immunology, Poltava State Medical University, Poltava, Ukraine
  • David Avetikov Department of Surgical Dentistry and Maxillofacial Surgery with Plastic and Reconstructive Surgery of Head and Neck, Poltava State Medical University, Poltava, Ukraine
  • Maiia Ananieva Department of Microbiology, Virology and Immunology, Poltava State Medical University, Poltava, Ukraine
  • Yuliia Chumak Department of Microbiology, Virology and Immunology, Poltava State Medical University, Poltava, Ukraine
  • Viktor Havryliev Department of Surgical Dentistry and Maxillofacial Surgery with Plastic and Reconstructive Surgery of Head and Neck, Poltava State Medical University, Poltava, Ukraine

DOI:

https://doi.org/10.3889/oamjms.2022.10535

Keywords:

Odontogenic purulent inflammatory diseases, Head and neck region, Microbiota, Antibiotics, Resistance

Abstract

Odontogenic purulent inflammatory diseases (OPID) make up about 20% of cases in the structure of general surgical pathology and are among the frequent diseases of the maxillofacial region (MFR) with a high (10-40%) mortality rate. Insufficient information about the source state of acute odontogenic inflammation of the peri-mandibular soft tissues significantly reduces the effectiveness of diagnostic measures of OPID in MFR, as evidenced by almost 50% of the diagnostic error rate.

Statistically, OPID in soft-tissue of MFR most often occur due to dissemination of pathogens of the necrotized pulp, periodontal pockets in periodontitis or pericoronitis during the difficult eruption of retained teeth. Previously, the quantitative dominance (about 70%) of Staphylococcus spp. among the microorganisms isolated from the odontogenic foci of inflammation was determined. However, in recent years, with the expansion of microbiological diagnostic capabilities, the presence of non-fermenting Gram-negative bacteria and anaerobes with a significant proportional proportion of the total microbiota of OPID in soft tissue of MFR has been increasingly indicated.

Recently, there has been a rapid acquisition of resistance of pathogens of odontogenic purulent inflammatory diseases of the maxillofacial region to various groups of antibiotics, which leads to ineffectiveness of their treatment and prompts the revision of existing protocols and treatment regimens in surgical dentistry

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Published

2022-10-25

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1.
Faustova M, Nazarchuk O, Loban’ G, Avetikov D, Ananieva M, Chumak Y, Havryliev V. Microbiological Aspects Concerning the Etiology of Acute Odontogenic Inflammatory Diseases in the Soft Tissues of the Head and Neck Region. Open Access Maced J Med Sci [Internet]. 2022 Oct. 25 [cited 2024 Mar. 28];10(F):636-40. Available from: https://oamjms.eu/index.php/mjms/article/view/10535

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