Odontogenic Fascial Space Infection in a Cambodian Public

Odontogenic Fascial Space Infection in a Cambodian Public Hospital

Boriroth Rith1,*, Piseth Heng2, Sandeth Phan2

1Department of Dentistry, International University, Phnom Penh, Cambodia 2Department of MOFS, Preah Ang Doung Hospital, Phnom Penh, Cambodia

*Corresponding Author: rithboriroth@gmail.com

ABSTRACT

Background: Odontogenic infections are the most common conditions affecting the head and neck region.

They can originate from a tooth or from its supporting structures, generally secondary to pulp necrosis,

periodontal disease, pericoronitis or periapical lesions. They can also result as complications of dental

procedures. Some types of odontogenic fascial space infections can progress to become life threatening.

Objective: The purpose of this study was to analyze the incidence and types of odontogenic facial space

infections, related medically compromised diseases, and management of these patients who underwent

treatment at the Oral and Maxillofacial Surgery Department of Preah Ang Duong Hospital, Phnom Penh,

Cambodia.

Materials and methods: A retrospective study was performed as a one year study, from 2018 until 2019. All

patients presenting with odontogenic facial space infection were included. Results: In this study, the majority

of patients had encountered severe fascial space infections namely submental, bilateral submandibular and

sublingual space cellulitis (Ludwig’s angina). Diabetes was found as the most common medically

compromised disease affecting the healing process. The management of the odontogenic facial space

infection requires aggressive treatment to avoid further spread of the infection causing morbidity or mortality.

Conclusion: Early diagnosis and management of odontogenic facial space infections are requisites for

avoiding or minimizing the development of potential complications. Therefore, dentists should be able to

identify and refer patients early to the oral and maxillofacial surgeon who is trained to manage the cases

effectively.