Spread of odontogenic infection originating in the maxillary teeth: Computerized tomographic assessment
The aim of this study was to investigate the pathways of infection originating in the maxillary teeth through the interpretation of computerized tomographic (CT) appearances. CT images of 78 patients were analyzed with reference to lateral asymmetry of shape and density of fascial spaces and tissues...
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Veröffentlicht in: | Oral surgery, oral medicine, oral pathology, oral radiology and endodontics oral medicine, oral pathology, oral radiology and endodontics, 2004-08, Vol.98 (2), p.223-231 |
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container_title | Oral surgery, oral medicine, oral pathology, oral radiology and endodontics |
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creator | Obayashi, Naofumi Ariji, Yoshiko Goto, Masakazu Izumi, Masahiro Naitoh, Munetaka Kurita, Kenichi Shimozato, Kazuo Ariji, Eiichiro |
description | The aim of this study was to investigate the pathways of infection originating in the maxillary teeth through the interpretation of computerized tomographic (CT) appearances.
CT images of 78 patients were analyzed with reference to lateral asymmetry of shape and density of fascial spaces and tissues.
Changes in the alveolar cortical plates were observed more frequently in the labial/buccal side than in the palatal side. The facial expression muscles were involved in 23 (19.4%) patients. Infection caused by anterior teeth often spread into the levator labii superioris and levator anguli oris muscles. Deep spread into the fascial space was found in 9 (11.5%) patients. Masticator space changes were predominantly seen in the patients with infection caused by molars. Maxillary sinus changes were found in 57 (71.3%) patients with infection originating in the canines, premolars and molars.
Infection spread characteristics are related to the causal teeth, and the pathways were clearly demonstrated on CT images. |
doi_str_mv | 10.1016/j.tripleo.2004.05.014 |
format | Article |
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CT images of 78 patients were analyzed with reference to lateral asymmetry of shape and density of fascial spaces and tissues.
Changes in the alveolar cortical plates were observed more frequently in the labial/buccal side than in the palatal side. The facial expression muscles were involved in 23 (19.4%) patients. Infection caused by anterior teeth often spread into the levator labii superioris and levator anguli oris muscles. Deep spread into the fascial space was found in 9 (11.5%) patients. Masticator space changes were predominantly seen in the patients with infection caused by molars. Maxillary sinus changes were found in 57 (71.3%) patients with infection originating in the canines, premolars and molars.
Infection spread characteristics are related to the causal teeth, and the pathways were clearly demonstrated on CT images.</description><identifier>ISSN: 1079-2104</identifier><identifier>EISSN: 1528-395X</identifier><identifier>DOI: 10.1016/j.tripleo.2004.05.014</identifier><identifier>PMID: 15316549</identifier><language>eng</language><publisher>St. Louis, MO: Mosby, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Alveolar Process - diagnostic imaging ; Bicuspid - diagnostic imaging ; Biological and medical sciences ; Cuspid - diagnostic imaging ; Dentistry ; Facial Muscles - diagnostic imaging ; Fascia - diagnostic imaging ; Female ; Focal Infection, Dental - diagnostic imaging ; Humans ; Incisor - diagnostic imaging ; Lip - diagnostic imaging ; Male ; Masticatory Muscles - diagnostic imaging ; Maxilla - diagnostic imaging ; Maxillary Sinus - diagnostic imaging ; Medical sciences ; Middle Aged ; Molar - diagnostic imaging ; Mouth - diagnostic imaging ; Otorhinolaryngology. Stomatology ; Palate - diagnostic imaging ; Tomography, X-Ray Computed ; Tooth Diseases - diagnostic imaging</subject><ispartof>Oral surgery, oral medicine, oral pathology, oral radiology and endodontics, 2004-08, Vol.98 (2), p.223-231</ispartof><rights>2004 Elsevier Inc.</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c457t-db09f9d72d82d852ca7b43c45060c96253d9f485d465880897dd513a8207fd903</citedby><cites>FETCH-LOGICAL-c457t-db09f9d72d82d852ca7b43c45060c96253d9f485d465880897dd513a8207fd903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1079210404003518$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16072347$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15316549$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Obayashi, Naofumi</creatorcontrib><creatorcontrib>Ariji, Yoshiko</creatorcontrib><creatorcontrib>Goto, Masakazu</creatorcontrib><creatorcontrib>Izumi, Masahiro</creatorcontrib><creatorcontrib>Naitoh, Munetaka</creatorcontrib><creatorcontrib>Kurita, Kenichi</creatorcontrib><creatorcontrib>Shimozato, Kazuo</creatorcontrib><creatorcontrib>Ariji, Eiichiro</creatorcontrib><title>Spread of odontogenic infection originating in the maxillary teeth: Computerized tomographic assessment</title><title>Oral surgery, oral medicine, oral pathology, oral radiology and endodontics</title><addtitle>Oral Surg Oral Med Oral Pathol Oral Radiol Endod</addtitle><description>The aim of this study was to investigate the pathways of infection originating in the maxillary teeth through the interpretation of computerized tomographic (CT) appearances.
CT images of 78 patients were analyzed with reference to lateral asymmetry of shape and density of fascial spaces and tissues.
Changes in the alveolar cortical plates were observed more frequently in the labial/buccal side than in the palatal side. The facial expression muscles were involved in 23 (19.4%) patients. Infection caused by anterior teeth often spread into the levator labii superioris and levator anguli oris muscles. Deep spread into the fascial space was found in 9 (11.5%) patients. Masticator space changes were predominantly seen in the patients with infection caused by molars. Maxillary sinus changes were found in 57 (71.3%) patients with infection originating in the canines, premolars and molars.
Infection spread characteristics are related to the causal teeth, and the pathways were clearly demonstrated on CT images.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alveolar Process - diagnostic imaging</subject><subject>Bicuspid - diagnostic imaging</subject><subject>Biological and medical sciences</subject><subject>Cuspid - diagnostic imaging</subject><subject>Dentistry</subject><subject>Facial Muscles - diagnostic imaging</subject><subject>Fascia - diagnostic imaging</subject><subject>Female</subject><subject>Focal Infection, Dental - diagnostic imaging</subject><subject>Humans</subject><subject>Incisor - diagnostic imaging</subject><subject>Lip - diagnostic imaging</subject><subject>Male</subject><subject>Masticatory Muscles - diagnostic imaging</subject><subject>Maxilla - diagnostic imaging</subject><subject>Maxillary Sinus - diagnostic imaging</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Molar - diagnostic imaging</subject><subject>Mouth - diagnostic imaging</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Palate - diagnostic imaging</subject><subject>Tomography, X-Ray Computed</subject><subject>Tooth Diseases - diagnostic imaging</subject><issn>1079-2104</issn><issn>1528-395X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEuL1TAUgIsozjj6E5RsnF3rSZukjRuRy_iAARej4C7kJqe9ubRJTXJF59eb4RZmKRzIIfnOI19VvabQUKDi3bHJ0a0zhqYFYA3wBih7Ul1S3g51J_nPpyWHXtYtBXZRvUjpCACik_J5dUF5RwVn8rKa7taI2pIwkmCDz2FC7wxxfkSTXfAkRDc5r7PzU7kl-YBk0X_cPOv4l2TEfHhPdmFZTxmju0dLcljCFPV6KG10SpjSgj6_rJ6Nek74ajuvqh-fbr7vvtS33z5_3X28rQ3jfa7tHuQobd_aoQRvje73rCtvIMBI0fLOypEN3DLBhwEG2VvLaaeHFvrRSuiuqutz3zWGXydMWS0uGSzregynpITopRi4LCA_gyaGlCKOao1uKZ9SFNSDYXVUm2H1YFgBV8VwqXuzDTjtF7SPVZvSArzdAJ2MnseovXHpkRPQtx3rC_fhzGHR8dthVMk49Aati8W9ssH9Z5V_wAOeKA</recordid><startdate>20040801</startdate><enddate>20040801</enddate><creator>Obayashi, Naofumi</creator><creator>Ariji, Yoshiko</creator><creator>Goto, Masakazu</creator><creator>Izumi, Masahiro</creator><creator>Naitoh, Munetaka</creator><creator>Kurita, Kenichi</creator><creator>Shimozato, Kazuo</creator><creator>Ariji, Eiichiro</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040801</creationdate><title>Spread of odontogenic infection originating in the maxillary teeth: Computerized tomographic assessment</title><author>Obayashi, Naofumi ; Ariji, Yoshiko ; Goto, Masakazu ; Izumi, Masahiro ; Naitoh, Munetaka ; Kurita, Kenichi ; Shimozato, Kazuo ; Ariji, Eiichiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c457t-db09f9d72d82d852ca7b43c45060c96253d9f485d465880897dd513a8207fd903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alveolar Process - diagnostic imaging</topic><topic>Bicuspid - diagnostic imaging</topic><topic>Biological and medical sciences</topic><topic>Cuspid - diagnostic imaging</topic><topic>Dentistry</topic><topic>Facial Muscles - diagnostic imaging</topic><topic>Fascia - diagnostic imaging</topic><topic>Female</topic><topic>Focal Infection, Dental - diagnostic imaging</topic><topic>Humans</topic><topic>Incisor - diagnostic imaging</topic><topic>Lip - diagnostic imaging</topic><topic>Male</topic><topic>Masticatory Muscles - diagnostic imaging</topic><topic>Maxilla - diagnostic imaging</topic><topic>Maxillary Sinus - diagnostic imaging</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Molar - diagnostic imaging</topic><topic>Mouth - diagnostic imaging</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Palate - diagnostic imaging</topic><topic>Tomography, X-Ray Computed</topic><topic>Tooth Diseases - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Obayashi, Naofumi</creatorcontrib><creatorcontrib>Ariji, Yoshiko</creatorcontrib><creatorcontrib>Goto, Masakazu</creatorcontrib><creatorcontrib>Izumi, Masahiro</creatorcontrib><creatorcontrib>Naitoh, Munetaka</creatorcontrib><creatorcontrib>Kurita, Kenichi</creatorcontrib><creatorcontrib>Shimozato, Kazuo</creatorcontrib><creatorcontrib>Ariji, Eiichiro</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Oral surgery, oral medicine, oral pathology, oral radiology and endodontics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Obayashi, Naofumi</au><au>Ariji, Yoshiko</au><au>Goto, Masakazu</au><au>Izumi, Masahiro</au><au>Naitoh, Munetaka</au><au>Kurita, Kenichi</au><au>Shimozato, Kazuo</au><au>Ariji, Eiichiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spread of odontogenic infection originating in the maxillary teeth: Computerized tomographic assessment</atitle><jtitle>Oral surgery, oral medicine, oral pathology, oral radiology and endodontics</jtitle><addtitle>Oral Surg Oral Med Oral Pathol Oral Radiol Endod</addtitle><date>2004-08-01</date><risdate>2004</risdate><volume>98</volume><issue>2</issue><spage>223</spage><epage>231</epage><pages>223-231</pages><issn>1079-2104</issn><eissn>1528-395X</eissn><abstract>The aim of this study was to investigate the pathways of infection originating in the maxillary teeth through the interpretation of computerized tomographic (CT) appearances.
CT images of 78 patients were analyzed with reference to lateral asymmetry of shape and density of fascial spaces and tissues.
Changes in the alveolar cortical plates were observed more frequently in the labial/buccal side than in the palatal side. The facial expression muscles were involved in 23 (19.4%) patients. Infection caused by anterior teeth often spread into the levator labii superioris and levator anguli oris muscles. Deep spread into the fascial space was found in 9 (11.5%) patients. Masticator space changes were predominantly seen in the patients with infection caused by molars. Maxillary sinus changes were found in 57 (71.3%) patients with infection originating in the canines, premolars and molars.
Infection spread characteristics are related to the causal teeth, and the pathways were clearly demonstrated on CT images.</abstract><cop>St. Louis, MO</cop><pub>Mosby, Inc</pub><pmid>15316549</pmid><doi>10.1016/j.tripleo.2004.05.014</doi><tpages>9</tpages></addata></record> |
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subjects | Adolescent Adult Aged Aged, 80 and over Alveolar Process - diagnostic imaging Bicuspid - diagnostic imaging Biological and medical sciences Cuspid - diagnostic imaging Dentistry Facial Muscles - diagnostic imaging Fascia - diagnostic imaging Female Focal Infection, Dental - diagnostic imaging Humans Incisor - diagnostic imaging Lip - diagnostic imaging Male Masticatory Muscles - diagnostic imaging Maxilla - diagnostic imaging Maxillary Sinus - diagnostic imaging Medical sciences Middle Aged Molar - diagnostic imaging Mouth - diagnostic imaging Otorhinolaryngology. Stomatology Palate - diagnostic imaging Tomography, X-Ray Computed Tooth Diseases - diagnostic imaging |
title | Spread of odontogenic infection originating in the maxillary teeth: Computerized tomographic assessment |
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