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
Hauptverfasser: Obayashi, Naofumi, Ariji, Yoshiko, Goto, Masakazu, Izumi, Masahiro, Naitoh, Munetaka, Kurita, Kenichi, Shimozato, Kazuo, Ariji, Eiichiro
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container_issue 2
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container_title Oral surgery, oral medicine, oral pathology, oral radiology and endodontics
container_volume 98
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
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ispartof Oral surgery, oral medicine, oral pathology, oral radiology and endodontics, 2004-08, Vol.98 (2), p.223-231
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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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