Incidence of deep fascial space infection after surgical removal of the mandibular third molars
Nine hundred and ninety-three patients who underwent surgical removal of the mandibular third molars with oral antibiotic prophylaxis were examined to determine the incidence of postoperative deep fascial space infection and its background factors. Postoperative deep fascial space infection was obse...
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| Veröffentlicht in: | Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy 2001-03, Vol.7 (1), p.55-57 |
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| container_title | Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy |
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| creator | Yoshii, Takashi Hamamoto, Yoshihiko Muraoka, Shigetada Kohjitani, Atsushi Teranobu, Osamu Furudoi, Shungo Komori, Takahide |
| description | Nine hundred and ninety-three patients who underwent surgical removal of the mandibular third molars with oral antibiotic prophylaxis were examined to determine the incidence of postoperative deep fascial space infection and its background factors. Postoperative deep fascial space infection was observed in 8 of the patients (0.8%; 4 males and 4 females), and submandibular spaces were involved in all infected patients. Only 1 of these 8 patients was an immune compromised host. Patients aged 30 years or more had a significantly higher incidence of deep fascial space infection than those aged under 30. Five patients had partial bony impactions and 3 had complete bony impactions. However, the incidence of infection according to the molar positions was not significantly different between partial bony impaction and complete bony impaction. The 8 patients had not had pericoronitis preoperatively. The clinical courses of all were favorable after antibiotics were administered intravenously. In conclusion, the incidence of deep fascial space infection after removal of the mandibular third molars was low, at 0.8%. However, it may be desirable to remove the molars, if applicable, at a younger age because of the higher incidence of infection in patients aged over 30. The results of this study also offer information that will be useful as a basis for obtaining informed consent from patients whose mandibular third molars are to be removed. |
| doi_str_mv | 10.1007/s101560170036 |
| format | Article |
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Postoperative deep fascial space infection was observed in 8 of the patients (0.8%; 4 males and 4 females), and submandibular spaces were involved in all infected patients. Only 1 of these 8 patients was an immune compromised host. Patients aged 30 years or more had a significantly higher incidence of deep fascial space infection than those aged under 30. Five patients had partial bony impactions and 3 had complete bony impactions. However, the incidence of infection according to the molar positions was not significantly different between partial bony impaction and complete bony impaction. The 8 patients had not had pericoronitis preoperatively. The clinical courses of all were favorable after antibiotics were administered intravenously. In conclusion, the incidence of deep fascial space infection after removal of the mandibular third molars was low, at 0.8%. However, it may be desirable to remove the molars, if applicable, at a younger age because of the higher incidence of infection in patients aged over 30. The results of this study also offer information that will be useful as a basis for obtaining informed consent from patients whose mandibular third molars are to be removed.</description><identifier>ISSN: 1341-321X</identifier><identifier>EISSN: 1437-7780</identifier><identifier>DOI: 10.1007/s101560170036</identifier><identifier>PMID: 11406759</identifier><language>eng</language><publisher>Tokyo: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Ampicillin - administration & dosage ; Ampicillin - analogs & derivatives ; Ampicillin - therapeutic use ; Antibiotic Prophylaxis ; Asthma - epidemiology ; Biological and medical sciences ; Cellulitis - epidemiology ; Child ; Comorbidity ; Deep fascial space ; Diabetes Mellitus - epidemiology ; Disease Susceptibility ; Fascia - microbiology ; Female ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Hepatitis, Chronic - epidemiology ; Humans ; Immunocompromised Host ; Incidence ; Japan - epidemiology ; Male ; Mandible - surgery ; Mandibular third molar surgery ; Maxillofacial surgery. Dental surgery. Orthodontics ; Medical sciences ; Middle Aged ; Molar, Third - surgery ; Neoplasms - epidemiology ; Pericoronitis - complications ; Pericoronitis - epidemiology ; Postoperative infection ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgical Wound Infection - epidemiology ; Tooth Extraction ; Tooth, Impacted - surgery</subject><ispartof>Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 2001-03, Vol.7 (1), p.55-57</ispartof><rights>2001 Japanese Society of Chemotherapy and the Japanese Association for Infectious Diseases</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c334t-293f4ca53f6e5b32c4191842e0ac96f4d0d4e1022beb76a8d509e51265ef54a93</citedby><cites>FETCH-LOGICAL-c334t-293f4ca53f6e5b32c4191842e0ac96f4d0d4e1022beb76a8d509e51265ef54a93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27931,27932</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1099725$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11406759$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoshii, Takashi</creatorcontrib><creatorcontrib>Hamamoto, Yoshihiko</creatorcontrib><creatorcontrib>Muraoka, Shigetada</creatorcontrib><creatorcontrib>Kohjitani, Atsushi</creatorcontrib><creatorcontrib>Teranobu, Osamu</creatorcontrib><creatorcontrib>Furudoi, Shungo</creatorcontrib><creatorcontrib>Komori, Takahide</creatorcontrib><title>Incidence of deep fascial space infection after surgical removal of the mandibular third molars</title><title>Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy</title><addtitle>J Infect Chemother</addtitle><description>Nine hundred and ninety-three patients who underwent surgical removal of the mandibular third molars with oral antibiotic prophylaxis were examined to determine the incidence of postoperative deep fascial space infection and its background factors. Postoperative deep fascial space infection was observed in 8 of the patients (0.8%; 4 males and 4 females), and submandibular spaces were involved in all infected patients. Only 1 of these 8 patients was an immune compromised host. Patients aged 30 years or more had a significantly higher incidence of deep fascial space infection than those aged under 30. Five patients had partial bony impactions and 3 had complete bony impactions. However, the incidence of infection according to the molar positions was not significantly different between partial bony impaction and complete bony impaction. The 8 patients had not had pericoronitis preoperatively. The clinical courses of all were favorable after antibiotics were administered intravenously. In conclusion, the incidence of deep fascial space infection after removal of the mandibular third molars was low, at 0.8%. However, it may be desirable to remove the molars, if applicable, at a younger age because of the higher incidence of infection in patients aged over 30. The results of this study also offer information that will be useful as a basis for obtaining informed consent from patients whose mandibular third molars are to be removed.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Ampicillin - administration & dosage</subject><subject>Ampicillin - analogs & derivatives</subject><subject>Ampicillin - therapeutic use</subject><subject>Antibiotic Prophylaxis</subject><subject>Asthma - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Cellulitis - epidemiology</subject><subject>Child</subject><subject>Comorbidity</subject><subject>Deep fascial space</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Disease Susceptibility</subject><subject>Fascia - microbiology</subject><subject>Female</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Hepatitis, Chronic - epidemiology</subject><subject>Humans</subject><subject>Immunocompromised Host</subject><subject>Incidence</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Mandible - surgery</subject><subject>Mandibular third molar surgery</subject><subject>Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Molar, Third - surgery</subject><subject>Neoplasms - epidemiology</subject><subject>Pericoronitis - complications</subject><subject>Pericoronitis - epidemiology</subject><subject>Postoperative infection</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>Tooth Extraction</subject><subject>Tooth, Impacted - surgery</subject><issn>1341-321X</issn><issn>1437-7780</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1rHDEQhkWIyZ3tlG7DFsHdOvpcrUpzJPaBwU0C7oRWGsUK-3GRdg_87zPHHcQuXM2M9MzL8BByxegNo1R_K4wy1VCmKRXNB7JmUuha65Z-xF5IVgvOnlbkvJQ_FCnVtp_IijFJG63Mmtjt6FOA0UM1xSoA7Kroik-ur8rO4WsaI_g5TWPl4gy5Kkv-nTx-ZximPVZcm5-hGtwYUrf0LuOYcqiGCftySc6i6wt8PtUL8uvH95-b-_rh8W67uX2ovRByrrkRUXqnRGxAdYJ7yQxrJQfqvGmiDDRIYJTzDjrduDYoakAx3iiISjojLsj1MXeXp78LlNkOqXjoezfCtBSrqeGNFgzB-gj6PJWSIdpdToPLL5ZRezBq3xhF_sspeOkGCP_pk0IEvp4A9Ob6mB0aLa9SjdFcIaaPGKCFfYJs0fLBe0gZBdswpXcu-Aff5o9u</recordid><startdate>200103</startdate><enddate>200103</enddate><creator>Yoshii, Takashi</creator><creator>Hamamoto, Yoshihiko</creator><creator>Muraoka, Shigetada</creator><creator>Kohjitani, Atsushi</creator><creator>Teranobu, Osamu</creator><creator>Furudoi, Shungo</creator><creator>Komori, Takahide</creator><general>Elsevier Ltd</general><general>Springer</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>200103</creationdate><title>Incidence of deep fascial space infection after surgical removal of the mandibular third molars</title><author>Yoshii, Takashi ; Hamamoto, Yoshihiko ; Muraoka, Shigetada ; Kohjitani, Atsushi ; Teranobu, Osamu ; Furudoi, Shungo ; Komori, Takahide</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c334t-293f4ca53f6e5b32c4191842e0ac96f4d0d4e1022beb76a8d509e51265ef54a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Ampicillin - administration & dosage</topic><topic>Ampicillin - analogs & derivatives</topic><topic>Ampicillin - therapeutic use</topic><topic>Antibiotic Prophylaxis</topic><topic>Asthma - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Cellulitis - epidemiology</topic><topic>Child</topic><topic>Comorbidity</topic><topic>Deep fascial space</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Disease Susceptibility</topic><topic>Fascia - microbiology</topic><topic>Female</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Hepatitis, Chronic - epidemiology</topic><topic>Humans</topic><topic>Immunocompromised Host</topic><topic>Incidence</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Mandible - surgery</topic><topic>Mandibular third molar surgery</topic><topic>Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Molar, Third - surgery</topic><topic>Neoplasms - epidemiology</topic><topic>Pericoronitis - complications</topic><topic>Pericoronitis - epidemiology</topic><topic>Postoperative infection</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>Tooth Extraction</topic><topic>Tooth, Impacted - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoshii, Takashi</creatorcontrib><creatorcontrib>Hamamoto, Yoshihiko</creatorcontrib><creatorcontrib>Muraoka, Shigetada</creatorcontrib><creatorcontrib>Kohjitani, Atsushi</creatorcontrib><creatorcontrib>Teranobu, Osamu</creatorcontrib><creatorcontrib>Furudoi, Shungo</creatorcontrib><creatorcontrib>Komori, Takahide</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>Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoshii, Takashi</au><au>Hamamoto, Yoshihiko</au><au>Muraoka, Shigetada</au><au>Kohjitani, Atsushi</au><au>Teranobu, Osamu</au><au>Furudoi, Shungo</au><au>Komori, Takahide</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence of deep fascial space infection after surgical removal of the mandibular third molars</atitle><jtitle>Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy</jtitle><addtitle>J Infect Chemother</addtitle><date>2001-03</date><risdate>2001</risdate><volume>7</volume><issue>1</issue><spage>55</spage><epage>57</epage><pages>55-57</pages><issn>1341-321X</issn><eissn>1437-7780</eissn><abstract>Nine hundred and ninety-three patients who underwent surgical removal of the mandibular third molars with oral antibiotic prophylaxis were examined to determine the incidence of postoperative deep fascial space infection and its background factors. Postoperative deep fascial space infection was observed in 8 of the patients (0.8%; 4 males and 4 females), and submandibular spaces were involved in all infected patients. Only 1 of these 8 patients was an immune compromised host. Patients aged 30 years or more had a significantly higher incidence of deep fascial space infection than those aged under 30. Five patients had partial bony impactions and 3 had complete bony impactions. However, the incidence of infection according to the molar positions was not significantly different between partial bony impaction and complete bony impaction. The 8 patients had not had pericoronitis preoperatively. The clinical courses of all were favorable after antibiotics were administered intravenously. In conclusion, the incidence of deep fascial space infection after removal of the mandibular third molars was low, at 0.8%. However, it may be desirable to remove the molars, if applicable, at a younger age because of the higher incidence of infection in patients aged over 30. The results of this study also offer information that will be useful as a basis for obtaining informed consent from patients whose mandibular third molars are to be removed.</abstract><cop>Tokyo</cop><pub>Elsevier Ltd</pub><pmid>11406759</pmid><doi>10.1007/s101560170036</doi><tpages>3</tpages></addata></record> |
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| identifier | ISSN: 1341-321X |
| ispartof | Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 2001-03, Vol.7 (1), p.55-57 |
| issn | 1341-321X 1437-7780 |
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| source | MEDLINE; SpringerNature Journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Age Factors Aged Ampicillin - administration & dosage Ampicillin - analogs & derivatives Ampicillin - therapeutic use Antibiotic Prophylaxis Asthma - epidemiology Biological and medical sciences Cellulitis - epidemiology Child Comorbidity Deep fascial space Diabetes Mellitus - epidemiology Disease Susceptibility Fascia - microbiology Female Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Hepatitis, Chronic - epidemiology Humans Immunocompromised Host Incidence Japan - epidemiology Male Mandible - surgery Mandibular third molar surgery Maxillofacial surgery. Dental surgery. Orthodontics Medical sciences Middle Aged Molar, Third - surgery Neoplasms - epidemiology Pericoronitis - complications Pericoronitis - epidemiology Postoperative infection Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Wound Infection - epidemiology Tooth Extraction Tooth, Impacted - surgery |
| title | Incidence of deep fascial space infection after surgical removal of the mandibular third molars |
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