[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-209215-en":3,"doc-seo-209215-105":31,"detail-sidebar-cat-0-en-105":92},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":14,"update_tm":29,"read_time":30},209215,8814010472675,"Xiajie","https://avatar.qwps.com/avatar/WGlhamll",7,"Healthcare","Maxillofacial Abscess et Causa Odontogenic Infection - A Case Report","Odontogenic infection arises in the oral cavity from carious teeth and periodontal disease, spreading to adjacent facial, jaw, and neck tissues. Maxillofacial abscess represents periapical or periodontal infection and typically presents with pain, sometimes accompanied by trismus, dysphagia, stridor, or airway compromise. This report aims to describe the progression of maxillofacial abscess to support medical management through surgical incision and drainage. Two cases are presented, with treatment guided by warning signs, complications, antibiotics, and escalation to drainage when improvement fails.","Scholars Journal of Medical Case Reports  \nAbbreviated Key Title: Sch J Med Case Rep ISSN 2347-9507 (Print) | ISSN 2347-6559 (Online) Journal homepage: [https://saspublishers.com](https://saspublishers.com)  \n| Maxillofacial Abscess et Causa Odontogenic Infection: A Case Report\u003Cbr>Ahmad Fajar Setiawan Djody1*, Muhammad Zain Firdaus1, Vira Alifta1, Ika Intansari Utomo Putri1, Dyah Bunga Adysti 1, Iwan Setiawan Adji2 |\n| --- |\n| 1Physicians Professional Program, Faculty of Medicine, Muhammadiyah University of Surakarta, Jl. A. Yani, Mendungan, Pabelan, Kec. Kartasura, Kabupaten Sukoharjo, Jawa Tengah 57162, Indonesia\u003Cbr>2Otalaryngologist, Karanganyar District General Hospital |\n\nDOI:  10.36347/sjmcr.2024 .v12i05.001 | Received: 14.03.2024 | Accepted: 19.04.2024 | Published: 02.05.2024  \n*Corresponding author: Dr. H. Iwan Setiawan Adji, Sp.THT-KLOtalaryngologist, Karanganyar District General Hospital  \n\n| Abstract |  | Case Report |\n| --- | --- | --- |\n\nBackground: Odontogenic infection is an infection that occurs in the oral cavity caused by carious teeth and periodontal disease where the disease can spread to surrounding tissues to the face, jaw and neck. Maxillofacial abscess is a manifestation of periapical or periodontal infection. incicus, canicus or molar teeth, where periapical infection is the most frequent source of odontogenic infection compared to periodontal. Inflammation or damage to chronic dental problems can cause complications of abscesses in the surrounding area. The main complaint that causes sufferers to come to the hospital is pain in the abscess area. These complaints can also be accompanied by trismus, dysphagia, stridor caused by compression of the trachea, and even respiratory tract obstruction. Objective: To determine the progression of maxillofacial abscess so that medical management can be provided up to surgical incision and drainage. Case report: We report 2 cases of maxillofacial abscess due to odontogenic infection with management according to the progression of each case. Conclusion: The most common cause or etiology that can cause maxillofacial abscess is toothache. Management of maxillofacial abscesses begins with empirical antibiotics, which is the first step to reduce bacterial infections that produce beta lactamase. In maxillofacial abscesses, medical therapy can be given in the form ofantibiotics combined with ceftriaxone with metronidazole, or meropenem with metronidazole and termination measures in the form of incision and drainage. Treatment can be chosen based on the presence or absence of warning signs and signs of complications. Incision and drainage is performed when complaints do not improve after administration of antibiotics, multiple abscesses and airway obstruction threaten the patient's life.  \nKeywords: Odontogenic infection, maxillofacial abscess.  \nCopyright © 2024 The Author(s): This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY-NC 4.0) which permits unrestricted use, distribution, and reproduction in any medium for non-commercial use provided the original author and source are credited.  \nA. INTRODUCTION  \nInfection is a condition caused by the process of entry and proliferation of pathogenic germs in the body. In orthomaxillofacial infections, pathogenic germs can enter through several pathways, namely dentogenous and trauma. Infections originating from the teeth (dentogen) are the most common type of infection and are called odontogenic infections (Oktavianto, 2022) . Odontogenic infection is an infection that occurs in the oral cavity caused by carious teeth and periodontal disease where the disease can extend to surrounding tissues to the face, jaw and neck area. There are 3 clinical stages inodontogenic infection. The first stage (periapical osteitis), at this stage the infection is still localized within the alveolar bone. The second stage (cellulitis), where at this stage the infection has ","cbCaiaQozD8xL4yh","https://ap.wps.com/l/cbCaiaQozD8xL4yh","pdf",403648,2,1,10,"English","en",105,"# Abstract\n## Case Report\n# Introduction","[{\"question\":\"What causes odontogenic infection leading to a maxillofacial abscess?\",\"answer\":\"Odontogenic infection is caused by carious teeth and periodontal disease, which can extend to surrounding facial, jaw, and neck tissues. Maxillofacial abscess develops as a manifestation of periapical or periodontal infection.\"},{\"question\":\"What symptoms are commonly reported by patients with maxillofacial abscess?\",\"answer\":\"The main complaint is pain in the abscess area. Additional possible symptoms include trismus, dysphagia, stridor from tracheal compression, and even respiratory tract obstruction.\"},{\"question\":\"How is maxillofacial abscess managed in this case report?\",\"answer\":\"Management starts with empirical antibiotics to reduce bacterial infection. Medical therapy may include antibiotic combinations such as ceftriaxone with metronidazole or meropenem with metronidazole, with incision and drainage performed when symptoms do not improve or airway obstruction and complications threaten the patient.\"}]","Maxillofacial Abscess et Causa Odontogenic Infection - A Case Report | PDF",1788610870,25,{"code":4,"msg":32,"data":33},"ok",{"site_id":25,"language":24,"slug":34,"title":13,"keywords":35,"description":14,"schema_data":36,"social_meta":87,"head_meta":89,"extra_data":91,"updated_unix":29},"maxillofacial-abscess-et-causa-odontogenic-infection-a-case-report","",{"@graph":37,"@context":86},[38,54,69],{"@type":39,"itemListElement":40},"BreadcrumbList",[41,45,48,51],{"item":42,"name":43,"@type":44,"position":21},"https://docshare.wps.com","Home","ListItem",{"item":46,"name":47,"@type":44,"position":20},"https://docshare.wps.com/document/","Document",{"item":49,"name":12,"@type":44,"position":50},"https://docshare.wps.com/document/healthcare/",3,{"item":52,"name":13,"@type":44,"position":53},"https://docshare.wps.com/document/maxillofacial-abscess-et-causa-odontogenic-infection-a-case-report/209215/",4,{"url":52,"name":13,"@type":55,"author":56,"headline":13,"publisher":58,"fileFormat":61,"inLanguage":24,"description":14,"dateModified":62,"datePublished":63,"encodingFormat":61,"isAccessibleForFree":64,"interactionStatistic":65},"DigitalDocument",{"name":9,"@type":57},"Person",{"url":42,"name":59,"@type":60},"DocShare","Organization","application/pdf","2026-09-11","2026-09-05",true,{"@type":66,"interactionType":67,"userInteractionCount":20},"InteractionCounter",{"@type":68},"ViewAction",{"@type":70,"mainEntity":71},"FAQPage",[72,78,82],{"name":73,"@type":74,"acceptedAnswer":75},"What causes odontogenic infection leading to a maxillofacial abscess?","Question",{"text":76,"@type":77},"Odontogenic infection is caused by carious teeth and periodontal disease, which can extend to surrounding facial, jaw, and neck tissues. Maxillofacial abscess develops as a manifestation of periapical or periodontal infection.","Answer",{"name":79,"@type":74,"acceptedAnswer":80},"What symptoms are commonly reported by patients with maxillofacial abscess?",{"text":81,"@type":77},"The main complaint is pain in the abscess area. Additional possible symptoms include trismus, dysphagia, stridor from tracheal compression, and even respiratory tract obstruction.",{"name":83,"@type":74,"acceptedAnswer":84},"How is maxillofacial abscess managed in this case report?",{"text":85,"@type":77},"Management starts with empirical antibiotics to reduce bacterial infection. Medical therapy may include antibiotic combinations such as ceftriaxone with metronidazole or meropenem with metronidazole, with incision and drainage performed when symptoms do not improve or airway obstruction and complications threaten the patient.","https://schema.org",{"og:url":52,"og:type":88,"og:title":13,"og:site_name":59,"og:description":14},"article",{"robots":90,"canonical":52},"index,follow",{"doc_id":7,"site_id":25},{"code":4,"msg":5,"data":93},[94,98,102,106,111,116,119,124,129,132,135],{"id":21,"doc_module":4,"doc_module_name":47,"category_name":95,"show_sort_weight":96,"slug":97},"Story & Novel",90,"story-novel",{"id":20,"doc_module":4,"doc_module_name":47,"category_name":99,"show_sort_weight":100,"slug":101},"Literature",80,"literature",{"id":53,"doc_module":4,"doc_module_name":47,"category_name":103,"show_sort_weight":104,"slug":105},"Exam",70,"exam",{"id":107,"doc_module":4,"doc_module_name":47,"category_name":108,"show_sort_weight":109,"slug":110},5,"Comic",60,"comic",{"id":112,"doc_module":4,"doc_module_name":47,"category_name":113,"show_sort_weight":114,"slug":115},6,"Technology",50,"technology",{"id":11,"doc_module":4,"doc_module_name":47,"category_name":12,"show_sort_weight":117,"slug":118},40,"healthcare",{"id":120,"doc_module":4,"doc_module_name":47,"category_name":121,"show_sort_weight":122,"slug":123},8,"Research & Report",30,"research-report",{"id":125,"doc_module":4,"doc_module_name":47,"category_name":126,"show_sort_weight":127,"slug":128},9,"Religion & Spirituality",20,"religion-spirituality",{"id":127,"doc_module":4,"doc_module_name":47,"category_name":130,"show_sort_weight":127,"slug":131},"World Cup","world-cup",{"id":22,"doc_module":4,"doc_module_name":47,"category_name":133,"show_sort_weight":22,"slug":134},"Lifestyle","lifestyle",{"id":136,"doc_module":4,"doc_module_name":47,"category_name":137,"show_sort_weight":107,"slug":138},19,"General","general"]