Estudo retrospectivo de 19 anos da incidência de infecções maxilofaciais em pacientes atendidos no serviço de cirurgia e traumatologia buco-maxilo-facial da Faculdade de Odontologia de Araçatuba - UNESP

• Autor(a) principal: Pizzo, Everton Luiz [UNESP]
• Data de Publicação: 2013
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://hdl.handle.net/11449/149489; http://www.athena.biblioteca.unesp.br/exlibris/bd/capelo/2017-01-27/000856888.pdf
• topic: Universidade Estadual Paulista Júlio de Mesquita Filho Faculdade de Odontologia (Campus de Araçatuba); Infecção focal dentária; Abscesso; Epidemiologia; Focal Infection, Dental

This work had the objective to evaluate retrospectively patients who were attended on the department of Bucomaxillofacial surgery and traumatology maxillofacial and integrated clinic of the Odontology College in Araçatuba at the State University of São Paulo in the last nineteen years with cases of maxillofacial infections determining etiological factors, age, gender, medical history, diagnosis, complications, incidence, form of treatment and evolution of diseases. Hundred and fifty medical records were analyzed in the period between 1993 and 2011 using the program Epi Info 2000. These patients, 91 (60,7%) were men and 59 (39,3 %) were women. The patients with the age range from 31 to 40 years (24%), were the most affected by infections following those people from 21 to 30 years (21,3%). The white race was the most affected by infection (64%) following them the brown race (20%). The most common etiology was the pulp necrosis due to cavities(79,3%).Regarding to this diagnosis, odontogenic abscesses were identified in 92% of patients treated. In relation to the treatment, antibiotics were administered orally to 86 patients (57.7%), surgical drainage was done in 121 patients (82.3%), extraction of impaired teeth was done in 71 patients and 63 (42 %) required hospital admission. Penicillin alone or in combination with other drugs has been the most commonly prescribed antibiotic (n = 51) followed by first-generation cephalosporin alone or in combination with other drugs (n = 47). Five cases had post-treatment complications: 3 required rehospitalization,1 evolved into descending mediastinitis, and 1 patient died. The involvement of the facial spaces occurred in 91 patients, and the submandibular space was the most affected (44.7%), followed by the buccal space (41.1%) and the sublingual space (13.3%). The inferior posterior teeth were the main...