Managing periorbital space abscess secondary to dentoalveolar abscess

Article Abstract:

Dental infections require prompt diagnosis and treatment to prevent disease from spreading upward through the paranasal sinuses to the area around the eye. A 21-year-old woman with dental pain had a cavity filled in an upper left molar. One day later, the woman developed pain and swelling on the left side of her face. Dental x-rays revealed a clouded left sinus and cavities in two more upper left molars. Dentists removed the diseased teeth and drained pus from one tooth socket. The patient was hospitalized and treated with intravenous penicillin. Over the next 48-hours, the patient's condition deteriorated. Computed tomography scans revealed disease in the left sinus that pushed the eyeball forward and revealed pus-filled cavities along both sides of the left eye socket. Surgeons removed one of the paranasal sinuses and placed drains to allow the pus to escape. The patient received intravenous antibiotic therapy and ultimately recovered.

Infection, Abscess, Paranasal sinuses, Eye-sockets, Eye sockets

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HIV-related neuropsychiatric changes: concerns for dental professionals

Article Abstract:

There are a number of neuropsychiatric changes that can be caused by HIV infection. Those relevant to dentistry are reported. Neurologic complications are the second most frequent cause of death in patients with AIDS, with autopsies showing central nervous system infection and subacute encephalitis in up to 90% of AIDS-related deaths. With more and more people being infected with HIV and an increase in therapy that lengthens their life expectancy, dentists are going to see more HIV-infected patients. So it is important that they understand that an HIV-infected patient may not be fully compliant with therapy because of dementia, depression or other mental disturbances. If his or her initial therapy proves unsuccessful, the dentist should not only rework the diagnosis but be alert to the possibility of misdiagnosis, concomitant infections and resistant strains in the patient.

Psychological aspects, Complications and side effects, Practice, HIV infection, HIV infections, Dentistry, HIV patients

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Diagnosing and treating halitosis

Article Abstract:

Identifying the cause of halitosis, or bad breath, and preparing a treatment plan can be complicated. Patients may not be aware they have halitosis. The major source of bad breath is volatile compounds present in the mouth. Undesirable oral odors generally come from sulfur-containing proteins and peptides hydrolyzed by gram-negative bacteria, and alkaline environment. Prior to developing a treatment plan, an accurate diagnosis based on the patients's history, physical examination and laboratory tests must be obtained. The primary complaint of the patient must be investigated in depth. Sources of the malodor need to be clearly identified. Scrupulous oral hygiene must be maintained. The patient requires specific information about mouthwashes and other agents that counteract oral bacteria.

Evaluation, Breath, Offensive, Bad breath, Mouthwashes

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