Prevalence of Odontogenic Infections in Primary Facial Spaces and Identify Associated Demographics in Patients Presenting to a Tertiary Care Hospital at Swat

Authors

  • Imtiaz Ali Saidu College of Dentistry, Saidu Sharif, Swat, Pakistan
  • Fayyaz Alam Saidu College of Dentistry, Saidu Sharif, Swat, Pakistan
  • Asif Shah Saidu College of Dentistry, Saidu Sharif, Swat, Pakistan
  • Muhammad Naeem Bacha Khan College of Dentistry, Mardan, Pakistan
  • Raham Zaman Bacha Khan College of Dentistry, Mardan, Pakistan
  • Ajmal Khan Saidu College of Dentistry, Saidu Sharif, Swat, Pakistan

DOI:

https://doi.org/10.52206/jsmc.2025.15.1.1026

Abstract

Background: Infections originating from the teeth are widespread and severe, posing significant health risks in the oral and facial areas with high rates of morbidity and mortality.
Objective: To assess the prevalence of odontogenic infections in primary facial spaces and identify associated demographic and clinical factors.
Materials and Methods: A cross-sectional study was conducted at the Oral and Maxillofacial Surgical Unit at Blind, from January 2023 to April 2024. A total of 159 patients with odontogenic infections in primary facial spaces were included using a non-probability consecutive sampling technique. The study involved clinical examinations, investigations, and radiographic imaging to diagnose primary space involvement. Data were analyzed using SPSS version 22.00, and chisquare test was applied to identify differences in infection frequency by age and gender.
Results: The study involved 159 patients with a mean age of 32.40 years. Moderate pain was most common, affecting 111 patients (69.81%), followed by mild pain in 32 patients (20.13%) and severe pain in 16 patients (10.06%). Sinus involvement occurred in 32 cases (20.13%). The most frequently affected facial space was submandibular, present in 79 cases (49.66%), followed by sublingual in 64 cases (40.25%), and submental in 32 cases (20.13%).
Conclusion: Male patients were more commonly affected by odontogenic infections than female patients. Moderate pain was most frequent, and sinus involvement occurred in some cases. The submandibular space was the most affected, followed by the sublingual and submental spaces.
Keywords: Facial spaces, Odontogenic infections, Pain severity, Submandibular space, Sublingual space, Submental space.

References

Døving M, Handal T, Galteland P. Bacterial odontogenic infections. Tidsskr Nor Laegeforen 2020. https://doi.org/10.4045/tidsskr.19.0778

Weise H, Naros A, Weise C, Reinert S, Hoefert S. Severe odontogenic infections with septic progress–a constant and increasing challenge: a retrospective analysis. BMC Oral Health 2019;19: 1-6. https://doi.org/10.1186/s12903-019-0866-6

Rautaporras N, Uittamo J, Furuholm J, Gava MM, Snäll J. Deep odontogenic infections–Computed tomography imaging-based spreading routes and risk for airway obstruction. J Stomatol Oral Maxillofac Surg 2023;124(4):1014-24. https://doi.org/10.1016/j.jormas.2023.101424

Jevon P, Abdelrahman A, Pigadas N. Management of odontogenic infections and sepsis: an update. Br Dent J 2020;229(6):363-70. https://doi.org/10.1038/s41415-020-2114-5

Burgos-Larraín LF, Vázquez-Portela Á, Cobo-Vázquez CM, Sáez-Alcaide LM, Sánchez-Labrador L, Meniz-García C. Brain complications from odontogenic infections: a systematic review. J Stomatol Oral Maxillofac Surg 2022;123(6):23-29. https://doi.org/10.1016/j.jormas.2022.07.018

Uittamo J, Löfgren M, Hirvikangas R, Furuholm J, Snäll J. Severe odontogenic infections: focus on more effective early treatment. Br J Oral Maxillofac Surg 2020;58(6):675-80. https://doi.org/10.1016/j.bjoms.2020.04.004

Martins JR, Chagas Jr OL, Velasques BD, Bobrowski AN, Correa MB, Torriani MA. The use of antibiotics in odontogenic infections: what is the best choice? A systematic review. J Oral Maxillofac Surg 2017;75(12):2606.e1-.e11. https://doi.org/10.1016/j.joms.2017.08.017

Mardini S, Gohel A. Imaging of odontogenic infections. Radiol Clin North Am 2018;56(1):31-44. https://doi.org/10.1016/j.rcl.2017.08.003

Moghimi M, Baart JA, Karagozoglu KH, Forouzanfar T. Spread of odontogenic infections: a retrospective analysis and review of the literature. Quintessence Int 2013;44(4):23-9. https://doi.org/10.4317/medoral.19124

Lou Y, Sun Z, Ma H, Cao D, Sun M, Wang Q, et al. Odontogenic infections in the antibiotic era: approach to diagnosis, management, and prevention. Infection 2024;52(2):301-11. https://doi.org/10.1007/s15010-023-02117-5

Rehman A, Haider AK, Hameed H, Hameed W, Saeed B. Pattern of the oro-facial infections in patients presenting to Ayub Medical Institute, Abbottabad. J Ayub Med Coll Abbottabad 2022; 34(3):511-4. https://doi.org/10.55519/jamc-03-10551

Diouf JS, Ngom PI, Sonko O, Diop-Bâ K, Badiane A, Diagne F. Influence of tonsillar grade on the dental arch measurements. Am J Orthod Dentofacial Orthop 2015;147(2):214-20. https://doi.org/10.1016/j.ajodo.2014.10.028

Raffaini M, Magri A, Conti M, Arcuri F. Advanced facial rejuvenation after bimaxillary surgery in three different facial types. Aesthet Plast Surg 2022; 46(1):183-93. https://doi.org/10.1007/s00266-021-02399-w

Jundt JS, Gutta R. Characteristics and cost impact of severe odontogenic infections. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;114(5):558-66. https://doi.org/10.1016/j.oooo.2011.10.044

Attygalla AM, De Silva HL. Painful Swelling in the Face and Neck: Odontogenic Infection. Clinicopathol Correl Oral Dis. Springer 2023; 493-506. https://doi.org/10.1007/978-3-031-24408-7_44

Felemban OM, Alharabi NT, Alamoudi RA, Alturki GA, Helal NM. Factors influencing the desire for orthodontic treatment among patients and parents in Saudi Arabia: A cross-sectional study. J Orthod Sci 2022;11(1):25. https://doi.org/10.4103/jos.jos_181_21

Tao Z, Zhao T, Ngan P, Qin D, Hua F, He H. The use of dental patient-reported outcomes among randomized controlled trials in orthodontics: a methodological study. J Evid Based Dent Pract 2023;23(1):1017-95. https://doi.org/10.1016/j.jebdp.2022.1017-95

Tolessa M, Singel AT, Merga H. Epidemiology of orthodontic treatment need in southwestern Ethiopian children: a cross-sectional study using the index of orthodontic treatment need. BMC Oral Health 2020;20:1-6. https://doi.org/10.1186/s12903-020-01196-2

Matsumoto Y, Ikeda T, Yokoi H, Kohno N. Association between odontogenic infections and unilateral sinus opacification. Auris Nasus Larynx 2015;42(4):288-93. https://doi.org/10.1016/j.anl.2014.12.006

Neal TW, Schlieve T. Complications of severe odontogenic infections: a review. Biol (Basel) 2022; 11(12):17-84. https://doi.org/10.3390/biology11121784

Sahibzada S, Khan A, Sardar T, Aurangzeb U, Afridi N, Amanat I. Characteristics and pattern of odontogenic infections with its treatment modalities. Pak J Med Health Sci 2022;16(09):798-805. https://doi.org/10.53350/pjmhs22169798

Cohen D, Konak S. The evaluation of radiographs of the nasopharynx. Clin Otolaryngol 1985;10(2):73-8. https://doi.org/10.1111/j.1365-2273.1985.tb01170.x

Wazwaz F, Seehra J, Carpenter GH, Ireland AJ, Papageorgiou SN, Cobourne MT. Duration of tooth alignment with fixed appliances: a systematic review and meta-analysis. Am J Orthod Dentofacial Orthop 2022;161(1):20-36. https://doi.org/10.1016/j.ajodo.2021.06.016

Basso IB, Goncalves FM, Martins AA, Schroder AGD, Taveira KVM, Stechman-Neto J, et al. Psychosocial changes in patients submitted to orthodontic surgery treatment: a systematic review and meta-analysis. Clin Oral Investig 2022:1-15. https://doi.org/10.1007/s00784-021-04304-w

Gawande MJ, Gupta MK, Goel M. Bilateral canine space infection secondary to odontogenic origin. A rare case report. Int J Med Surg Sci. 2019;6(4): 129-32. https://doi.org/10.32457/ijmss.2019.038

Additional Files

Published

29-01-2025

How to Cite

1.
Ali I, Alam F, Shah A, Naeem M, Zaman R, Khan A. Prevalence of Odontogenic Infections in Primary Facial Spaces and Identify Associated Demographics in Patients Presenting to a Tertiary Care Hospital at Swat. J Saidu Med Coll [Internet]. 2025 Jan. 29 [cited 2026 Nov. 10];15(1):25-9. Available from: http://jsmc.pk/index.php/jsmc/article/view/1026