ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 4 of 58
Up
JMBS 2020, 5(6): 36–43
https://doi.org/10.26693/jmbs05.06.036
Medicine. Reviews

Analytical Review of Literature. Prevalence of Acute Infectious and Inflammatory Diseases of Jaw in Children and General Principles of Complex Treatment

Nitzjati N. 1, Tserakhava T. N. 1,2, Pohodenko-Chudakova I. O. 1,2
Abstract

Odontogenic infectious and inflammatory diseases is the most common reason of patients seeking for dental surgery. Among the acute odontogenic inflammatory processes, for which children are hospitalized in the hospital, the most often are: periostitis of the jaw, abscesses, phlegmons. The purpose of this work was to study the prevalence of infectious and inflammatory diseases of the jaw in 2010-2020 and the General principles of their treatment. Material and methods. The available domestic and foreign specialized literature from 2010 to 2020 is analyzed. The list of analyzed sources includes: periodicals for the specified period, basic manuals, monographs, and articles without a Statute of limitations. The descriptive method is used for the analysis. Results and discussion. Infectious and inflammatory diseases of the maxillofacial region are most often diagnosed in children 2-9 years old. They make more than 50% of the structure of nosological forms that are treated in a hospital. Recently, the proportion of patients with odontogenic jaw periostitis has increased to 40% in polyclinics and hospitals. The reasons of increase of children number with inflammatory diseases of the maxillofacial region are: high prevalence and intensity of dental caries; insufficient level of primary and secondary prevention of the latter; late access to dental care; untimeness and inadequacy of surgical care in the initial treatment of patients. Treatment of periostitis and osteomyelitis of the jaw bones should be comprehensive (including radical surgery with mandatory removal of the "causal" tooth and rational medical and physical therapy). Medical treatment includes antibacterial, detoxifying, hyposensitizing, symptomatic and general tonic agents. Children with acute odontogenic infectious and inflammatory processes are prescribed antibacterial drugs that have a tropism to bone tissue. Antibacterial drugs are prescribed in 60.5% for nitromidazole group of drugs ‒ "Metrogil", 45% − "Cefazolin" and 30.25% − "Cefotaxime" (cephalosporin-type drugs). However, irrational use of antibiotics leads to changes in the species composition and properties of microflora and consequently to decrease in the effectiveness of antibacterial therapy and increase in the frequency of this pathology and its severe complications. Therefore, when choosing antibacterial drugs, it is necessary to take into account the age of the child and the sensitivity of pathogens to antibiotics. Conclusion. Analysis of the literature revealed that the prevalence of acute odontogenic infectious and inflammatory processes of maxillofacial localization tends to increase and the solution to this issue should be in the plane of improving the known and developing new treatment methods including balance of surgical, drug and rehabilitation techniques

Keywords: infectious-inflammatory complication of acute odontogenic infection, the jaw bone, periostitis, osteomyelitis

Full text: PDF (Rus) 277K

References
  1. Romanenko IS, Konev SS, Gandylyan KS, Karpova EN, Balandina AV, Apaguni AE. Klinicheskaja harakteristika razlichnyh variantov techenija ostryh odontogennyh vospalitel'nyh zabolevanij [Clinical characteristics of different variants of acute odontogenic inflammatory diseases]. Ros Stom Zhurnal. 2015; 19(6): 30-3. [Russian]
  2. Sipahi Calis A, Ozveri Koyuncu B, Ozturk K, Mert A, Bilgen C. General approach to the treatment of odontogenic abscesses and cost analysis. J Istanb Univ Fac Dent. 2015; 49(2): 17-22. https://doi.org/10.17096/jiufd.90557
  3. Peres KG, Chaffee BW, Feldens CA, Flores-Mir C, Moynihan P, Rugg-Gunn A. Breastfeeding and oral health: evidence and methodological challenges. J Dent Res. 2017; 97(3): 251-8. https://doi.org/10.1177/0022034517738925
  4. Guzmán-Letelier M, Crisosto-Jara C, Diaz-Ricouz C, Peñarrocha-Diago M, Peñarrocha-Oltra D. Severe odontogenic infection: an emergency. Case report. J.Clin Exp Dent. 2017; 9(2): e319-24. https://doi.org/10.4317/jced.53308
  5. Dibceva TS, Birjul'kina ES, Firsova EP. Analiz odontogennyh vospalitel'nyh zabolevanij cheljustno-licevoj oblasti u detej, nahodjashhihsja na stacionarnom lechenii [Analysis of odontogenic inflammatory diseases of the maxillofacial region in children undergoing inpatient treatment]. Internat Stud Sci Bull. 2015; 2-1: 25. [Russian]
  6. Izyumov AO, Noskova EV, Kolybelkin MV, Apraksina EYu, Borodina TV, Klimova IV, et al. Vospalitel'nye zabolevanija cheljustno-licevoj oblasti u detej [Inflammatory diseases of maxillofacial area at children]. J Siberian Med Sci. 2015; 5: 43-50. [Russian]
  7. Zelezny MV, Kolybelkin MV, Izyumov AO, Apraksina EYu, Zeleznaya AP. Harakteristika odontogennyh i neodontogennyh vospalitel'nyh processov cheljustno-licevoj oblasti v detskom vozraste [Characterization and neoantigenic odontogenic inflammatory processes of maxillofacial area in children]. Institute of Dent. 2018; 79(2): 63-5. [Russian]
  8. Doll Ch, Carl F, Neumann K, Voss JO, Hartwig S, Waluga R, et al. Odontogenic abscess-related emergency hospital admissions: a retrospective data analysis of 120 children and young people requiring surgical drainage. BioMed Res Internat. 2018; 3504727. https://doi.org/10.1155/2018/3504727
  9. Matchin AA. Odontogennaja infekcija: sushhestvujushhie problemy [Odontogenny infection: the existing problems]. Orenburg Med Bull. 2015; 3(11): 44-8. [Russian]
  10. Pechalova PE, Zheleva AD, Pavlov NV. Odontogenic abscesses in the maxilla-facial area in children from less 3 years of age: a clinical study on 20 cases in Bulgaria. Curierul Med. 2011; 324(6): 28-30.
  11. Gupta SS, Shetty DC, Urs AB, Nainani P. Role of inflammation in developmental odontogenic pathosis. J Oral Maxillofac Pathol. 2016; 20(1): 164. https://doi.org/10.4103/0973-029X.180986
  12. Zelezny PA, Kolybelkin MV, Izyumov AO, Apraksina EYu, Zheleznaya AP, Shchelkunov KS, et al. Struktura i harakter vospalitel'nyh processov cheljustno-licevoj oblasti u detej [Structure and nature of inflammatory processes of the maximum-facial region in children]. Med Sci and Educat of the Urals. 2017; 2: 91-4. [Russian]
  13. Terehova TN, Korsak AK, Kushner AN, Karmal'kova EA, Popruzhenko TV. Stomatologija. Cheljustno-licevaja hirurgija: uchebnoe posobie [Stomatology. Oral and maxillofacial surgery: textbook]. Minsk: BSMU; 2008. 63-7. [Russian]
  14. Kushner AN, Demidovich TV, Sevjast'janova OA. Ostrye odontogennye periostity u detej: osobennosti klinicheskoj kartiny i lechenija [Acute odontogenic periostitis in children: features of the clinical picture and treatment]. Stomatological J. 2012; 2: 135-9. [Russian]
  15. Fomenko IV, Kasatkina AL, Shishkina VI, Firsova EP. Analiz prichin razvitija odontogennogo periostita cheljustnyh kostej u detej [Development of odontogenic periotitis of jaw bones in children]. Volgogr J of Med Res. 2016; 49(1): 54-5. [Russian]
  16. Parshikova SA, Glyavina IA, Kosyuga SYu, Slesareva OA. Kliniko-statisticheskij analiz travmaticheskih povrezhdenij i vospalitel'nyh zabolevanij cheljustno-licevoj oblasti (po materialam raboty otdelenija cheljustno-licevoj hirurgii GBUZ no «nizhegorodskaja oblastnaja detskaja klinicheskaja bol'nica» s 2013 po 2017 gg.) [Clinical and statistical analysis of traumatic injuries and inflammatory diseases of the maxillofacial region (Based on the work of maxillofacial surgery department of Nizhny Novgorod regional Childrenʼs Clinical Hospital from 2013 to 2017)]. Modern Probl of Sci and Educat. 2018; 5: 89. [Russian]
  17. Klochkova VA, Midaev DV, Smirnova AV. Primenenie antibiotikov pri lechenii odontogennyh periostitov cheljustejheskaja pomoshh' detjam g. Taraz i oblasti za period 2006-2011 gody [The use of antibiotics in the treatment of odontogenic periostitis of the jaw]. News of Sci and Educat. 2019; 5(4): 44-50. [Russian]
  18. Abdylaev ST. Rasprostranennost' periostita sredi detskogo naselenija g. Bishkek [Features of distribution of periostit among the childrenʼs population of the city of Bishkek]. Bull of the KSMA named after IK Akhunbayev. 2016; 6: 114-6. [Russian]
  19. Eshieva AA, Belov GV, Eshiev AM. Statistika vospalitel'nyh zabolevanij cheljustno-licevoj oblasti v Oshskoj mezhoblastnoj objedinennoj klinicheskoj bol'nice goroda Osh [Statistics of inflammatory diseases of the maxillofacial region in Osh inter-regional United clinical hospital of Osh]. Sci Edu and Culture. 2018; 34(10): 51-4. [Russian]
  20. Azimbaev NM, Abdykajymov A, Kurmanbekov NO, Eshiev AM. Analiz statisticheskih dannyh po ostromu gnojnomu periostitu v otdelenii cheljustno-licevoj hirurgii Oshskoj mezhoblastnoj ob#edinjonnoj klinicheskoj bol'nice [Analysis of statistical data on acute purulent periostitis in the department of maxillofacial surgery of Osh inter-regional united clinical hospital]. Priorities of World Sci: Experiment and Sci. Discus: Collection of Materials Internat Sci-Practical Conf. Kemerovo: West Siberian Sci Center. 2018; 1: 57-9. [Russian]
  21. Lygina YuE. Analiz obrashhaemosti detej za stomatologicheskoj pomoshh'ju po Astrahanskoj oblasti [The analysis of children dental care appealability in the Astrakhan region]. Astrakhan Med J. 2014; 9(1): 100-4. [Russian]
  22. Kabanova SA. Antibiotikoterapija gnojno-vospalitel'nyh processov cheljustno-licevoj oblasti v ambulatornyh uslovijah [Antibiotic therapy of purulent-inflammatory processes of the maxillofacial region in outpatient settings]. Vestnik of VSMU. 2008; 7(4): 87-93. [Russian]
  23. Balin VN, Karshiev KhK. Dinamika jendogennoj intoksikacii pri kompleksnom lechenii flegmon cheljustno-licevoj oblasti oslozhnennyh sepsisom [The dynamics of endogenous intoxication in complex treatment of the phlegmons of the maxillofacial area complicated by sepsis]. Bull of Pirogov National Med and Surg Centre. 2017; 12(3): 58-9. [Russian]
  24. Rastenienė R, Pürienė Aleksejünienė J, Peciuliene V. Odontogenic maxillofacial infections: a ten-year retrospective analysis. Surg Infect. 2015; 16(3): 305-12. https://doi.org/10.1089/sur.2013.264
  25. Mihali J, Bran S, Juncar R, Baciut MF. Odontogenic cervical necrotizing fasciitis, etiological aspects. Nigerian J of Clin Pract. 2016; 19 (3): 391-6. https://doi.org/10.4103/1119-3077.179278
  26. Tatochenko .K. Antibiotiko- i himioterapija infekcij u detej: spravochnik [Antibiotic and chemotherapy of infections in children: handbook]. M: IPK Continent-Press; 2008. 253 p. [Russian]
  27. Esim AZh, Kurmangaliev BZ, Zhaksybaev BS. Algoritm diagnostiki i lechenija odontogennyh vospalitel'nyh processov u detej raznogo vozrasta [Algorithm of diagnostics and treatment of the dental inflammatory processes of children at different ages]. Vestnik KazNMU. 2013; 3(2): 113-6. [Russian]
  28. Dmitrienko DS, Tchizhikova TS, Kasatkina AL, Shpigun MI, Ogonyan EA, Zinurova MR, et al. Analiz ambulatornoj hirurgicheskoj pomoshhi pacientam s anomalijami i deformacijami cheljustno-licevoj oblasti [Analysis of out-patient surgical aid to the patients with maxillofacial anomalies and deformations]. J of New Med Tech. 2009; 17(1): 126-7. [Russian]
  29. Kaban L. Pediatric oral and maxillofacial surgery. Saunars; 2004. 496 p.
  30. Fedotov SN, Suhanov AE, Konkina MA, Jakovlev VE. Osobennosti regionarnoj gemodinamiki lica pri lechenii ostryh odontogennyh periostitov cheljustej [Features of regional facial hemodynamics in the treatment of acute odontogenic jaw periostitis]. Stomatology. 2010; 89(5): 48-51. [Russian]
  31. Karzhaubayeva GE. Hirurgicheskaja stomatologicheskaja pomoshh' detjam g. Taraz i oblasti za period 2006-2011 gody [Surgical stomatologic help to children of Taraz city and areas during 2006-2011]. Vestnik KazNMU. 2012; 2: 169-71. [Russian]
  32. Korsak AK, Kushner AN, Adashhik NF, Cheshko NN, Petrovich NI. Gospital'naja i poliklinicheskaja detskaja hirurgicheskaja stomatologija: uchebnik [Hospital and polyclinic children's surgical dentistry: textbook]. Minsk: BSMU; 2016. 49-70. [Russian]
  33. Kim MK, Nalliah RP, Lee MK, Allereddy V. Factors associated with length of stay and hospital charges for patients hospitalized with mouth cellulitis. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. 2012; 113: 21-8. https://doi.org/10.1016/j.tripleo.2011.01.012
  34. Rabinovich SA, Kuznecov GI, Moskovec ON, Zorjan EV. Effektivnost' mestnogo obezbolivanija preparatami, soderzhashhimi artikain, v ambulatornoj stomatologicheskoj praktike i puti ee povyshenija. Chast' 2 [The effectiveness of local anesthesia with drugs containing articaine in outpatient dental practice and ways to improve it. Part 2]. Stomatology for Everyone. 2008; 2: 40-1. [Russian]
  35. Meechan JG. Practical dental local anaesthesia. London-Chicago: Quintessence Publishing; 2002. 142 p.
  36. Gostishhev VK. Klinicheskaja operativnaja gnojnaja hirurgija [Clinical operative purulent surgery]. M: GEOTAR-Media; 2016. 448 p. [Russian]
  37. Mirzoev MSh, Shakirov MN, Gafarov KhO. Osobennosti drenirovanija gnojnyh prostranstv pri kompleksnom lechenii bol'nyh s gnilostno-nekroticheskimi flegmonami cheljustno-licevoj oblasti [Features of drainage of purulent spaces in the complex treatment of patients with putrefactive-necrotic phlegmons of the maxillofacial region]. J of Postgraduate Med Educat. 2013; 1: 24-7. [Russian]
  38. Khushvakhtov DD, Mirzoev MSh, Khushvakhtov DI, Safarov SA. Drenazhnye sistemy i sposoby drenirovanija ran bol'nyh s gnojno-vospalitel'nymi processami polosti rta [Drainage systems and methods of wounds draining in patients with purulent-inflammatory processes of the oral cavity]. Bull of the Academy of Med Sci of Tajikistan. 2019; 9(3): 321-8. [Russian]. https://doi.org/10.31712/2221-7355-2019-9-3-321-328
  39. Subhanova GS. Sravnitel'nyj analiz jeffektivnosti perevjazochnyh sredsta v lechenii gnojnyh ran lica i shei [Comparative analisis of effectiveness of bandaging materials for treatment of purulent wounds of face and neck]. Bull оf Avicenna. 2013; 2: 117-23. [Russian]
  40. Chuykin SV, Kxasanov TA, Shikova YuV, Makusheva NV, Izosimov AA, Viktorov SV, et al. Mestnoe lechenie gnojnyh ran pri gnojno-vospalitel'nyh zabolevanijah cheljustno-licevoj oblasti u detej [Local treatment of purulent wounds at purulent-inflammatory diseases of the maxillofacial region in children]. Actual Probl in Dent. 2019; 15(1): 99-103. [Russian]. https://doi.org/10.18481/2077-7566-2018-15-1-99-103
  41. Topol'nickiĭ OZ, Vasil'ev AJu. Atlas po detskoĭ hirurgicheskoĭ stomatologii i cheljustno-licevoĭ hirurgii [Atlas of pediatric surgical dentistry and maxillofacial surgery]. SPb: GEOTAR-Media; 2011. 264 p. [Russian]
  42. Fragiskos D. Oral surgery. Berlin –NY; 2007. 367 p.
  43. Kuriyama T, Williams DW, Yanagisawa M, Iwahara K, Shimizu C, Nakagawa K, et al. Antimicrobial susceptibility of 800 anaerobic isolates frompatients with dentoalveolar infection to 13 oral antibiotics. Oral Microbiol and Immunol. 2007; 22: 285-8. https://doi.org/10.1111/j.1399-302X.2007.00365.x
  44. Zand V, Lotfi M, Vosoughhosseini S. Proliferative periostitis: a case report. J of Endod. 2008; 34(4): 481-3. https://doi.org/10.1016/j.joen.2008.01.011
  45. Kozin DV, Rodina OP, Moiseeva IJa. Ocenka kliniko-jekonomicheskih aspektov farmakoterapii odontogennogo osteomielita s primeneniem metodov chastotnogo i AVS/VEN-analizov [Evaluation of clinical and economic aspects of pharmacotherapy of odontogenic osteomyelitis using frequency and ABC/VEN analysis methods]. Med and Health Care Organiz. 2011; 18(2): 153-9. [Russian]
  46. Krupchenko MS, Kabanova SA. Vospalitel'nye processy golovy i shei u detej [Inflammatory processes of the head and neck in children]. Bull of VSMU. 2011; 10(4): 148-54. [Russian]
  47. Zykeeva SK, Yrgenishbaeva JR. Fizioterapija pri stomatologicheskih zabolevanijah u detej [Physiotherapy in dental diseases in children]. Vestnik KazNMU. 2016; 4: 156-9. [Russian]