Odontogenic Infections with Cutaneous Involvement in Children: a Case Series.

Monteiro, J.; Johnson A.; Kandiah P.; Anand P.; Fayle S.

Odontogenic Infections with Cutaneous Involvement in Children: a Case Series.

All Authors

Monteiro, J.

Johnson A.

Kandiah P.

Anand P.

Fayle S.

LTHT Author

Fayle, Stephen

LTHT Department

Leeds Dental Institute
Paediatric Dentistry

Publication Date

2020

Item Type

Article

Abstract

Cutaneous involvement of dental sepsis is a rare occurrence in children. It often presents as a diagnostic dilemma, especially in the absence of oral symptoms, with initial presentation to non-dental professionals. This article discusses three cases of children presenting with cutaneous involvement of odontogenic origin to two paediatric dentistry departments in the UK. All cases had delayed presentations and were initially submitted to ineffective treatment, with significant impact on the children's well-being. Final management included antibiotic therapy, drainage and extraction of the septic tooth. These three cases highlight the importance of considering a dental aetiology for localized inflammatory and purulent skin lesions of the mandible. Prompt diagnosis and early treatment are determinant for early resolution and avoidance of systemic or psychological complications. CPD/Clinical Relevance: This article discusses diagnosis and management of three different presentations of odontogenic sepsis with cutaneous involvement in children.