title: Temporal abscess after third molar extraction in the mandible.
abstract: BACKGROUND
  Dental infections resulting before or after third molar removal are complications in which the maxillofacial surgeon may have to initiate an earlier management. The severe dental infections resulting before or after this procedure is one of the few life-threatening complications in which the maxillofacial surgeon may have to initiate an earlier management. Infections involving the temporal space are rare and infrequently reported. Infections in this space have also been observed secondary to maxillary sinusitis, maxillary sinus fracture, temporomandibular arthroscopy, and drug injection, although more commonly associated to third molar infections.
  
  
  METHODS
  A 22-year-old man had undergone extraction of tooth 38 secondary to pericoronaritis by a general dentist. Physical examination of his face demonstrated severe trismus, pain, and swelling in temporal region. A CT scan showed an inflammatory area into the temporal space. He was started on IV cephalosporin, but the clinical course of the patient was not satisfactory. Incision and drainage were performed from an extraoral and intraoral approach. After discharged, the antibiotic was switched to clindamycin IO 600 mg.
  
  
  CONCLUSIONS
  The retromaxillary and temporal infections are quite common after maxillary molar extractions but not after mandibular third molar, the spread mechanism of ascension must be involved with the virulence of microorganisms, but more studies are necessary to clarify this occurrence.
authors.affiliation: Department of Oral Diagnosis, Oral and Maxillofacial Surgery Division, Piracicaba Dental School CP 52, State University of Campinas-UNICAMP, 13.414-903, Piracicaba, São Paulo, Brazil.
authors.forename: Patrício José
authors.initials: PJ
authors.lastname: de Oliveira Neto
authors.forename: Maximiana Cristina
authors.initials: MC
authors.lastname: de Souza Maliska
authors.forename: Renato
authors.initials: R
authors.lastname: Sawazaki
authors.forename: Luciana
authors.initials: L
authors.lastname: Asprino
authors.forename: Márcio
authors.initials: M
authors.lastname: de Moraes
authors.forename: Roger William Fernandes
authors.initials: RW
authors.lastname: Moreira
mesh_terms: D000038:Abscess / Q000175:diagnosis* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001421:Bacteria, Anaerobic; D001424:Bacterial Infections / Q000175:diagnosis* / Q000601:surgery; D003131:Combined Modality Therapy; D003646:Debridement; D004322:Drainage; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008964:Molar, Third / Q000601:surgery*; D010497:Pericoronitis / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery; D012086:Reoperation; D013530:Surgical Wound Infection / Q000175:diagnosis* / Q000601:surgery; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis* / Q000601:surgery; D014081:Tooth Extraction; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents