title: Management of rapidly progressing periopical pathologies: a case report.
abstract: Dentists often treat swellings from odontogenic periapical pathologies. One management option involves immediate treatment with antibiotics, followed by surgical intervention. We report a clinical case in which an 8-year-old patient sought care for such a lesion and received pharmacological therapy alone. The lesion expanded into multiple facial spaces approximating the ocular organ and other vital cranial structures. Eventual treatment of the lesion required a CT-scan, followed by an intubated general anesthetic, incision and drainage, extraction of the involved dentition and an overnight hospital admission. This case report is meant to highlight appropriate courses of action in management of rapidly progressing periapical pathologies.
authors.forename: Kevin
authors.initials: K
authors.lastname: Croft
authors.forename: Tracey
authors.initials: T
authors.lastname: Louie
authors.forename: Daniel C
authors.initials: DC
authors.lastname: Colosi
mesh_terms: D000658:Amoxicillin / Q000627:therapeutic use; D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002481:Cellulitis / Q000601:surgery; D002648:Child; D003731:Dental Caries / Q000628:therapy; D018450:Disease Progression; D004322:Drainage; D005145:Face; D005260:Female; D006801:Humans; D010482:Periapical Abscess / Q000601:surgery*; D010485:Periapical Periodontitis / Q000601:surgery*; D013407:Sulbactam / Q000627:therapeutic use; D014081:Tooth Extraction
chemical_list: D000900:Anti-Bacterial Agents; C035444:sultamicillin; D000667:Ampicillin; D000658:Amoxicillin; D013407:Sulbactam