Category Archives: Complex Odontogenic Infections


CANDIDOSIS  The organism Candida albicans is a naturally occurring fungus ‘in the oral cavity. It rarely causes disease unless the patient’s health becomes compromised. The two most common causes of compromise are administration of antibiotics, especially penicillin, for prolonged periods and chemotherapy for leukemias and other forms of cancer. In these situations Candida organisms overgrow the


ACTINOMYCOSlS Actinomycosis is a relatively uncommon infection of the soft tissues of the jaws. It is usually caused by Actinomyces israelii but may also be caused by A. naeslundii or A. viscosus. Actinomyces is an endogenous bacterium of the oral cavity that was once thought to be an anaerobic fungus. However, it has now been clearly established that actinomycetes are anaerobic bacteria. FIG. 16·16 This act


OSTEOMYELITIS The term OSTEOMYELITIS means inflammation of ‘the boric marrow, Cl micallv. . osteomyelitis usnallv lnfvrtion of the lx ine. It usuallv hegins in the medullary involving the cancellous bone: then it extends and  preads to the cortical hone and to the periosteum. Invasion cancel- 10m bone, which causes inflamrnauon edema in the pace results in cornprevslon ot the blood essols i


FASCIAL SPACE INFECTIONS ‘I he spaces that are  involed directly are known as the of primary involvement, The principal rnaxu. lary primary spaces arc the canirio, buccal, and infratemporal spaces (Box 16·1). The principal mandibular primilry spaces arc the buccal, and sublil guill spaces, Infections can extend beyond these primary spaces into additional fascial space, nr svcondary spaces. FIG. 16- 1 A


CHAPTER OUTLINE FASCIAL SPACE INFECTIONS Maxillary Spaces MANDIBULAR SPACES , Secondary Fascial Spaces Cervical Fascial Spaces Management of Fascial Space Infections OSTEOMYELITIS ACTINOMYCOSIS CANDIDOSIS