Evidence map›Paper›PMID 31223362›Full record

ArticleThe Pan African medical journal2019

Severe odontogenic infections: a 5-year review of a major referral hospital in Ghana.

Paa-Kwesi Blankson, Grace Parkins, Matthew Owusu Boamah, Alhassan Emil Abdulai, Abdul-Majeed Ahmed, Sarah Bondorin, Isaac Nuamah

Open access · goldAbstract read
In one paragraph

Article in The Pan African medical journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Cost and Length of Hospitalization Associated with Dental Infections: A Systematic Review.International journal of environmental research and public health · 2026
    Pooled it
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  16. Case Report: Severe Dental Abscess Complications in Rural Sierra Leone.The American journal of tropical medicine and hygiene · 2021
    Observational
  17. Article
  18. Article
  19. Article
  20. Quackery as a Cause of Maxillofacial Infections and Its Implications.Journal of the West African College of Surgeons
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Paa-Kwesi BlanksonDepartment of Oral & Maxillofacial Surgery, Korle-Bu Teaching Hospital, Accra, Ghana.
Grace ParkinsDepartment of Oral & Maxillofacial Surgery, Korle-Bu Teaching Hospital, Accra, Ghana.
Matthew Owusu BoamahDepartment of Oral & Maxillofacial Surgery, Korle-Bu Teaching Hospital, Accra, Ghana.
Alhassan Emil AbdulaiDepartment of Oral & Maxillofacial Surgery, Korle-Bu Teaching Hospital, Accra, Ghana.
Abdul-Majeed AhmedDepartment of Oral & Maxillofacial Surgery, Korle-Bu Teaching Hospital, Accra, Ghana.
Sarah BondorinDepartment of Oral & Maxillofacial Surgery, Korle-Bu Teaching Hospital, Accra, Ghana.
Isaac NuamahDepartment of Oral & Maxillofacial Surgery, Korle-Bu Teaching Hospital, Accra, Ghana.
Korle Bu Teaching Hospital · GHUniversity of Ghana · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOdontogenic infections are fairly common in healthcare settings. However, late presentations such as Ludwig's angina, facial cellulitis, necrotizing cervical fasciitis (NCF), among others could lead to mortality. In view of suggestions that the occurrence of severe, near-fatal odontogenic infections is declining, this study set out to determine the incidence of such severe odontogenic infections over the past 5 years at the Korle-Bu Teaching Hospital, a major referral centre in Ghana.

methodsA retrospective review was done, involving all patients with severe odontogenic infection, thereby requiring admission, per stated criteria at the Department of Oral and Maxillofacial Surgery (Dental clinic), Korle-Bu Teaching Hospital, in the period between July 2012 and July 2017. The cumulative incidence for the respective years were then computed for the years of review.

resultsA total of 243 patients were included in the study. This consisted of 121 males and 122 females, with an average age of 42.9 years (SD = 16.6), ranging from 18 months to 91 years. Incidence proportions for the years of the review were 8.2, 8.9, 17.7, 17.9 and 27.7 people per 1000 cases of tooth-related infections for the respective years. With a fatality rate of 5.8%, the incidence of odontogenic infections among patients attending the outpatient Dental clinic of the hospital is 40.3%, while that of dentoalveolar abscess is 6.2%. Ludwig's angina was the commonest (52%) form of presentation of spreading odontogenic infection.

conclusionThis study highlights the importance of persisting severe, near-fatal odontogenic infections in Ghana. Not only is there a need to assess the public, professional and institutional strategies to management, but for more evidence-based studies in our local setting to aid in management.

Indexed as

AdolescentAdultAgedAged, 80 and overCellulitisChildChild, PreschoolFasciitis, NecrotizingFemaleGhanaHospitals, TeachingHumansIncidenceInfantLudwig's AnginaMalecellulitiscumulative incidenceinfectionOdontogenic

Identifiers

PMID31223362
PMCPMC6561007
OpenAlexW2911846383

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.