ArticleClinical oral investigations2021
The role of diabetes mellitus on the formation of severe odontogenic abscesses-a retrospective study.
Article in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 10 citations in OpenAlex.
- Segmental airway volume as a predictive indicator of postoperative extubation timing in patients with oral and maxillofacial space infections: a retrospective analysis.BMC oral health · 2025Article
- Epidemiology and Management Paradigm of Head and Neck Infections, Including COVID-19 Pandemic Period: A 10-Year Retrospective Study in a Maxillofacial Center of Cluj-Napoca.Journal of clinical medicine · 2024Article
- Dental Extractions Associated With Reduced Insulin Requirements in an Individual Using Concentrated Insulin: A Case Study.Clinical diabetes : a publication of the American Diabetes Association · 2024Article
- Outcome predictors of odontogenic abscesses in the elderly.Frontiers in oral health · 2024Article
- Evolution of the treatment of severe odontogenic infections over 50 years: A comprehensive review.Journal of Taibah University Medical Sciences · 2023Review
- Aetiopathogenesis and Treatment Evaluation of Odontogenic Cellulitis in the Maxillofacial Region: a Retrospective Study.Journal of oral & maxillofacial researchReview
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo analyze the correlation of diabetes mellitus and hyperglycemia with severe odontogenic abscesses. MATERIALS AND
methodsRecords of all patients in the Department of Oral and Maxillofacial Surgery of the Medical Center of the Johannes Gutenberg-University who underwent inpatient treatment for severe odontogenic abscesses between 2010 and 2016 were evaluated retrospectively regarding diabetes anamnesis, maximum and fasting blood sugar count, and duration until discharge. In order to compare the numbers to a general maxillofacial group, all patients who received inpatient treatment in 2013 for any diagnosis other than an abscess of the head and neck region were analyzed as well, and the numbers were correlated.
resultsIn total, 977 abscess patients were found in the analyzed period. 7.0% of the patients had a known diagnosis of diabetes mellitus type II and 0.6% of type I. Correlation with the general group showed that abscesses were significantly more likely in diabetics as well as patients with abnormal maximum and fasting blood sugar counts. These patients also needed significantly longer inpatient treatment.
conclusionsDiabetics and patients with abnormal glucose tolerance show significantly higher numbers of severe odontogenic abscesses and might therefore benefit from earlier escalation of antibiotic medication. CLINICAL RELEVANCE: Severe odontogenic abscesses are one of the most frequent diagnoses in maxillofacial practice. Adjusting the therapeutic approach for diabetics or patients with abnormal blood sugar counts might help to prevent the development of abscesses.
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