ArticleClinical oral investigations2024
Rising incidence of severe maxillofacial space infections in Germany.
Article in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Evaluating the risk factors for complications of patients with oral and maxillofacial space infections: a systematic review and meta-analysis.BMC oral health · 2025Pooled it
- Predictors of systemic complications and prolonged hospitalization in odontogenic infections: a 12-year retrospective analysis of 997 cases.BMC oral health · 2025Article
- Clinical impact of antibiotic resistance in odontogenic infections: a 12-year analysis of 740 cases.Clinical oral investigations · 2025Article
- Factors influencing recurrence after in-hospital treatment of odontogenic-related oromaxillofacial infections: a single-centre experience.BMC oral health · 2025Article
- Incidence and Risk Factors for Postoperative Complications in Patients Undergoing Extraoral Drainage for Maxillofacial Abscess: A Retrospective Cohort Study.Journal of clinical medicine · 2025Article
- Association between endodontic, patient-related factors and severe odontogenic infections; a South Australian retrospective audit.International endodontic journal · 2025Article
- Epidemiologic trends and increasing inequalities in orthognathic surgery in Germany: a nationwide analysis 2005-2022.Scientific reports · 2025Article
- Construction of a Risk Score Model for Predicting Airway Management in Maxillofacial and Neck Region Space Infections Using Inflammatory Markers.Journal of inflammation research · 2025Article
- Results of bacterial cultivation are infrequently utilized in the treatment of patients hospitalized with severe odontogenic infections - a retrospective cohort study.Journal of oral microbiology · 2025Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSevere maxillofacial space infection (MSI) as an end stage of dentoalveolar diseases or complication of sialadenitis is a potentially life-threatening disease accompanied by complications including airway obstruction, jugular vein thrombosis, descending mediastinitis, sepsis and acute respiratory distress syndrome. The aim of this study was to analyze the incidence and time trends of severe MSI and potentially influencing factors in the German healthcare system over time. MATERIALS AND
methodsNationwide data regarding the national diagnosis-related-group (DRG) inpatient billing system was received from the German Federal Statistical Office. A retrospective analysis of incidence and time trends of MSI-associated procedures classified with the Operation and Procedure Classification System (OPS), were statistically evaluated using Poisson regression analysis between 2005 and 2022 and were associated with different epidemiological factors.
resultsThe total standardized incidence rate of MSI-associated procedures in the observational period 2005-2022 was 9.8 (♀8.2; ♂11.4) per 100,000 person years. For all age groups a significant increase of 46.1% in severe MSI - related surgical interventions was registered within the observational period. The largest increase (120.5%) was found in elderly patients over 80 years. There were significant differences of the incidences of MSI-associated surgeries between the different federal states in Germany.
conclusionsSevere MSI are a growing challenge in German health care especially among elderly patients over 80 years. CLINICAL RELEVANCE: Severe MSI is a promising target for prevention. There should be more focus in primary dental and medical care especially in groups depending on social support.
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