Evidence map›Paper›PMID 40708609›Full record

ReviewCraniomaxillofacial trauma & reconstruction2025

Optimal Duration of Antibiotic Therapy for Space Infections in the Maxillofacial Region: A Systematic Review.

Abdullah Saleh Alhudaithi, Faris Jaser Almutairi, Abdullah Saleh Almansour, Abdurrahman Abdurrazzaq Aljeadi, Shaul Hameed Kolarkodi

Abstract readReview
In one paragraph

Review in Craniomaxillofacial trauma & reconstruction, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

5 authors.

Abdullah Saleh AlhudaithiMedical City Dental Clinics, College of Dentistry, Qassim University, Qassim 51452, Saudi Arabia; alhudaithia.a@gmail.com.
Faris Jaser AlmutairiDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Qassim University, Qassim 51452, Saudi Arabia.
Abdullah Saleh AlmansourKing Saud bin Abdulaziz University for Health Sciences, Riyadh 1461, Saudi Arabia; abdullahsalehalm@gmail.com.ORCID https://orcid.org/0009-0003-5804-3062
Abdurrahman Abdurrazzaq AljeadiMinistry of National Guard, Riyadh 11426, Saudi Arabia; aaljeadi@gmail.com.
Shaul Hameed KolarkodiDepartment of Oral and Maxillofacial Diagnostic Sciences, College of Dentistry, Qassim University, Qassim 51452, Saudi Arabia; s.kodi@qu.edu.sa.ORCID https://orcid.org/0000-0003-1735-8351

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis review aimed to examine and highlight the treatment protocols and optimal duration of antibiotic regimens used in managing maxillofacial space infections of odontogenic origin, along with the associated clinical outcomes. MATERIALS AND

methodsThis systematic review followed PRISMA guidelines and was registered in PROSPERO (CRD42024621000). A comprehensive search of PubMed, Scopus, Web of Science, and Google Scholar was conducted for studies from January 2003 to October 2024 using relevant MeSH terms. Studies were selected based on PEO criteria, focusing on the antibiotic treatment protocols and duration for odontogenic maxillofacial space infections, with inclusion of original human research and exclusion of non-relevant or unclear studies. Two independent reviewers performed study selection, data extraction, and risk of bias assessments using the Cochrane RoB 2 and ROBINS-I tools, resolving disagreements through discussion.

resultsAfter data extraction, 277 papers were initially identified. Following the removal of duplicates, 141 articles were screened, of which 64 were selected for full-text assessment and 55 were excluded with justification. Ultimately, nine studies met the inclusion criteria for this review. These included two prospective double-blinded randomized clinical trials (RCTs), two prospective RCTs, four retrospective studies, and one prospective study, all involving patients with dentoalveolar orofacial infections. Risk of bias (RoB) assessment using RoB 2 indicated that two RCTs had a high risk of bias, one had a low risk, and one raised some concerns. ROBINS-I assessment showed moderate risk of bias in three studies, while two were not evaluated.

conclusionThis review concludes that prompt incision and drainage combined with a short-course antibiotic regimen of two to five days is generally effective for managing odontogenic maxillofacial space infections, though further high-quality randomized trials are needed to standardize treatment protocols.

Indexed as

antibiotic therapydentoalveolarhead and neck infectionsmaxillofacial space infectionsodontogenic infections

Identifiers

PMID40708609
PMCPMC12285984

What OpenQuestion holds

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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.