Microbiology and management of endodontic infections in children
- 1 September 2004
- journal article
- review article
- Published by MRE Press in Journal of Clinical Pediatric Dentistry
- Vol. 28 (1), 13-17
- https://doi.org/10.17796/jcpd.28.1.uwjxq61753506255
Abstract
The first step in the origination of caries is the formation of a dental plaque. Dental caries can lead to destruction of enamel and dentin resulting in bacterial invasion of the pulp. Invasion of the pulp and the periapical areas can promote the development of dento-alveolar abscess and spread of the infection to other anatomical areas. Several oral acid producing aerobic and anaerobic bacteria, including Streptococcus mutans, Lactobacillus acidophilus, and Actinomyces viscosus, are capable of initiating the carious lesion. The organisms that predominate in pulpitis and dento-alveolar abscess are Prevotella, Porphyromonas, Fusobacterium, and Peptostreptococcus spp. Treatment of caries involves removal of all affected tooth structure and proper replacement with a restorative material. Once pulpitis has developed the infected tissue should be removed and root canal therapy instituted, or the tooth should be extracted. Extraction, root canal therapy and/or drainage of pus usually are indicated for an abscess. Antimicrobial therapy supplementing the dental care should be considered, especially when local or systemic spread of the infection is suspected. Penicillin or amoxicillin are generally effective against most of the aerobic and anaerobic bacteria recovered. The patient whose oral cavity may harbor penicillin-resistant organisms should be considered for treatment with drugs effective against these organisms. These agents include amoxicillin-clavulanate, clindamycin or the combination of metronidazole plus amoxicillin or a macrolide.Keywords
This publication has 20 references indexed in Scilit:
- Survival of Oral BacteriaCritical Reviews in Oral Biology & Medicine, 1998
- Human Oral Microbial Ecology and Dental Caries and Periodontal DiseasesCritical Reviews in Oral Biology & Medicine, 1996
- Studies into the microbial spectrum of apical periodontitisInternational Endodontic Journal, 1995
- Topical Review: Brain Abscess in Children: Microbiology and ManagementJournal of Child Neurology, 1995
- A rare complication of dental treatment: Streptococcus oralis meningitisBritish Dental Journal, 1993
- Black-pigmented Gram-negative anaerobes in endodontic infectionsFEMS Immunology & Medical Microbiology, 1993
- Aerobic and anaerobic microbiology of periapical abscessOral Microbiology and Immunology, 1991
- Quantitative bacteriology of acute dento-alveolar abscessesJournal of Medical Microbiology, 1986
- Predominant Obligate Anaerobes in Human Carious DentinJournal of Dental Research, 1985
- Total Viable Count of Microorganisms in the Infected Dental PulpJournal of Dental Research, 1974