THE INFLUENCE OF PERIAPICAL PATHOLOGY AND ENDODONTIC TREATMENT IN ODONTOGENIC INFECTIONS

In literature and contemporary thought is already evident the fact that the number of odontogenic maxillofacial infections has increased, even claimed that it be the result of increased difficulty brought from daily routines, as well as emergency dental care. On the present study we tried to survey and evaluate the clinical odontogenic infections framework with periapical pathology as the origin of infection, to determine the predisposing factors of these infections. Retrospective cohort study conducted on a patient population with infectious complications as a result of apical periodontitis, the data of which (52) were collected over a period of several years (2009-2013), whether they were treated, or only asked medical assistance from us. Odontogenic maxillofacial infections can also be a result of complications following dental treatment. Primary treatment, the ongoing root canal endodontic procedures is not rare that precedes the spread of infection in a periapical periodontitis. Initiation and conduct of this treatment with a non finish correct technique or inadequate treatment of an apical periodontitis seems to be a risk factor for local distribution and invasion by infection of adjacent tissue structures, the local abscess creation. The quality of a full pulp channel treatment appears to have a low impact on the risk for initiation of an inflammatory process. Even though a dental procedure can provoke activation of pre-existing infection, leaving a potential source of infection untreated, poses a significant risk of infection complications and cannot be overlooked.