A Case of Buccal Abscess from an Impacted Wisdom Tooth in an Elderly Person with Malnutrition
Identifieur interne : 000946 ( Pmc/Checkpoint ); précédent : 000945; suivant : 000947A Case of Buccal Abscess from an Impacted Wisdom Tooth in an Elderly Person with Malnutrition
Auteurs : Yuki Kojima [Japon] ; Mizuha Kojima [Japon] ; Kazuhiro Sakaguchi [Japon] ; Yutaka Sakaguchi [Japon]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2016.
Abstract
We report a case of buccal abscess caused by an impacted wisdom tooth in an extremely elderly person with malnutrition. The patient was a 94-year-old man, who complained that he had found it hard to open his mouth and that his cheek had been swollen for the previous 2 weeks. He had a shallow oral wound caused by an improperly fitting denture; however, the wound became infected. We performed incisional drainage of the abscess under local anesthesia. The swelling disappeared and he was able to open his mouth 55 mm. The elderly have a high risk of healing failure of injuries and it has been reported that infection in a host in a compromised state is severely intractable. This elderly patient was in a compromised state because of malnutrition. Cases such as this one will increase as the elderly population increases. Dentists need to consider the quality of life of patients with a longer life expectancy and should offer patients several treatment options before their general condition deteriorates.
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DOI: 10.1155/2016/9437514
PubMed: 27957349
PubMed Central: 5120193
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xml:lang="en" level="a" type="main">A Case of Buccal Abscess from an Impacted Wisdom Tooth in an Elderly Person with Malnutrition</title><author><name sortKey="Kojima, Yuki" sort="Kojima, Yuki" uniqKey="Kojima Y" first="Yuki" last="Kojima">Yuki Kojima</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Physiology, Tokyo Dental College, 2-9-18 Misaki-cho, Tokyo 101-0061, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Physiology, Tokyo Dental College, 2-9-18 Misaki-cho, Tokyo 101-0061</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Kojima, Mizuha" sort="Kojima, Mizuha" uniqKey="Kojima M" first="Mizuha" last="Kojima">Mizuha Kojima</name><affiliation wicri:level="1"><nlm:aff id="I2">Sakaguchi Dental Clinic, 1-20-5 Kasuga, Chuo-ku, Chiba 260-0033, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Sakaguchi Dental Clinic, 1-20-5 Kasuga, Chuo-ku, Chiba 260-0033</wicri:regionArea><wicri:noRegion>Chiba 260-0033</wicri:noRegion></affiliation></author><author><name sortKey="Sakaguchi, Kazuhiro" sort="Sakaguchi, Kazuhiro" uniqKey="Sakaguchi K" first="Kazuhiro" last="Sakaguchi">Kazuhiro Sakaguchi</name><affiliation wicri:level="1"><nlm:aff id="I2">Sakaguchi Dental Clinic, 1-20-5 Kasuga, Chuo-ku, Chiba 260-0033, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Sakaguchi Dental Clinic, 1-20-5 Kasuga, Chuo-ku, Chiba 260-0033</wicri:regionArea><wicri:noRegion>Chiba 260-0033</wicri:noRegion></affiliation></author><author><name sortKey="Sakaguchi, Yutaka" sort="Sakaguchi, Yutaka" uniqKey="Sakaguchi Y" first="Yutaka" last="Sakaguchi">Yutaka Sakaguchi</name><affiliation wicri:level="1"><nlm:aff id="I2">Sakaguchi Dental Clinic, 1-20-5 Kasuga, Chuo-ku, Chiba 260-0033, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Sakaguchi Dental Clinic, 1-20-5 Kasuga, Chuo-ku, Chiba 260-0033</wicri:regionArea><wicri:noRegion>Chiba 260-0033</wicri:noRegion></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>We report a case of buccal abscess caused by an impacted wisdom tooth in an extremely elderly person with malnutrition. The patient was a 94-year-old man, who complained that he had found it hard to open his mouth and that his cheek had been swollen for the previous 2 weeks. He had a shallow oral wound caused by an improperly fitting denture; however, the wound became infected. We performed incisional drainage of the abscess under local anesthesia. The swelling disappeared and he was able to open his mouth 55 mm. The elderly have a high risk of healing failure of injuries and it has been reported that infection in a host in a compromised state is severely intractable. This elderly patient was in a compromised state because of malnutrition. Cases such as this one will increase as the elderly population increases. Dentists need to consider the quality of life of patients with a longer life expectancy and should offer patients several treatment options before their general condition deteriorates.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Hoshino, T" uniqKey="Hoshino T">T. Hoshino</name></author><author><name sortKey="Sotome, H" uniqKey="Sotome H">H. Sotome</name></author><author><name sortKey="Hidaka, S" uniqKey="Hidaka S">S. Hidaka</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Osaki, T" uniqKey="Osaki T">T. Osaki</name></author><author><name sortKey="Nomura, Y" uniqKey="Nomura Y">Y. Nomura</name></author><author><name sortKey="Hirota, J" uniqKey="Hirota J">J. Hirota</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moghimi, M" uniqKey="Moghimi M">M. Moghimi</name></author><author><name sortKey="Baart, J A" uniqKey="Baart J">J. A. Baart</name></author><author><name sortKey="Karagozoglu, K H" uniqKey="Karagozoglu K">K. H. Karagozoglu</name></author><author><name sortKey="Forouzanfar, T" uniqKey="Forouzanfar T">T. Forouzanfar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chiles, D G" uniqKey="Chiles D">D. G. Chiles</name></author><author><name sortKey="Cosentino, B J" uniqKey="Cosentino B">B. J. Cosentino</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bruce, R A" uniqKey="Bruce R">R. A. Bruce</name></author><author><name sortKey="Frederickson, G C" uniqKey="Frederickson G">G. C. Frederickson</name></author><author><name sortKey="Small, G S" uniqKey="Small G">G. S. Small</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vent, I" uniqKey="Vent I">I. Ventä</name></author><author><name sortKey="Kyl Tie, E" uniqKey="Kyl Tie E">E. Kylätie</name></author><author><name sortKey="Hiltunen, K" uniqKey="Hiltunen K">K. 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Lund</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mccoy, J M" uniqKey="Mccoy J">J. M. McCoy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Korownyk, C" uniqKey="Korownyk C">C. Korownyk</name></author><author><name sortKey="Allan, G M" uniqKey="Allan G">G. M. Allan</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRID</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27957349</article-id><article-id pub-id-type="pmc">5120193</article-id><article-id pub-id-type="doi">10.1155/2016/9437514</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>A Case of Buccal Abscess from an Impacted Wisdom Tooth in an Elderly Person with Malnutrition</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-9645-2148</contrib-id><name><surname>Kojima</surname><given-names>Yuki</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Kojima</surname><given-names>Mizuha</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Sakaguchi</surname><given-names>Kazuhiro</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Sakaguchi</surname><given-names>Yutaka</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of Physiology, Tokyo Dental College, 2-9-18 Misaki-cho, Tokyo 101-0061, Japan</aff><aff id="I2"><sup>2</sup>Sakaguchi Dental Clinic, 1-20-5 Kasuga, Chuo-ku, Chiba 260-0033, Japan</aff><author-notes><corresp id="cor1">*Yuki Kojima: <email>yukikojima@tdc.ac.jp</email></corresp><fn fn-type="other"><p>Academic Editor: Pia L. Jornet</p></fn></author-notes><pub-date pub-type="ppub"><year>2016</year></pub-date><pub-date pub-type="epub"><day>9</day><month>11</month><year>2016</year></pub-date><volume>2016</volume><elocation-id>9437514</elocation-id><history><date date-type="received"><day>24</day><month>8</month><year>2016</year></date><date date-type="rev-recd"><day>19</day><month>10</month><year>2016</year></date><date date-type="accepted"><day>25</day><month>10</month><year>2016</year></date></history><permissions><copyright-statement>Copyright © 2016 Yuki Kojima et al.</copyright-statement><copyright-year>2016</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/4.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>We report a case of buccal abscess caused by an impacted wisdom tooth in an extremely elderly person with malnutrition. The patient was a 94-year-old man, who complained that he had found it hard to open his mouth and that his cheek had been swollen for the previous 2 weeks. He had a shallow oral wound caused by an improperly fitting denture; however, the wound became infected. We performed incisional drainage of the abscess under local anesthesia. The swelling disappeared and he was able to open his mouth 55 mm. The elderly have a high risk of healing failure of injuries and it has been reported that infection in a host in a compromised state is severely intractable. This elderly patient was in a compromised state because of malnutrition. Cases such as this one will increase as the elderly population increases. Dentists need to consider the quality of life of patients with a longer life expectancy and should offer patients several treatment options before their general condition deteriorates.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Swelling was seen in the right cheek.</p></caption><graphic xlink:href="CRID2016-9437514.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>An inner tooth fistula could be observed in the lower right corner. The fistula exuded pus from the impacted wisdom tooth.</p></caption><graphic xlink:href="CRID2016-9437514.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>A bone transmission image was seen around the tooth crown.</p></caption><graphic xlink:href="CRID2016-9437514.003"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Japon</li></country><region><li>Région de Kantō</li></region><settlement><li>Tokyo</li></settlement></list><tree><country name="Japon"><region name="Région de Kantō"><name sortKey="Kojima, Yuki" sort="Kojima, Yuki" uniqKey="Kojima Y" first="Yuki" last="Kojima">Yuki Kojima</name></region><name sortKey="Kojima, Mizuha" sort="Kojima, Mizuha" uniqKey="Kojima M" first="Mizuha" last="Kojima">Mizuha Kojima</name><name sortKey="Sakaguchi, Kazuhiro" sort="Sakaguchi, Kazuhiro" uniqKey="Sakaguchi K" first="Kazuhiro" last="Sakaguchi">Kazuhiro Sakaguchi</name><name sortKey="Sakaguchi, Yutaka" sort="Sakaguchi, Yutaka" uniqKey="Sakaguchi Y" first="Yutaka" last="Sakaguchi">Yutaka Sakaguchi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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