Management of submandibular abscess extending to the temporal space in a child

Tatalaksana dari abses submandibula yang meluas ke spasia temporal pada anak

Abstract

Odontogenic abscess (OA) is an infection in the maxillofacial area originating from the tooth which if not treated quickly and appropriately can be life-threatening. In children, OA is one of the challenges for dentists where management must be carried out as quickly as possible, but patients are uncooperative when the procedure is performed under local anesthesia. Extension of the abscess into the temporal space in a child is a rarely reported case. A 10-year-old pediatric patient came with complaints of swelling on the right cheek that extended to the right side of the head and left eye accompanied by pain and limited mouth opening. Clinical examination, swelling of the right submandibular region extending to the right buccal and right infratemporal dextra soft consistency, painful palpation. OPG-X ray showed a deep caries perforation on tooth 46. Treatment was performed in the form of antibiotics, analgesics, extra-oral drainage incision of the submandibula and temporal region under general anes-thesia, and mouth opening exercises. After treatment, the patient can open his mouth wider so that his nutritional intake is bet-ter. It is concluded that abscess in the temporal region is generally caused by infection of the maxillary teeth, the spread of this infection can be influenced by the level of bacterial virulence and nutritional intake of the patient. Management of dentoal-veolar infection should be carried out as quickly as possible to prevent the spread of infection which can be life-threatening.