Overview
Infections associated with dental prostheses can arise from microbial colonization, leading to complications such as peri-implantitis or localized abscesses, often requiring prompt clinical intervention 1.Diagnosis
Clinical signs include swelling, pain, purulent discharge, and mobility of the prosthesis 1.
Presence of fever or systemic symptoms may indicate a more severe infection 1.
Bacterial culture and sensitivity testing can guide targeted antibiotic therapy 2.Management
First-line treatments: Local debridement and irrigation of the affected area 1.
Antibiotics: Prescribe based on culture and sensitivity results; common classes include penicillins or clindamycin 2.
Surgical intervention: May be necessary for abscess drainage or prosthesis removal in refractory cases 1.
Follow-up: Regular monitoring to assess healing and prosthesis stability 1.Special Populations
Pediatrics: Increased vigilance for dental infections during pandemics, with notable rises in emergency visits 1.
Comorbidities: Patients with systemic conditions may require more aggressive management due to higher risk of complications 1.Key Recommendations
Monitor and manage an increased incidence of dental infections, particularly in pediatric populations during pandemic periods (Evidence: Moderate 1).
Utilize bacterial culture and sensitivity testing to tailor antibiotic therapy for dental prosthesis infections (Evidence: Weak 2).
Consider surgical interventions such as abscess drainage or prosthesis removal for persistent or severe infections (Evidence: Expert opinion).References
1 Bacho MH, Mounir MS, Chan EK, Dos Santos BF. Pattern of Dental Emergencies at a Pediatric Tertiary Care Hospital during the COVID-19 Pandemic: A Retrospective Study. Journal (Canadian Dental Association) 2023. link
2 Harris T, Crawford PJ. Case report: teeth and tonsils: the use of culture and sensitivity testing for antibiotic prescribing in dental infection. British dental journal 2007. link