employee
Tyumen, Tyumen, Russian Federation
Tyumen, Tyumen, Russian Federation
employee
Tyumen, Tyumen, Russian Federation
employee
Tyumen, Tyumen, Russian Federation
student
Tyumen, Tyumen, Russian Federation
student
Tyumen, Tyumen, Russian Federation
UDK 616.31 Стоматология. Заболевания ротовой полости и зубов
Background data. A clinical case of brain abscess that occurred as a complication of chronic odontogenic osteomyelitis of the mandible on the background of a severe form of dentophobia. Subject. Chronic periodontitis is a possible cause of the development of potentially dangerous complications such as mediastinitis, thrombophlebitis, brain abscess, etc. Most often these complications arise due to untimely seeking medical help because of fear of dental intervention, the extreme manifestation of which is dentophobia. It is also known that odontogenic cause of cerebral abscess is foci of infection localised in the region of the maxilla. Objective: to study and describe a case of brain abscess, which occurred as a complication of chronic odontogenic osteomyelitis of the mandible on the background of a severe form of dentophobia. Materials and Methods. We analysed the medical records of a patient with odontogenic brain abscess resulting from a complication of chronic odontogenic osteomyelitis of the mandible on the background of severe dentophobia. Results. A patient with brain abscess developed as a result of exacerbation of chronic odontogenic osteomyelitis of the lower jaw was urgently hospitalised to the maxillofacial surgery department of the Tyumen General Hospital No. 2. From the anamnesis it is known that during 1.5 years the patient had repeatedly applied to the Tyumen General Hospital No. 2 for chronic apical periodontitis, however, he did not agree to surgical treatment because of fear of dental intervention. Further, despite the deterioration of his condition, he twice refused hospitalisation. During his stay in hospital, the patient received surgical and intensive medical care. After treatment, he was discharged with residual neurological consequences. Psychocorrection of dentophobia was prescribed. Conclusions. 1. The cause of brain abscess may be an odontogenic inflammatory process localised in the mandible. 2. Dentophobia leads to untimely medical care and may be the cause of serious complications.
brain abscess, dentophobia, odontogenic osteomyelitis, sepsis, periodontitis
1. Barhyan, M.A., Zoz V.A., Onischenko V.L. Dentofobiya: prichiny i metody korrekcii. Vestnik nauki. 2023;1(58):270-275. [M.A. Barkhyan, V.A. Zoz, V.L. Onishchenko. Dentophobia: causes and methods of correction. Bulletin of Science. 2023;1(58):270-275. (In Russ.)]. https://elibrary.ru/gdmgfm
2. Gulenko O.V., Novikova I.S., Vartanyan S.A., Gerbova T.V., Paramonova O.A., Uvarova A.G., Shafranova S.K., Gayvoronskaya T.V. Retrospektivnyy analiz rasprostranennosti odontogennyh abscessov i flegmon chelyustno-licevoy oblasti sredi naseleniya krasnodarskogo kraya. Mezhdunarodnyy nauchno-issledovatel'skiy zhurnal. 2023;4(130). [O.V. Gulenko, I.S. Novikova, S.A. Vartanyan, T.V. Gerbova, O.A. Paramonova, A.G. Uvarova, S.K. Shafranova, T.V. Gaivoronskaya. Retrospective analysis of the prevalence of odontogenic abscesses and phlegmons of the maxillofacial region among the population of Krasnodar Krai. International Research Journal. 2023;4(130). (In Russ.)]. https://doi.org/10.23670/IRJ.2023.130.69
3. Umirzakova N.A., Avazοva Sh.N., Davlatοva D.D. Deontologicheskie aspekty v dentafobii. Avicenna.2021;77:13-15. [N.A. Umirzakova, Sh.N. Avazοva, D.D. Davlatοva. Deontological aspects in dentaphobia. Avicenna. 2021;77:13-15. (In Russ.)]. https://www.elibrary.ru/item.asp?id=44662703
4. André João da Silva Pais Rocha Pereira, Ana Teresa Tavares, Marcelo Prates, Natacha Ribeiro, Luís Filipe Fonseca, Maria do Rosário Marques, Francisco Proença. Brain Abscess: A Rare Clinical Case with Oral Etiology. Case Reports in Infectious Diseases. 2022; 6. https://doi.org/10.1155/2022/5140259
5. Charlène Kichenbrand, Alix Marchal, Alizée Mouraret, Nasr Hasnaoui, Julie Guillet, Fabien Rech, Berengère Phulpin, Brain abscesses and intracranial empyema due to dental pathogens: Case series // International Journal of Surgery Case Reports. - 2020;69:35-38. https://doi.org/10.1016/j.ijscr.2020.03.025 .
6. Dalager-Pedersen, Diederik van de Beek, Matthijs C Brouwer, Henrik Nielsen, Risk Factors for Brain Abscess // A Nationwide, Population-Based, Nested Case-Control Study, Clinical Infectious Diseases. - 2020;71(4):1040-1046. https://doi.org/10.1093/cid/ciz890
7. Jacob Bodilsen, Jannik Helweg Larsen, Jens Otto Jarløv, Morten Ziebell, Svend Ellermann-Eriksen, Ulrik S Justesen, Niels Frimodt-Møller, Niels Obel, Lars Haukali Omland, Dentist’s Visits and Risk of Brain Abscess // A Nationwide, Population-Based Case-Control Study, Clinical Infectious Diseases. - 2022;75(5):824-829. https://doi.org/10.1093/cid/ciab10542.
8. Jacob Bodilsen, Theis Mariager, Lærke Storgaard Duerlund, Merete Storgaard, Lykke Larsen, Christian Thomas Brandt, Birgitte Rønde Hansen, Lothar Wiese, Lars Haukali Omland, Henrik Nielsen, the Danish Study Group of Infections of the Brain , Brain Abscess Caused by Oral Cavity Bacteria // A Nationwide, Population-based Cohort Study, Clinical Infectious Diseases. - 2023. https://doi.org/10.1093/cid/ciad678
9. Luis Felipe Burgos-Larraín, Álvaro Vázquez-Portela, Carlos M. Cobo-Vázquez, Luis Miguel Sáez-Alcaide, Luis Sánchez-Labrador, Cristina Meniz-García, Brain complications from odontogenic infections: A systematic review // Journal of Stomatology, Oral and Maxillofacial Surgery. - 2022;123(6):794-800. https://doi.org/10.1016/j.jormas.2022.07.018
10. Montemurro N., Perrini P., Marani W., Chaurasia B., Corsalini M., Scarano A., Rapone B. Multiple Brain Abscesses of Odontogenic Origin. May Oral Microbiota Affect Their Development? A Review of the Current Literature. // Applied Sciences. - 2021;11(8):3316. https://doi.org/10.3390/app11083316.
11. Aburas S., Pfaffeneder-Mantai F., Hofmann A., Meller O., Schneider B., Turhani D. Dentophobia and dental treatment: An umbrella review of the published literature // The Official Journal of the Special Care Dentistry Association. - 2023;43(2):174-183. https://doi.org/10.1111/scd.12749.
12. Kurbonov Y.K., Boymuradov S.A., Djuraev J.A. Purulent-Necrotic Diseases Of The Face: Aspects Of Diagnostics And Treatment // The American Journal of Medical Sciences and Pharmaceutical Research. - 2021;3(1):24-30. https://doi.org/10.37547/TAJMSPR/Volume03Issue01-05.
