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The treatment of a submasseteric space infection is usually by surgical incision and drainage, and the incision is placed intra-orally (inside the mouth) or both intra and extra-orally if other parts of the masticator space are involved.
The pterygomandibular space is one of the possible spaces into which a tooth may be displaced into during dental extraction, e.g. of a maxillary wisdom tooth. [5] A mandibular fracture in the angle region may also be the cause of a pterygomandibular space infection. [1]
Incision and drainage (I&D), also known as clinical lancing, are minor surgical procedures to release pus or pressure built up under the skin, such as from an abscess, boil, or infected paranasal sinus.
Localised dental abscesses may be appropriately treated by intra-oral drainage via tooth extraction, opening of root canals and/or intra-oral incision and drainage. Wherever there are signs of spreading cervico-facial infection or significant systemic disturbance, however, patients should be referred urgently further management. [citation needed]
If the tooth is to be removed, drainage will occur via the socket. Otherwise, if pus is already discharging from the periodontal pocket, this can be encouraged by gentle irrigation and scaling of the pocket whilst massaging the soft tissues. If this does not work, incision and drainage is required, as described in Dental abscess Treatment.
This can be caused by tooth decay, broken teeth or extensive periodontal disease (or combinations of these factors). A failed root canal treatment may also create a similar abscess. A dental abscess is a type of odontogenic infection , although commonly the latter term is applied to an infection which has spread outside the local region around ...
ConeBeam computerized tomography image of a post-operative orthognathic surgery. Oral and maxillofacial radiology, also known as dental and maxillofacial radiology, or even more common DentoMaxilloFacial Radiology, is the specialty of dentistry concerned with performance and interpretation of diagnostic imaging used for examining the craniofacial, dental and adjacent structures.
The incision and drainage process is completed with the debridement of necrotic tissue and thorough irrigation. [25] It is necessary to mark drains in order to identify their location. They should be sutured with loops as well so it will be possible to advance them without re-anaesthetizing the patient while drains are re-sutured to the skin. [25]