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A Case of Buccal Abscess from an Impacted Wisdom Tooth in an Elderly Person with Malnutrition

View Article: PubMed Central - PubMed

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.

No MeSH data available.


Related in: MedlinePlus

Swelling was seen in the right cheek.
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fig1: Swelling was seen in the right cheek.

Mentions: At the initial visit, his right cheek and submandibular region were swollen and showed mild reddening (Figure 1). He felt tenderness in the right submandibular lymph nodes. His mouth-opening distance was 23 mm (between the residual ridges). He had no fever (36.4°C) and no pain on swallowing. There was swelling and a wave of redness in the buccal mucosa and the region of the alveolar ridge corresponding to the molars. We observed a fistula inside the mouth in the region of the right molars (Figure 2). This fistula discharged a foul-smelling, yellowish-white pus.


A Case of Buccal Abscess from an Impacted Wisdom Tooth in an Elderly Person with Malnutrition
Swelling was seen in the right cheek.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5120193&req=5

fig1: Swelling was seen in the right cheek.
Mentions: At the initial visit, his right cheek and submandibular region were swollen and showed mild reddening (Figure 1). He felt tenderness in the right submandibular lymph nodes. His mouth-opening distance was 23 mm (between the residual ridges). He had no fever (36.4°C) and no pain on swallowing. There was swelling and a wave of redness in the buccal mucosa and the region of the alveolar ridge corresponding to the molars. We observed a fistula inside the mouth in the region of the right molars (Figure 2). This fistula discharged a foul-smelling, yellowish-white pus.

View Article: PubMed Central - PubMed

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.

No MeSH data available.


Related in: MedlinePlus