Manejo de celulite facial de origem odontogênica: relato de três casos clínicos.

Abstract

Facial cellulitis is a mixed microbiota infection that affects the fascial spaces when the vector resistances can not combat purulent collection or expel it. Clinically, it presents as a diffuse volume increase, hardened, painful palpation and foul odor, the patient may also present signs such as dysphagia, dyslalia, trismus, dyspnea, fever and prostration. OBJECTIVE: To present three clinical cases of odontogenic facial cellulitis infection, its clinical behavior and therapeutic management. CASE REPORTS: A female patient with increased volume and painful sensation on the left side of the face, with no intra or extra oral fluctuation point. In the second case, a female patient with severe pain, right side volume increase and severe trismus. The third patient, male with severe pain, dysphagia, dyspnea and toxic appearance. After confirming the diagnosis of facial cellulitis, the conduct in all cases was to perform the exodontia of the elements that had infectious foci, antibiotic therapy and finally surgical drainage in the last two cases. In the evaluation of the postoperative period of all, there were no signs of infection and increased volume. CONCLUSION: Odontogenic infections are common diseases in the daily routine of the dental surgeon, therefore an accurate diagnosis and adequate therapeutic measures may prevent progression to more severe conditions, with risks of morbidity and even mortality.