ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ NHIỄM KHUẨN HÀM MẶT DO RĂNG SAU: VAI TRÒ CỦA LÂM SÀNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN

Abstract

Background: Despite advancements in medicine, the recovery time for patients with maxillofacial infections remains highly variable. Therefore, evaluating general and clinical characteristics is crucial for early prognosis, optimizing treatment protocols, and reducing hospital stay duration. Objectives: To evaluate the treatment outcomes of odontogenic maxillofacial infections and analyze the role of clinical characteristics and other related factors influencing recovery time. Materials and methods: This study included 45 patients with odontogenic maxillofacial infections originating from posterior teeth. General characteristics, medical history, clinical features, and treatment outcomes at discharge were recorded. Results: The study population consisted of 45 patients with a mean age of 56 ± 19.79 years; among them, 26 had a history of diabetes mellitus. The average hospital stay was 7.69 ± 2.69 days. Pain intensity and mouth opening improved significantly after treatment. A linear regression model showed that age, history of diabetes mellitus, and dysphagia explained 26.3% of the variability in hospital stay duration. Conclusion: Most patients with odontogenic maxillofacial infections originating from posterior teeth had favorable outcomes with conservative management combined with incision and drainage, along with management of the causative tooth. Age, diabetes mellitus, and dysphagia were associated with longer hospital stays.