Not long ago, he began to have a toothache again, still took some anti-fire medicine, but a week passed, the "fire" did not go down, the chin was still swollen and larger, the skin of the chin and neck was red, it was about to fester, and it also caused fever. His family rushed him to the emergency room of the First Affiliated Hospital of Zhejiang University School of Medicine.
"Teeth on fire"
Almost unable to breathe
When he first arrived at the hospital, Zhang Dabo not only had a swollen chin and neck, but also had a fever of 39 ° C, and even his breathing became rapid and unable to swallow, and his blood pressure was as high as 180/120 mm Hg. After examination, most of the teeth in Zhang Dabo's mouth are loose and obvious, as well as rotten tooth stumps, dental calculus almost covers the teeth, multi-cavity abscess under the mouth, and the doctor diagnoses the infection of the maxillofacial space caused by odontogenic infection, resulting in severe edema of local tissues compressing the respiratory tract and causing dyspnea. If left untreated, suffocation is likely to occur.
After preoperative examination and multidisciplinary consultation, the expert team of chief physician Liu Jianhua of the Department of Stomatology and deputy chief physician Wei Dong performed emergency surgery for Zhang Dabo, urgently incised the trachea, and completely cleaned the necrotic tissue and abscess for him in the state of general anesthesia.
Zhang Dabo's blood glucose control is not good, prone to infection after surgery, followed by 3 debridement surgeries, combined with anti-infection and other comprehensive treatment, and finally turned the crisis into safety.
Doctors said that Zhang Dabo's oral problems are very serious, and there are many diseases such as caries, pulpitis, periapical periodontitis, and as a diabetic patient, Zhang Dabo has poor resistance than ordinary people and is more susceptible to infection. Doctors suggest that Zhang Dabo also needs to carry out systematic treatment of the affected tooth, otherwise it is easy to cause serious infection.
"Inflammation" is no small thing
May cause systemic problems
What Uncle Zhang didn't understand was how the original "tooth inflammation" was suddenly critically ill.
Wei Dong said that if these dental diseases are not treated in time, the infection spreads, which can lead to infection of the maxillofacial space.
Once "tooth inflammation" develops into a maxillofacial space infection, symptoms such as chills, fever, headache, general malaise, difficulty breathing, and loss of appetite may occur. Toxic shock occurs when severe infection is accompanied by sepsis or sepsis, or even more life-threatening intracranial infection.
"We see an average of about 300 cases of maxillofacial space infections each year, the vast majority of which are caused by dental disease, of which about 20 are severe enough to require tracheostomy or even systemic infections." Wei Dong said, "According to domestic and foreign literature, the mortality rate of severe maxillofacial space infection is even as high as 40%. ”
Experts said that many people think that toothache, gum swelling and pain suppuration, take some anti-inflammatory drugs or painkillers, in a few days it will be fine, but in fact, the symptoms are not cured, once tired or resistance declines, tooth inflammation spreads again, which will lead to an acute attack of infection. Therefore, once the toothache occurs, it is recommended to go to the hospital stomatology department for treatment, clarify the cause, timely treatment, if it is a tooth that has no retained value, it should be extracted in time. People such as diabetics should pay more attention to oral hygiene. Correspondent Zhu Shiyi
Source: Zhejiang Old YearLy