Journal of Scientific Dentistry

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VOLUME 9 , ISSUE 1 ( January-June, 2019 ) > List of Articles


Role of Antibiotics in Orofacial Antibioma and its Management: A Case Report

Pilavuthil Rilna, Thamizhp Pozhil Guna, Nithin Joseph, Kumaravel Raghu

Keywords : Antibioma, Antibiotics, Odontogenic infection, Resistance

Citation Information : Rilna P, Guna TP, Joseph N, Raghu K. Role of Antibiotics in Orofacial Antibioma and its Management: A Case Report. 2019; 9 (1):13-14.

DOI: 10.5005/jp-journals-10083-0901

License: CC BY-NC 4.0

Published Online: 01-12-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Antibiotics are used for therapeutic and prophylactic purposes. In the case of odontogenic infections, these drugs are commonly used as supportive measure for controlling the spread of infection. Proper understanding of the disease process, mode of action of antibiotics, and monitoring the susceptibility of the microbes to the particular drugs are very essential for a successful treatment outcome. As there is no clear guideline for the use of antibiotics in dentistry, it has been misused or overused in most of the cases. This leads to drug resistance and various other complications. Antibioma is a tough walled abscess which forms commonly as the squeal of inadequate pus drainage during infection and inappropriate use of antibiotics by the patient. Here we present a case of antibioma which was formed due to persistent odontogenic infection. Nonsurgical management was done using magnesium sulfate dressing which was changed regularly. Complete reduction of the antibioma was noticed at follow-up period.

  1. Marra F, George D, Chong M, Sutherland S, Patrick DM. Antibiotic prescribing by dentists has increased: why? J Am Dent Assoc 2016;147(5):320–327. DOI: 10.1016/j.adaj.2015.12.014.
  2. Dar-Odeh NS, Abu-Hammed OA, Al-Omiri MK, Khraisat AS, Shehabi AA. Antibiotic prescribing practices by dentists: a review. Ther Clin Risk Manag 2010;6:301–306. DOI: 10.2147/TCRM.S9736.
  3. Poveda Roda R, Bagan JV, Sanchis Bielsa JM, Carbonell Pastor E. Antibiotic use in dental practice. A review. Med Oral Patol Oral Cir Bucal 2007;12(3):E186–E192.
  4. Cope AL, Wood F, Francis NA, Chestnutt IG. General dental practitioners’ perceptions of antimicrobial use and resistance: a qualitative interview study. Br Dent J 2014;217(5):E9. DOI: 10.1038/sj.bdj.2014.761.
  5. Muzaffar D, Mahdey HM, Sonjaya D, Zafar MS. Tendency of self-medication among various malaysian ethnicities. Br J Pharmacol 2016;9(2):1–7. DOI: 10.9734/BJPR/2016/21826.
  6. Afolabi AO, Akinmoladun VI, Adebose IJ, Elekwachi G. Self-medication profile of dental patients in Ondo State, Nigeria. Niger J Med 2010;19(1):96–103. DOI: 10.4314/njm.v19i1.52488.
  7. Kuriyama T, Nakagawa K, Karasawa T, Saiki Y, Yamamoto E, Nakamura S. Past administration of beta-lactam antibiotics and increase in the emergence of beta-lactamase-producing bacteria in patients with orofacial odontogenic infections. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89(2):186–192. DOI: 10.1067/moe.2000.102040.
  8. Kirkwood KL. Update on antibiotics used to treat orofacial infections. Alpha Omegan 2003;96(4):28–34.
  9. Harneet S, Ambika G, Aarti S, Samidha K. Non surgical treatment of antibioma in oro-facial region. Int J Curr Res 2017;9(8):56666–56667.
  10. Patil N, Kaul D, Tambuwala A, Pingal C, Sheikh MS, Pendharkar S. Large antibioma resulting from injudicious use of antibiotics: a case report. Int J Dent Med Res 2015;1(5):89–92.
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