Predisposing Factors, Clinical Features, Culture Sensitivity Findings in Dentoalvealar Abscess versus Ludwigs Angina: An Original Research

Abstract

Aim: Purpose of our research was to compare predisposing factors, clinical manifestations as well as culture sensitivity between cases of dentoalveolar abscess and ludwig’s angina.

Methodology: A retrospective study was conducted of all cases of Ludwig’s Angina (LA) and Dentoalveolar abscess that was seen in our institution for a period of 5 years (2015-2020). 31 cases of dentoalveolar cases and 13 cases of Ludwig’s angina were considered in the present study. Information retrieved from the patients’ case files included the demographics, aetiology, signs and symptoms at presentation and possible predisposing factors. Laboratory investigations that were done including culture and sensitivity of all aspirates obtained. Descriptive statistical analysis was conducted to initiate the comparison between both the diseases.

Results: Dentoalveolar abscess was common in mandibular molar region with the predominant isolates like Streptococcus species 14.2% of all isolates other than Streptococcus pneumoniae and Enterococcus species. On culture, in case of Ludwig’s angina, it was found that streptococcus species, in 83.5% specimens especially streptococcus viridans along with actinomyces species were present in 11% cases of Ludwig’s angina.

Conclusion: It is imperative to be equipped with the knowledge related to these two spreading odontogenic infections which spreads to fascial spaces, so that proper and early management can be carried out by dental surgeons.