Dental infection, diabetes and anti-inflammatory drugs: an explosive triad

Abstract

Background: Cervico-facial cellulitis of dental origin are serious and formidable conditions which pose a problem of appropriate therapeutic management. The objective of this work is to present the explosive cocktail of dental infection, unbalanced diabetic subject and non-steroidal anti-inflammatory drug. Clinical case: A 55-year-old patient consult for localized odontalgia on the 36. The patient is hypertensive et diabetic. Clinical and radiographic examination led to the diagnosis of acute apical periodontitis. Medication (Amoxicillin, Paracetamol, Chlorexidine) was started and the patient was referred to the diabetologist who prescribed non-steroidal anti-inflammatory drugs. Two weeks later, the subject returned with a clinical picture marked by extensive maxillofacial tissue necrosis. Results: The patient was treated in the operating room under general anesthesia. The postoperative course was simple. However, inesthetic and functional damages and a significant financial cost were noted. Conclusion: The triad of dental infection, unbalanced diabetes and non-steroidal anti-inflammatory drugs is an explosive cocktail that can be life threatening.