Submandibulary Abscess With Molar Teeth Pulp Necrosis
DOI:
https://doi.org/10.46862/interdental.v21i2.11090Keywords:
Drainage, incision, odontogenic infections, submandibular abscess, tooth extractionAbstract
Introduction: A Submandibular abscess is an accumulation of pus in the submandibular region, often caused by odontogenic infections. An untreated submandibular abscess can lead to life-threatening complications.
Case: A 47-year-old woman presented to the emergency department with progressive swelling of the left neck, dysphagia, and respiratory distress. She had a history of intermittent dental pain for two years. Examination revealed submandibular swelling extending to the neck, with erythema, warmth, tenderness, and fluctuance. Intraoral examination showed deep caries in tooth 37, residual root of tooth 46, and poor oral hygiene.
Case Treatment: This case was managed collaboratively with the general surgery department, involving an extraoral incision and drainage, antibiotic therapy (ceftriaxone 2 x 1g IV and metronidazole 3 x 500mg IV), and tooth extraction to expedite recovery.
Discussion: Dental plaque and debris containing carbohydrates are converted into lactic acid by bacteria, leading to tooth structure destruction. This creates a pathway for bacterial invasion of the apical region, infecting the cancellous bone and cortical bone. The infection can spread through the bone to the soft tissues. Anatomically, mandibular molar tooth infections can easily spread to the buccal space and submandibular space.
Conclusion: Tooth extraction is crucial in managing submandibular abscesses with odontogenic infections to prevent recurrence.
Downloads
References
1. Aryani A, Fardani SR, Hayuti TG, Ginari APA, Hartomo BT. Penegakan diagnosis dan penatalaksanaan abses submandibula. Indonesian Journal of Dentistry 2022; 2(1): 7-15. doi: 10.26714/ijd.v2i1.9866
2. Berliananda I, Kurnia B. Management of submandibular abscess with candidiasis complications. TIGH. 2023; 3(1): 37-38. Doi: 10.24815/tigh.v3i1.29989
3. Zahro II, Biljannah JA, Manyakori SPP. Abses leher dalam dengan riwayat sakit gigi : laporan kasus deep neck abscess with history of toothache: case report. Proceeding Book Call for Papers Fakultas Kedokteran Universitas Muhammadiyah Surakarta Synapse; 2022 December 12; Surakarta, Indonesia: CME; 2022.
4. Ariobimo BN, Nujum N, Saputro DPH. Abses submandibula. Healthy Tadulako Journal 2023; 9(2): 250-256. Doi: https://doi.org/10.22487/htj.v9i2.686
5. Amran AJ, Irawati E, Hasanuddin NR, Mulyati SE. Insidensi abses maksilofasial akibat impaksi molar ketiga mandibula. DENThalib Journal 2023; 1(3): 68-72.
6. Zam SNA, Fatkhurrohman F, Ikrimazahra B, Putri DH, Sekarini NI, Pulungan K. Penatalaksanaan abses submandibula sinistra et causa gangren radiks pada pasien hepatitis di RSUD Sultan Fatah Demak (laporan kasus). Cakradonya Dental Journal 2024; 16(1): 24-29. doi: 10.24815/cdj.v16i1.32194
7. Wulansari I, Widiastuti MG, Rahardjo R. Studi kasus abses submandibula odontogenik pada penderita idiopatik trombositopeni purpura di RSUP dr. Sardjito. MKGK 2016; 2(1): 19. Doi: 10.22146/mkgk.31730
8. Litha Y, Gazali M, Lopo C, Nayoan CR. Submandibular abscess. Jurnal Medical Profession (MedPro) 2019; 1(2): 144-150.
9. Santosa A. Abses submandibula dengan komplikasi mediastinitis. Warmadewa Medical Journal 2017; 2(2): 77-81. Doi: https://doi.org/10.22225/wmj.2.2.76.77-81
10. Roberto Ortiz B, Vanessa Espinoza D. Odontogenic infection. review of the pathogenesis, diagnosis, complications and treatment. Research Reports in Oral and Maxillofacial Surgery 2021; 5(2): 1-10. Doi: 10.23937/2643-3907/1710055
11. Ahmadi H, Ebrahimi A, Ahmadi F. Antibiotic therapy in dentistry. Int J Dent 2021: 1-10. Doi: 10.1155/2021/6667624
12. Tormes AKM, De Bortoli MM, Júnior RM, Andrade ESS. Management of a severe cervicofacial odontogenic infection. Journal of Contemporary Dental Practice 2018;19(3):352-355. Doi: 10.5005/jp-journals-10024-2265
13. Fong B, Vearrier L. Neck abscess. Vis J Emerg Med. 2022; 7: 18-19.
14. Miller CR, Von Crowns K, Willoughby V. Fatal ludwig’s angina: cases of lethal spread of odontogenic Infection. Acad Forensic Pathol 2018; 8(1): 150-169. Doi: 10.23907/2018.011
15. Sakhuja A, Shrestha DB, Aryal BB, Mir WAY, Verda L. Rare angina: a case report of ludwig’s angina. Cureus 2022; 14(6): 1-3. Doi: 10.7759/cureus.25873
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Tania Syifomade, Setiawan Suseno, Wahyu Tauhid Nur Rizal

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
- Every manuscript submitted to must observe the policy and terms set by the Interdental Jurnal Kedokteran Gigi (IJKG)
- Publication rights to manuscript content published by the Interdental Jurnal Kedokteran Gigi (IJKG) is owned by the journal with the consent and approval of the author(s) concerned.
- Full texts of electronically published manuscripts can be accessed free of charge and used according to the license shown below.