Authors: Abir Mannai, Atika Bouabid, Maryem Nait Melek, Selsebil Laajimi, Baaziz Ahlem.
Abstract:
Abstract
Introduction
Pediatric odontogenic cellulitis is a common facial infection in children, often progressing rapidly due to anatomical and immunological factors. Early recognition and management are essential to prevent serious complications. This report aims to illustrate the clinical spectrum and management of pediatric odontogenic cellulitis through three representative cases.
Observation
Three pediatric cases with variable presentations were reported. Case 1 involved a permanent first molar and was successfully managed conservatively with systemic antibiotics and endodontic therapy. Cases 2 and 3 originated from primary molars, progressed rapidly, and required hospitalization, extraction, or pulpectomy along with systemic antibiotics. Clinical and radiographic follow-up confirmed infection resolution and proper healing.
Discussion
These cases highlight the importance of tailoring management to the infection stage and tooth type. Permanent teeth can often be preserved with endodontic treatment, while severely affected primary teeth may require extraction. Prompt intervention and judicious antibiotic use are critical to prevent severe complications. Preventive strategies, including early caries management and parental education, remain essential to reduce the burden of odontogenic infections in children.
Keywords:
pediatric odontogenic cellulitis, facial infection, endodontic treatment, extraction.