Odontogenic Infections in Pregnancy: Case Studies

Abstract

Introduction: Globally, dental diseases in pregnancy have been reported to affect between 10% and 50% of pregnant
women. In Tanzania, periodontal disease burden among pregnant women stands at 14.2%. Despite improvements in
antenatal care (ANC) attendance, oral cavity examination is not part of the ANC package in Tanzania. Consequently,
oral health evaluation receives little attention from healthcare providers during routine ANC, exacerbating the risk of
dental complications during pregnancy.
Case studies Presentation: This report presents four distinct cases of dental issues leading to severe complications,
including brain abscess, empyema thoracis, Ludwig’s angina, and maternal sepsis. A multidisciplinary approach was
employed in managing these cases, tailoring interventions based on individual patient needs. While three cases resulted
in positive maternal outcomes, one case experienced poor outcomes due to Ludwig’s angina. Unfortunately, perinatal
deaths occurred in three cases, attributed to preterm delivery and intrauterine foetal demise, with only one case yielding
a favourable perinatal outcome.
Conclusion: The reported case studies underscore the critical importance of integrating oral cavity evaluation into routine
ANC to facilitate timely diagnosis and appropriate management, thereby reducing associated morbidity and mortality
risks.