The impact of anti-inflammatory drugs on facial odontogenic cellulitis in children: a cross-sectional study in France

Abstract Objective Dental caries is defined by the WHO as a multifactorial non-communicable disease. If left untreated, it can progress to abscesses and then head and neck odontogenic cellulitis. It requires immediate, appropriate, and interdisciplinary treatment. The aim of this study was to draw u...

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Main Authors: Lucille Poure, Caroline Delfosse, Thomas Trentesaux, Fleur Maury, François Dubos, Romain Nicot, Thomas Marquillier
Format: Article
Language:English
Published: Nature Publishing Group 2025-07-01
Series:BDJ Open
Online Access:https://doi.org/10.1038/s41405-025-00351-7
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author Lucille Poure
Caroline Delfosse
Thomas Trentesaux
Fleur Maury
François Dubos
Romain Nicot
Thomas Marquillier
author_facet Lucille Poure
Caroline Delfosse
Thomas Trentesaux
Fleur Maury
François Dubos
Romain Nicot
Thomas Marquillier
author_sort Lucille Poure
collection DOAJ
description Abstract Objective Dental caries is defined by the WHO as a multifactorial non-communicable disease. If left untreated, it can progress to abscesses and then head and neck odontogenic cellulitis. It requires immediate, appropriate, and interdisciplinary treatment. The aim of this study was to draw up an epidemiological profile of these children treated at the Lille University Hospital in northern France and to study the impact of self-medication of anti-inflammatory drugs. Materials and Methods A single-centre retrospective, cross-sectional study was conducted on children with odontogenic cellulitis admitted to the paediatric emergency department of the Lille University Hospital between March 2013 and December 2021. Results 15.3% of the 636 children included had taken nonsteroidal anti-inflammatory drugs before going to the emergency department. The frequency of pain and trismus was higher in children who had taken nonsteroidal anti-inflammatory drugs than in those who had not. Frequency of hospitalisation was higher in children who had not taken nonsteroidal anti-inflammatory drugs than for those who had (70% vs. 57%, respectively; p < 0.05). Inversely, the mean length of stay was longer for children who had taken nonsteroidal anti-inflammatory drugs than in those who had not (1.1 vs. 0.8 days, respectively; p < 0.05). Conclusion This first French epidemiological study on odontogenic cellulitis in children underlines the need to develop multidisciplinary prevention and patient education.
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spelling doaj-art-5a263e2d383047fdbd97254bb81eb2832025-08-20T03:43:10ZengNature Publishing GroupBDJ Open2056-807X2025-07-011111610.1038/s41405-025-00351-7The impact of anti-inflammatory drugs on facial odontogenic cellulitis in children: a cross-sectional study in FranceLucille Poure0Caroline Delfosse1Thomas Trentesaux2Fleur Maury3François Dubos4Romain Nicot5Thomas Marquillier6Private PracticeUniversité Lille, CHU Lille, UFR3S-Odontologie, Odontologie pédiatriqueUniversité Lille, CHU Lille, UFR3S-Odontologie, Odontologie pédiatriqueCHU Lille, Département d’information médicaleCHU Lille, Urgences pédiatriques & maladies infectieusesUniversité Lille, CHU Lille, Department of Oral and Maxillofacial Surgery, INSERM U1008-Advanced Drug Delivery SystemsUniversité Lille, CHU Lille, UFR3S-Odontologie, Odontologie pédiatriqueAbstract Objective Dental caries is defined by the WHO as a multifactorial non-communicable disease. If left untreated, it can progress to abscesses and then head and neck odontogenic cellulitis. It requires immediate, appropriate, and interdisciplinary treatment. The aim of this study was to draw up an epidemiological profile of these children treated at the Lille University Hospital in northern France and to study the impact of self-medication of anti-inflammatory drugs. Materials and Methods A single-centre retrospective, cross-sectional study was conducted on children with odontogenic cellulitis admitted to the paediatric emergency department of the Lille University Hospital between March 2013 and December 2021. Results 15.3% of the 636 children included had taken nonsteroidal anti-inflammatory drugs before going to the emergency department. The frequency of pain and trismus was higher in children who had taken nonsteroidal anti-inflammatory drugs than in those who had not. Frequency of hospitalisation was higher in children who had not taken nonsteroidal anti-inflammatory drugs than for those who had (70% vs. 57%, respectively; p < 0.05). Inversely, the mean length of stay was longer for children who had taken nonsteroidal anti-inflammatory drugs than in those who had not (1.1 vs. 0.8 days, respectively; p < 0.05). Conclusion This first French epidemiological study on odontogenic cellulitis in children underlines the need to develop multidisciplinary prevention and patient education.https://doi.org/10.1038/s41405-025-00351-7
spellingShingle Lucille Poure
Caroline Delfosse
Thomas Trentesaux
Fleur Maury
François Dubos
Romain Nicot
Thomas Marquillier
The impact of anti-inflammatory drugs on facial odontogenic cellulitis in children: a cross-sectional study in France
BDJ Open
title The impact of anti-inflammatory drugs on facial odontogenic cellulitis in children: a cross-sectional study in France
title_full The impact of anti-inflammatory drugs on facial odontogenic cellulitis in children: a cross-sectional study in France
title_fullStr The impact of anti-inflammatory drugs on facial odontogenic cellulitis in children: a cross-sectional study in France
title_full_unstemmed The impact of anti-inflammatory drugs on facial odontogenic cellulitis in children: a cross-sectional study in France
title_short The impact of anti-inflammatory drugs on facial odontogenic cellulitis in children: a cross-sectional study in France
title_sort impact of anti inflammatory drugs on facial odontogenic cellulitis in children a cross sectional study in france
url https://doi.org/10.1038/s41405-025-00351-7
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