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Peer-reviewedCC BY-NC-ND 4.0BMC Oral Health

Pediatric odontogenic infection treatment approaches: retrospective analysis

  • Omri Emodi1,2
  • Hanna Frid1
  • Adi Rachmiel1,2
  • Amir Bilder1,2
  • Ron Elzami1,2
  • Sharon Rashish2,3
  • Adi Klein2,3
  1. 1Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel
  2. 2The Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
  3. 3Department of Pediatrics, Hillel Yaffe Medical Center, Hadera, Israel
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Abstract

Severe pediatric odontogenic infections may result from caries, periodontal issues, or direct trauma. Untreated, they can cause serious complications. Treatment protocols vary between hospitals. This study compared patient characteristics, treatment outcomes, and hospitalization parameters in two Israeli hospitals. A retrospective (2018–2021) cohort study included patients under 18 suffering from dental infections treated at the Maxillofacial Surgery Department of Rambam Health Care Campus (RHCC) in Haifa, Israel, or the Pediatrics Department of Hillel Yaffe Medical Center (HYMC) in Hadera, Israel. Data included patient demographics, clinical evaluations, treatments, and hospitalization details. Treatment protocols, which differed by hospital policy, served as the predictor variable (HYMC: hospitalization with IV antibiotics; RHCC: tooth extraction with subperiosteal drainage). The primary and secondary outcomes were hospitalization duration and days to clinical improvement, respectively. A total of 156 patients (78 per hospital) were enrolled. The total hospitalization period was twice as long at HYMC compared to RHCC (3.6 ± 1.2 vs. 1.9 ± 0.7; p < 0.001), and the time to clinical improvement was nearly three times higher (3.5 ± 1.3 vs. 1.1 ± 0.3; p < 0.001). The study demonstrates that surgical treatment results in faster clinical improvement and shorter hospitalization, indicating the need for personalized treatment protocols to optimize patient outcomes.

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Cite

BibTeXRIS
BibTeX
@article{emodi2026pediatric,
  title = {{Pediatric odontogenic infection treatment approaches: retrospective analysis}},
  author = {Omri Emodi and Hanna Frid and Adi Rachmiel and Amir Bilder and Ron Elzami and Sharon Rashish and Adi Klein},
  journal = {BMC Oral Health},
  year = {2026},
  month = jul,
  doi = {10.1186/s12903-026-08905-3},
  url = {https://doi.org/10.1186/s12903-026-08905-3},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Pediatric odontogenic infection treatment approaches: retrospective analysis
AU  - Omri Emodi
AU  - Hanna Frid
AU  - Adi Rachmiel
AU  - Amir Bilder
AU  - Ron Elzami
AU  - Sharon Rashish
AU  - Adi Klein
PY  - 2026
DA  - 2026/07/30
JO  - BMC Oral Health
DO  - 10.1186/s12903-026-08905-3
UR  - https://doi.org/10.1186/s12903-026-08905-3
AB  - Severe pediatric odontogenic infections may result from caries, periodontal issues, or direct trauma. Untreated, they can cause serious complications. Treatment protocols vary between hospitals. This study compared patient characteristics, treatment outcomes, and hospitalization parameters in two Israeli hospitals. A retrospective (2018–2021) cohort study included patients under 18 suffering from dental infections treated at the Maxillofacial Surgery Department of Rambam Health Care Campus (RHCC) in Haifa, Israel, or the Pediatrics Department of Hillel Yaffe Medical Center (HYMC) in Hadera, Israel. Data included patient demographics, clinical evaluations, treatments, and hospitalization details. Treatment protocols, which differed by hospital policy, served as the predictor variable (HYMC: hospitalization with IV antibiotics; RHCC: tooth extraction with subperiosteal drainage). The primary and secondary outcomes were hospitalization duration and days to clinical improvement, respectively. A total of 156 patients (78 per hospital) were enrolled. The total hospitalization period was twice as long at HYMC compared to RHCC (3.6 ± 1.2 vs. 1.9 ± 0.7; p < 0.001), and the time to clinical improvement was nearly three times higher (3.5 ± 1.3 vs. 1.1 ± 0.3; p < 0.001). The study demonstrates that surgical treatment results in faster clinical improvement and shorter hospitalization, indicating the need for personalized treatment protocols to optimize patient outcomes.
SN  - 1472-6831
ER  -