CASE REPORT- ODONTOGENIC BUCCAL SPACE INFECTION IN A PEDIATRIC PATIENT TREATED CONSERVATIVELY: A CASE REPORT

*Dr. Geetika Dixit, Dr. Naveen Manuja, Dr. Seema Chaudhary, Dr. Chaitra T. R., Dr. Ashish Amit Sinha, Dr. Shagun Chhikara

ABSTRACT

This case report presents the management of a buccal space infection in an 11-year-old child, originating from the mandibular right first permanent molar (tooth 46). The patient reported with swelling in the right buccal region, accompanied by pain and difficulty in mastication. Clinical and radiographic findings confirmed the involvement of the buccal space secondary to pulpal infection. Immediate endodontic intervention was initiated. In the first visit, access opening was done and thorough biomechanical preparation (BMP) of the canals was carried out to reduce the microbial load followed by triple antibiotic paste (TAP) was placed as an intracanal medicament to ensure complete disinfection. The swelling gradually subsided as the infection resolved. Once symptoms were alleviated, the tooth was obturated, and a stainless steel (SS) crown was placed to restore form and function. This case highlights the importance of timely diagnosis and conservative endodontic therapy in managing space infections effectively while preserving the permanent tooth in pediatric patients.

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