A neglected lower impacted premolar leading to cervical necrotizing faciitis

Cervical necrotizing fasciitis is a rare polymicrobial infection characterized by extensive rapidly spreading necrosis of the subcutaneous tissue and superficial fascia This paper describes a case of necrotizing fasciitis of odontogenic origin in a year old man who presented with a dental abscess associated with an impacted lower premolar after prolonged use of removable dentures Treatment included extensive surgical debridement systemic antibiotics and intensive care This case highlights the importance of proper evaluation and diagnosis before the rehabilitation of edentulous patients A panoramic radiograph can show the presence of an impacted tooth which must be removed before installation of a removable denture to prevent further complications like that