When fillers fail: Orofacial inflammation that looks like a tooth infection
Is it true that dermal fillers can mimic a dental infection?
Dermal fillers can develop dormant biofilms that can be activated by dental procedures. They end up looking and feeling like an odontogenic infection. There’s even localized bone resorption beneath the chin following certain cosmetic procedures that involve hyaluronic acid.
If you don’t know that your patient has had dermal fillers placed, you may end up going down a rabbit hole with these infections that ends up leading nowhere. This is where the medical history review becomes even more important to find out exactly what cosmetic procedures patients are having done.
Join us in Medical History Mysteries as we talk about these infections and how they can be treated.
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Editor’s note: This article first appeared in Clinical Insights newsletter, a publication of the Endeavor Business Media Dental Group. Read more articles and subscribe.
About the Author

Pamela Maragliano, DMD
Pamela Maragliano, DMD, is the chief editor of Dental Economics. Based in Salem, Massachusetts, Dr. Maragliano began her clinical career as a dental hygienist. She went on to attend Tufts University School of Dental Medicine, where she earned her doctorate in dental medicine. She then attended the University of California, Los Angeles, School of Dental Medicine, where she became board-certified in prosthodontics. Dr. Maragliano owns a private practice, Salem Dental Arts, and lectures on a variety of clinical topics. You may contact her at [email protected].

Tom Viola, RPh, CCP
With more than 30 years’ experience as a board-certified pharmacist, clinical educator, professional speaker, and published author, Tom Viola, RPh, CCP, has earned the reputation as the go-to specialist for making pharmacology practical and useful for dental teams. He is the founder of Pharmacology Declassified and is a member of the faculty of more than 10 dental professional degree programs. Viola has contributed to several professional journals and pharmacology textbooks, and currently serves as a consultant to the American Dental Association’s Council on Scientific Affairs.