- Condition exhibiting bilateral swelling of the submental, sublingual,
and submaxillary spaces.
- Characterized by extreme hardness of the floor of the mouth, "brawny",
"indurated" swelling (no give or fluctuation due to pus formation)
of the neck centering about the floor of the mouth and by the ensuing
elevation of the mucosa of the mouth and tongue. Interstitial spaces
are filled with fluid.
- The infection here may eventually extend to the lateral pharyngeal
space and then may enter the retropharyngeal space and even descend
to the mediastinum.
- Death from Ludwig's angina occurs as a result of suffocation due to
edema of the mouth, tongue, and the glottis, from mediastinitis due
to spread, or from septicemia or pneumonia
- Problem with the patient opening the mouth: Trismus
- Extraction of a lower molar tooth and subsequent infection precedes
Ludwig's angina in a majority of cases.
- The roots of the second and third molar teeth reach downward to the
level of the attachment of the mylohyoid muscle, and usually below it,
while most of those of the first molar teeth, and usually all of those
anterior to this, are located above this level