Odontogenic infections are infections of the alveoli, jaw, or face derived from the teeth or their supporting structure. The causes of odontogenic infections in pediatric patients are mainly due to caries, periodontal disease, or trauma. The severity of the odontogenic infection influences its management. The limited amount of literature on paediatric patients’ management is considered challenging. To assess children’s odontogenic infections management. Literature is searched through SpringerLink, PubMed, and MDPI databases. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) 2020 report procedure was used as a data collection guide. We reviewed nine studies in this study involving 810 odontogenic infections. The definitive treatment is the removal of infection source, including root canal treatment, tooth extraction, and surgical intervention (incision and drainage). Teeth infection severity and restorability are both factors that influence the treatment choice. The aim of removing the infection source by extraction is to reduce recurrent episodes and allow complete drainage. The use of antibiotics in pediatric patients is only necessary for immunocompromised patients or if the symptoms of infection have spread systemically. Antibiotic management with intravenous clindamycin or co-amoxiclav can shorten hospital stay length. Odontogenic infection management in children depends on its severity. © 2025 University of Dicle. All rights reserved.