Dental abscess: Difference between revisions
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==Background== | |||
*Associated with dental caries or nonviable teeth | |||
*Significant erosion of the pulp with bacterial overgrowth | |||
==Clinical== | |||
*Acute pain, swelling, and mild tooth elevation | |||
*Exquisite sensitivity to percussion or chewing on the involved tooth | |||
*Swelling in surrounding gingiva | |||
**None in buccal or submandibular soft tissues | |||
*May see small white pustule in gingival surface characteristic for abscesses | |||
==Management== | |||
*Antibiotics (penicillin) | |||
*Appropriate analgesia | |||
*Dental follow-up within 48 hrs. | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Template:Dental Problems DDX}} | {{Template:Dental Problems DDX}} | ||
Revision as of 16:37, 2 February 2015
Background
- Associated with dental caries or nonviable teeth
- Significant erosion of the pulp with bacterial overgrowth
Clinical
- Acute pain, swelling, and mild tooth elevation
- Exquisite sensitivity to percussion or chewing on the involved tooth
- Swelling in surrounding gingiva
- None in buccal or submandibular soft tissues
- May see small white pustule in gingival surface characteristic for abscesses
Management
- Antibiotics (penicillin)
- Appropriate analgesia
- Dental follow-up within 48 hrs.
Differential Diagnosis
Dentoalveolar Injuries
Odontogenic Infections
- Acute alveolar osteitis (dry socket)
- Acute necrotizing ulcerative gingivitis (trench mouth)
- Dental abscess
- Periapical abscess
- Periodontal abscess
- Ludwig's angina
- Pulpitis (dental caries)
- Pericoronitis
- Peritonsillar abscess (PTA)
- Retropharyngeal abscess
- Vincent's angina - tonsillitis and pharyngitis
Other
Treatment
- I&D (usually done by dentist)
- Penicillin VK 500mg PO QID OR Clindamycin 300mg PO QID
- Dental referral
See Also
Source
- ER Atlas
- Tintinalli
- UpToDate