Difference between revisions of "Dental problems"

(Dentoalveolar Injuries)
(Dentoalveolar Injuries)
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#[[Tooth Subluxation]]
 
#[[Tooth Subluxation]]
 
#[[Tooth Avulsion]]
 
#[[Tooth Avulsion]]
 
+
#[[Bleeding Dental Socket]]
 
 
===[[Bleeding Dental Socket]]===
 
# Apply pressure by having pt bite on gauze or tea bag
 
  
 
== Odontogenic Infections ==
 
== Odontogenic Infections ==

Revision as of 09:21, 27 June 2012

Dentoalveolar Injuries

  1. Tooth Fracture
  2. Tooth Subluxation
  3. Tooth Avulsion
  4. Bleeding Dental Socket

Odontogenic Infections

Dental Caries (Pulpitis)

  1. Two types: reversible pulpitis and irreversible pulpitis
    1. Reversible Pulpitis
      1. Duration of pain is short (seconds)
      2. Associated with noxious stimuli (cold or heat)
    2. Irreversible Pulpitis
      1. Duration of pain is long (hours) and intense
      2. Associated with noxious stimuli or may occur spontaneously
      3. Tx = root canal or extraction

Periapical Abcess

  1. Treatment
    1. I&D
    2. Penicillin VK 500mg PO QID OR Clindamycin 300mg PO QID
    3. Dental referral

Trench Mouth (Acute Necrotizing Ulcerative Gingivitis)

Background

  1. Severe gingival disease
  2. Must distinguish from herpes gingivostomatitis
    1. Herpes has more systemic signs, less bleeding, lack of interdental papilla involvement
  3. Associated with immunosuppression, especially HIV

Clinical Features

  1. Triad of:
    1. Pain
    2. Ulcerated or "punched out" interdental papillae
    3. Gingival bleeding
  2. Secondary signs:
    1. Fetid breath
    2. "Wooden teeth" feeling
    3. Teeth mobility
    4. Fever
    5. Malaise

Treatment

  1. Chlorhexidine 0.01% oral rinse BID
  2. Metronidazole 500mg PO TID
  3. Dental debridement and scaling

See Also

Source

  • ER Atlas
  • Tintinalli
  • UpToDate