Dental problems: Difference between revisions
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#[[Tooth Subluxation]] | #[[Tooth Subluxation]] | ||
#[[Tooth Avulsion]] | #[[Tooth Avulsion]] | ||
#[[Bleeding Dental Socket]] | |||
== Odontogenic Infections == | == Odontogenic Infections == |
Revision as of 09:21, 27 June 2012
Dentoalveolar Injuries
Odontogenic Infections
Dental Caries (Pulpitis)
- Two types: reversible pulpitis and irreversible pulpitis
- Reversible Pulpitis
- Duration of pain is short (seconds)
- Associated with noxious stimuli (cold or heat)
- Irreversible Pulpitis
- Duration of pain is long (hours) and intense
- Associated with noxious stimuli or may occur spontaneously
- Tx = root canal or extraction
- Reversible Pulpitis
Periapical Abcess
- Treatment
- I&D
- Penicillin VK 500mg PO QID OR Clindamycin 300mg PO QID
- Dental referral
Trench Mouth (Acute Necrotizing Ulcerative Gingivitis)
Background
- Severe gingival disease
- Must distinguish from herpes gingivostomatitis
- Herpes has more systemic signs, less bleeding, lack of interdental papilla involvement
- Associated with immunosuppression, especially HIV
Clinical Features
- Triad of:
- Pain
- Ulcerated or "punched out" interdental papillae
- Gingival bleeding
- Secondary signs:
- Fetid breath
- "Wooden teeth" feeling
- Teeth mobility
- Fever
- Malaise
Treatment
- Chlorhexidine 0.01% oral rinse BID
- Metronidazole 500mg PO TID
- Dental debridement and scaling
See Also
Source
- ER Atlas
- Tintinalli
- UpToDate