Dental problems: Difference between revisions

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* <span style="line-height: 20px">'''Bleeding Socket'''</span>
* <span style="line-height: 20px">'''Bleeding Socket'''</span>
** <span style="line-height: 20px">'''�'''�Apply pressure by having pt bite on gauze or tea bag</span>
** <span style="line-height: 20px">'''�'''�Apply pressure by having pt bite on gauze or tea bag</span>
==Odontogenic infections==
==<font size="13px"><font face="&#39;Segoe UI&#39;, &#39;Lucida Grande&#39;, Arial"><font color="#444444">Dental Carie/Pulpitis</font></font></font>==
<font face="inherit"><font size="13px">dental referal only</font></font>
<font size="13px"><font face="&#39;Segoe UI&#39;, &#39;Lucida Grande&#39;, Arial"><font color="#444444">�</font></font></font>
==<font size="13px"><font face="&#39;Segoe UI&#39;, &#39;Lucida Grande&#39;, Arial"><font color="#444444">Periapical vs. Periodontal Abcess</font></font></font>==
<font face="inherit"><font size="13px">drain</font></font>
<font face="inherit"><font size="13px">PCN V</font></font>
<font size="13px"><font face="&#39;Segoe UI&#39;, &#39;Lucida Grande&#39;, Arial"><font color="#444444">�</font></font></font>
<font size="13px"><font face="&#39;Segoe UI&#39;, &#39;Lucida Grande&#39;, Arial"><font color="#444444">Exquisite pain to percussion suggests an underlying periapical abscess,</font></font></font>
More commonly, fluctuant abscesses are a result of periodontal abscesses and are best treated with an incision and drainage
===See Also:===
<font face="inherit"><font size="13px">[/w/page/Acute-Alveolar-Osteitis-(Dry-Socket) Acute Alveolar Osteitis (Dry Socket)]</font></font>
<font face="inherit"><font size="13px">[/w/page/Dental%C2%A0Numbers Dental�Numbers]</font></font>
==Dentoalveolar Injuries==
* Fracture
* Enamel
* Routine f/u
* Nothing to do
* Enamel + dentin (yellowish)
* Adult
* Next day f/u
* Consider placing calcium hydroxide paste over fracture site as needed for comfort
* Child
* Place calcium hydroxide paste
* More important in children than adults because children have less dentin to protect the pulp
* Immediate referral
* Enamel + dentin + pulp (reddish)
* Immediate referral (dental emergency)
* If no dentist is available, place moist cotton over exposed pulp and cover with foil or seal with canal sealant
* Consider antibiotics (penicillin or clindamycin)
* Subluxation
* Minimally mobile
* Soft diet for 14 days
* Markedly mobile
* Immediate referral for stabilization
* Temporizing measure:  Periodontal pack in which tooth is bonded to its two neighboring teeth on both sides
* Avulsion
* Dental emergency
* Where is the tooth?
* May be intruded, aspirated, swallowed, or embedded in the oral mucosa
* Consider facial films, CXR
* Adult
* Replace avulsed tooth as soon as possible! (as long as no alveolar ridge fx, no severe socket injury)
* Rinse tooth in saline, socket is suctioned (if necessary), reimplant tooth, bond tooth to neighboring teeth
* Manipulate tooth only by the crown
* Storage solution (in order of efficacy): Hank's balanced salt solution > Milk > saliva > saline
* Tetanus vaccine if indicated 
* Consider antibiotics (penicillin or clindamycin) 
* Child
* Do not reimplant primary teeth
* Refer to pedodontist for space maintainer
* Bleeding Socket
*  Apply pressure by having pt bite on gauze or tea bag


==Odontogenic infections==
==Odontogenic infections==

Revision as of 04:57, 13 March 2011

Dentoalveolar Injuries

  • Fracture
    • Enamel
      • Routine f/u
      • Nothing to do�
    • Enamel + dentin (yellowish)
      • Adult
        • Next day f/u
        • Consider placing calcium hydroxide paste over fracture site as needed for comfort�
      • Child�
        • Place calcium hydroxide paste
          • More important in children than adults because children have less dentin to protect the pulp�
        • Immediate referral�
    • Enamel + dentin + pulp (reddish)
      • Immediate referral (dental emergency)
      • If no dentist is available, place moist cotton over exposed pulp and cover with foil or seal with canal sealant
      • Consider antibiotics (penicillin or clindamycin)�
  • Subluxation
    • Minimally mobile
      • Soft diet for 14 days
    • Markedly mobile
      • Immediate referral for stabilization
      • Temporizing measure: �Periodontal pack in which tooth is bonded to its two neighboring teeth on both sides
  • Avulsion
    • Dental emergency
    • Where is the tooth?
      • May be intruded, aspirated, swallowed, or embedded in the oral mucosa
        • Consider facial films, CXR�
    • Adult
      • Replace avulsed tooth as soon as possible! (as long as no alveolar ridge fx, no severe socket injury)
        • Rinse tooth in saline, socket is suctioned (if necessary), reimplant tooth, bond tooth to neighboring teeth
        • Manipulate tooth only by the crown�
      • Storage solution (in order of efficacy): Hank's balanced salt solution > Milk > saliva > saline
      • Tetanus vaccine if indicated��
      • Consider antibiotics (penicillin or clindamycin)���
    • Child
      • Do not reimplant primary teeth
        • Refer to pedodontist for space maintainer�
  • Bleeding Socket
    • ��Apply pressure by having pt bite on gauze or tea bag

Odontogenic infections

Dental Carie/Pulpitis==



dental referal only


Periapical vs. Periodontal Abcess==


drain

PCN V


Exquisite pain to percussion suggests an underlying periapical abscess,


More commonly, fluctuant abscesses are a result of periodontal abscesses and are best treated with an incision and drainage


See Also:

Acute Alveolar Osteitis (Dry Socket)

Dental Numbers

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