Week Four: Odontogenic Infection and Salivary Gland Infection Flashcards
What is an abscess?
A localised collection of pus - this can be fluctuant
What is cellulitis?
- Infected inflammatory swelling
- No pus present
- Generally hard to diffuse
Acute odontogenic infections originate from?
- Dental Pulp
- Periodontal tissues
- Pericoronal tissues
An acute odontogenic infection can progress from a localised abscess to what?
It can spread beyond the confines of the jaws to the facial or neck soft tissues - Can be life threatening - i.e. Ludwigs Angina
Acute odontogenic infections are emergencies that…
Require immediate management, through the removal of cause and provision of medications/medicaments
What are signs/symptoms of a localised odontogenic ifnection?
- pain
- oedema
- erythema
- suppuration
What are examples of localised odontogenic infections?
- periapical abscess
- periodontal abscess
- peri coronal abscess
In a localised odontogenic infection - when the source of the infection is removed and drainage is established. What methods are used?
- Extraction
- Endodontic treatment
- Periodontal treatment
In a localised odontogenic infection - when are ABs used?
- The infection has spread beyond the confines of the alveolar bone resulting in facial swelling and/or….
- systematic signs such as lymphadenopathy, fever and malaise.
ABs are used as a conjunctive to TX and not as a replacement
When should ABs not be used?
- Dental pain
- Pulpitis
- Infection localised to tooth
- To delay provision of definitive dental treatment.
If you have a periapical abscess. What is your treatment options?
- Endodontic - root canal treatment
- Extraction
If you have a periodontal abscess. What are your treatment options?
- Periodontal treatment (scaling/root planning)
- Extraction
If you have a peri coronal infection. What are your treatment options?
- Local treatment:
Remove or recontour the opposing tooth if it impinging on the operculum
Irrigate with sterile solution
Warm saline or chlorhexidine mouthwashes - Extraction
