Dentistry

Question 1

how should oral ulcers which haven’t healed in 3 weeks be managed?

Answer 1

biopsy to exclude malignancy

Question 2

what are causes of facial pain

Answer 2

1. tooth pathology
2. Sinusitis
3. TMJ dysfunction
4. Salivary pathology
5. Migraine
6. Trigeminal neuralgia
7. Atypical facial pain
8. Cluster headache
9. ENT tumours

Question 3

What features of tooth infection suggest the tooth is alive?

Answer 3

pain is:

• worse w sugar or heat
• worse or better w cold
• intermittent

Question 4

What features of tooth infection suggest the tooth is dead?

Answer 4

pain is:
worse w percussion
constant/uninterrupted

Question 5

What is trismus and what does it suggest?

Answer 5

opening mouth difficult

sign of severe infection

Question 6

What causes gingivitis?

Answer 6

secondary to poor dental hygiene

Question 7

how can gingivitis present?

Answer 7

simple - painless red swelling of gum margin bleeding on contact
Acute necrotising ulcerative gingivitis - painful bleeding gums w halitosis and punched out ulcers on gums

Question 8

What is the rx of acute necrotising ulcerative gingivitis?

Answer 8

refer to dentist
oral metronidazole for 3 days
chlorhexidine or hydrogen peroxide mouth wash
simple analgesia