Dental Abscess & Salivary Gland Infections

Question 1

what are some interchange and imprecise dental abscesses

Answer 1

dentoalveolar 
periapical
apical
chronic periapicaldental infection 
dental pyogenic infection 
periapical periodontitis

Question 2

what are the features of a dentoalavelar abscess

Answer 2

carious lesion
bac to pulp via tubules
acute inflam or chronic localisation

Question 3

what sit he acute inflammation caused by dentoalveolar access

Answer 3

pulpitis

necrosis of pulp

Question 4

what is the chronic localisation of dentoalveolar abscess

Answer 4

abscess

pulp remains viable

Question 5

what can cause a dentoalvolar abscess

Answer 5

trauma - fracture

anarchoresis - rare, seeding via pulpal blood supply

Question 6

how is the spread of dentoalveolar abscesses spread

Answer 6

access soft tissue
direct spread - localised
indirect spread - moved to new sites

Question 7

what are the symptoms assc with abscesses

Answer 7

pain
swelling
erythema
suppuration

Question 8

what are the key factors asscw with abscesses

Answer 8

num of virulent bac
locala nd systemic immunity
anatomical damage

Question 9

what are some facultative anaerobes ascs withabsecsses

Answer 9

s anginosus (beta haem)

s oralis
enterococcus faecalis
actinomyces

Question 10

what are some strict anaerobes assc with abscesses

Answer 10

peptostreptococcus
porphyromonas gingivalis 
prevotella 
fusobacterium nucelatum 
tannerella forsythia

Question 11

what is the usual treat for absesse

Answer 11

specimen collection - needle aspiration
drain pus

amoxicillin
metronidazole

Question 12

what is a periodontal abscess

Answer 12

infection of periodntium acute or chronic

Question 13

what is the cause of perio abscess

Answer 13

occlusion of openign prevents drainage

impaction of foreign objects

Question 14

what are the symptoms of perio disease

Answer 14

sudden onset
swelling
redness
may spread destroy bone

Question 15

what are the micro organisms assc with a perio abscess

Answer 15

GNAB - porphyromonas and preveotella

S Cocci

treponema actinomyces
F. nucelatum
propionobac

Question 16

what is prescribed for perio abscess

Answer 16

penicillin, erythromycin or metronidazole

Question 17

hat are some gm -ve bac assc with infection after root canal

Answer 17

F nucelatum
prevotella
campylobacter rectus

Question 18

what are some gm +ve bac assc with infection after root canal

Answer 18

s oralis/mitis, anginosus, gordonii
enterococcus faecalis
candida albicans
lactobacilli

Question 19

what is enterococcus faecalis

Answer 19

facultative anaerobe 
in intetsine 
adhere to colagen 
biofilm form 
resist CaOH/NaOH

Question 20

what is a dry socket

Answer 20

localised osteomyelitis
follow extraction socket not heal
anaerobic infection

Question 21

what si done if a dry socket is present

Answer 21

prophylaxis
- chlorhexidine irrigation prior to and post extraction

treat
antiseptic dress and metronidazole

Question 22

what is the cause of a abscess in edentulous treat of dental implants

Answer 22

trauma - overheat bone
persistence of root particle
infection of implant site
implant to infected site

Question 23

what si the assc bac of abscess in implant site

Answer 23

s areus
mostly s epidermis
- fusobac
- anaerobic s cocci

Question 24

what is ludwig angina an example

Answer 24

anaerobic infection

Question 25

when does ludwig appear and why are the symptoms

Answer 25

- post extraction bilateral infection (sibling/mand) - base mouth and tongue swell - brawny oedema - airway obstruction by tongue

Question 26

what are some oral commensals of ludwig angina

Answer 26

``` porphyromonas prevotella fusobac anaerobic strepcocci staph ```

Question 27

what are ways of ensuring airway remains open in ludwig angina

Answer 27

surgical intervention drainage parenteral hydration

Question 28

what is the Ab for ludwig angina

Answer 28

intravenous penicillin | ceftriaxone and metornidazoel

Question 29

what is oseteomyleitits of jaw

Answer 29

inflame of medullary cavity of mandible or maxilla

Question 30

what are the acute and chronic ways of osteomyletis of the jaw

Answer 30

acute - pain, mild fever loosening of teeth xuate pus chronic - tender indurated skin few symptoms

Question 31

wha are the assc endogenous oral flora in oseomyleits of jaw

Answer 31

``` tannerella prevotella porphyromonas M. TB T apllidum ```

Question 32

what is post radiation therapy

Answer 32

necrosis of blood supply - reduced salivary flow | - exogenous bac ( e coli )

Question 33

what are some bac infection of salivary glands

Answer 33

acute/chronic bac parotitis recurrent parotitis submand sialadentitis

Question 34

what are some predisposing factors of acute bac parotitis

Answer 34

drugs abnormalities derealised sialectasis

Question 35

wat si the presentaron of acute bac paotitis

Answer 35

swell parotid gland pain purulent sec rarely fever and chills

Question 36

what s assc microbe of acute parotitis

Answer 36

s aureus oral streps haemophilia anaerobes

Question 37

what is the treat of acute parotitis

Answer 37

co- amoxiclav flucloxacillin salvation - increased fluid intake pushing

Question 38

what is chronic parotitis

Answer 38

recurrent infection sjorgens syndorme fibrosis destruction of gland

Question 39

what are causes of parotitis of children

Answer 39

duct abnormalities preceding mumps foreign body trauma

Question 40

what is submandibular sialadenitis

Answer 40

rare similar to acute parotitis calculi or strictures treat like acute