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Dental > Dental Infections > Flashcards

Dental Infections Flashcards

1
Q

MDT: Inflammation of the dental pulp resulting from untreated caries, trauma, or multiple restorations.

A

Pulpitis

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2
Q

S/S: Pulpitis

A

Pain

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3
Q

Tx: Pulpitis

A

Root Canal
Root Canal
Tooth Extraction ( last resort )

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4
Q

Pulpitis occurs when:

A

Caries are deep
Tooth invasive procedures
Trauma disrupted the lymphatic blood supply in the pulp

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5
Q

pain occurs when a stimulus is cold or sweet is applied and ceases within 1 to 2 secs

A

Reversible puplitis

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6
Q

pain occurs spontaneously or lingers minutes after the stimulus is removed; pain may cease for several days due to pulpal necrosis.

Sensitive to pressure and percussion

A

Irreversible puplitis

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7
Q

MDT: Elevates the tooth from its socket and feels high when the patient bites down.

A

Periapical abscess

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8
Q

Infectious sequelae of the pulpitis includes

A

apical periodontitis
periapical abscess
cellulitis
osteomyelitis

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9
Q

Pulpitis can cause:

A

Ludwig’s angina
parapharyngeal abscess
mediastinitis
pericarditis
empyema
Jugular thrombophlebitis

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10
Q

Tx: Pulpitis

A

Root canal therapy
Follow up by Crown

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11
Q

MDT: an acute or chronic inflammatory lesion around the apex of the tooth from pulp of a necrotic tooth.

A

Periapical Periodontitis

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12
Q

S/S: painful response to biting and percussion

A

Periapical Periodontitis

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13
Q

Tx: Periapical Periodontitis

A

Symptomatic tx
Antibiotics
Referral

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14
Q

MDT: is a collection of pus within the periodontium caused by the body’s immune response to a bacterial infection

A

Periodontal Abcess

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15
Q

collection of pus at the apex of the tooth spreading from the apical foramen, irreversible

A

Periapical Abcess

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16
Q

is a collection of pus within the perodontium that occurs along the tooth NOT caused by the root. Result of food inpaction in the sulcus, sulcus and scaled teeth.

A

Periodontal Abcess

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17
Q

visible fluctuant swelling but more severe

A

Focal erythemia

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18
Q

visible fluctuant swelling but more severe.
fistula or sinus tract that drains into mouth
high tooth sensation

A

Abcess

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19
Q

Initial Tx for Abcess:

A

Px relief
I & D
Antibiotics

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20
Q

Inflammation of the gingiva, bleeding with swelling, redness, exudate

A

Gingivitis

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21
Q

Normal Gingiva should be

A

Keratinized near the crowns in pink stippled tissue.

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22
Q

Gingiva farther from the crowns called alveolar mucosa and is

A

non-K

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23
Q

Most common cause of gingivitis is

A

poor oral hygiene

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24
Q

Pericoronitis is acute, px due to

A

Flap over a partially erupted tooth, usually around the 3rd molar wisdom often from food trapped.

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25
Q

Primary Herpetic Gingivostomatisis is

A

a common, self- limiting, viral infection of the mouth.

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26
Q

Prodromal symptoms of Oral herpies

A

fever
cervical lymphadenopathy
malaise

Pin head vesicles

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27
Q

Tx: Oral Herp

A

self- limiting in 7-14days
Acyclovir
Soft bland diet
Magic Mouthwash

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28
Q

Magic mouth wash is

A

1;1;1 ratio

a. 2% viscous lidocaine
b. liquid dihenhydramine
c. kaopectate or Maalox

29
Q

Herpes Libialis is also commonly known as

A

“cold sores” or “fever blisters” and it communicable while acute

30
Q

Prodromal symptoms of Herpes Simplex

A

pain, burning, tingling
1-5 mm

31
Q

Tx: Herpes Simplex

A

Self Limiting 7-14 days
Acyclovir
Magic Mouthwash

32
Q

Herpies Simplex is primarily found on

A

vermillion border and commissure of lips

33
Q

Tx: Herpes Libialis

A

Topical Antivirals
or Systemic antivirals

34
Q

Complications of Herpes labialis are

A

communicable and spread to eyes which can scar cornea

35
Q

Necrotizing Ulcerative Gingivitis also known as

A

trench mouth
Vincent’s Angina

36
Q

Acute pain resulting from immunosuppression, stress, poor hygiene, malnutrition, and smoking from this bacteria

A

Fusobacteria
and Spirochetes

37
Q

NUG presents with

A

a. punch out appearance and covered grey pseudo membrane

b. Foul breath

c. malaise or fever

d. acute painful bleeding

f. excessive salivation

h. regional lymph

38
Q

Tx: NUG

A

a. soft tooth brush
b. oral hygiene and nutrition
c. hr rinses w/ warm saline
d. remove factors contributing

24-48 improvement*

No improvement give PCN

f. Magic Mouthwash

39
Q

Complication of NUG

A

Necrotizing periodontitis and tooth loss

40
Q

Thrush is also known as

A

oral candidiasis

41
Q

is an opportunistic fungal overgrowth of the lining of the mouth

opportunistic YEAST/fungus

White slough that can easily be wiped away

A

Thrush

42
Q

S/S Thrush

A

a. curdled milk
b. cottage cheese
c. easily scraped off
d. can cause angular cheilitis on the commissure
f. A biopsy will show intraepithelial pseudomycelia

43
Q

Tx for Thrush

A

Antifungal: Fluconazole 100mg 7 days
Chlorhexidine

44
Q

Aphthous ulcers are commonly known as

A

Canker sores AKA Recurrent Aphthous Stomatitis (RAS)

45
Q

S/S Aphthous ulcers

A

a. burning or itching
b. red halo yellow grey
c. non - K
d. painful when contacted by PHYSICAL or SPICY food

46
Q

Tx: Aphthous Ulcers

A

Self-healing 10-14days
Topical corticosteroidoids

47
Q

Temporomandibular Disorders are an umbrella terms for conditions for the

A

jaw joint
px of jaw
or face

48
Q

Internal joint derangement is anterior misalignment of the

A

articular disk above the condyle

49
Q

Condylar hyperplasia is a disorder of

A

unknown etiology characterized by persistent accelerated growth of the condyle

50
Q

Condylar hypoplasia is facial deformity caused by a

A

short mandibular ramus

51
Q

Myofascial pain syndrome can be pts with a normal TMJ. It is caused by

A

tension, fatigue or spasm in masticatory muscles

52
Q

S:S Condylar hyperplasia

A

Crossbite malocclusion, facial asymmetry lower borders

53
Q

S:S Condular hypoplasia

A

Deviation of chin to affected side, elongated mandible, flat faced

Malocclusion

54
Q

Geographic Tongue is

A

benign migratory glossitis; hyperkeratosis and erythema on DORSUM AND EDGES OF TONGUE

55
Q

S:S of Geographic tongue

A

asymptomatic, associated with burning when eating SPICY and ACIDIC food

56
Q

Hairy tongue is

A

dark, elongated filiform papillae, stained by chromogenic microorganisms

57
Q

Xerostomia is

A

dry mouth

58
Q

Halitosis is

A

bad breath

59
Q

Tx: Hairy tongue

A

a. good oral hygiene , scrubbing the tongue
b. resolving predisposing factors like wine coffee, drinks

60
Q

Mucocele is

A

mucus retention cyst

occurs result of a ruptured or obstructed minor salivary gland

61
Q

Where are mucocele located typically

A

inner surface of the lower lip
1mm to several cm.

62
Q

Tx: Mucocele

A

rinse with salt water 6 times a day

63
Q

Oral Laceration is

A

a laceration involving the cheek or buccal mucosa involvement of the Stensen’s duct and Wharton ducts (floor mouth)

64
Q

If stensen’s or Wharton’s ducts are compromised repair by an

A

oral/maxillofacial surgeon
or otorhinolaryngologist

65
Q

Infraorbital nerve supplies the

A

upper lip

66
Q

Submandibular nerve supplies the

A

lower lip

67
Q

Both Infraorbital nerve and submandibular nerve can be easily blocked by

A

regional anesthetic techniques

68
Q

Intraoral mucosal laceration may not be sutured if it is

A

< 1 cm in length

Dental (3 decks)

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