L22 Odontogenic infections Flashcards

1
Q

Most likely way for patient to experience morbidity or mortality

A

Odontogenic infection

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2
Q

Microbio of odontogenic infections

A

Pevotella
Porphyromona
Fusobacterium

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3
Q

Progression of odontogenic bacteria

A

2 stage

  • 1: aerobic bacteria: rapid spreading
  • 2: anaerobic: toxins an antibiotic deactivating, abcesses
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4
Q

Course of odontogenic bacteria

A

Cellulitis then
Abscess then
Fistula

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5
Q

Cellulitis bacteria

A

Strep

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6
Q

Determinants of spread

A

Muscle attachment
Bone thickness
Root angulation

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7
Q

Primary space infection areas (5)

A
Vestibular
Caninine
Buccal
Sublingual
Submental
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8
Q

Spread of maxillary infections

A

Usually labial
Vestibular in anterior
Buccal space in posterior

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9
Q

Spread of mandibular infections

A

Anterior go labial

Posterior go lingual

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10
Q

Sublingual and submandibular w/ mylohyoid

A

Sublingual: above
Submandibular: below

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11
Q

Submental space can affect what muscle

A

Digastric

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12
Q

Ludwigs angina

A

Bilater submandibular, sublingual and submental space cellulitis

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13
Q

Danger space

A

Pre-vertebral space

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14
Q

Tismus measurements and action

A

<15mm: refer/consider admission

<10mm: admission

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15
Q

Antibiotics

A

Mild: Penicillin 500mg 6hrs 7 days or
Amoxicillin 500mg 8hrs
Moderate: Metronidazole 500 8hrs (w/ pen.)

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