Flashcards in Lecture 9 - Pulpal, Periapical and Odontogenic Infections Deck (34):
What are the damages of inflammation to pulp?
increases intrapulpal pressure
compromises blood flow
the pulp is an organ enclosed by hard tissue
the roots of a tooth are enclosed by hard tissue
F - bone
what is the most common cause of pulpal inflammation and necrosis?
What are other causes of pulpal inflammation and necrosis?
direct pulpal exposure
bacterial penetration through dentinal tubules from caries
direct access due to traumatic fracture
travel from bloodstream (anachoresis)
What is necessary for pulpal and periapical disease to occur?
most bacteria cultured from necrotic pulps are _________, usually gram - _________ bacilli
which species are associated with periapical abscesses?
which species are responsible for foul odor of necrotic pulps?
Give an example of a mixed bacterial infection
Which type of bacteria are found coronally?
saccharolytic bacteria (strep, lactobacilli)
which type of bacteria are found apically?
proteolytic bacteria (porphyromonas, prevotella, fusobacterium)
Describe the pain of pulpitis.
severe, sharp, throbbing pain
for periapical lesions, where are bacteria most numerous?
most periapical lesions are granulomas and dominated by macrophages
periapical lesions are asymptomatic
describe the pain for acute dentoalveolar (periapical) abscess
aching, throbbing pain
What can cause relief for someone with acute dentoalveolar (periapical) abscess?
The purulent bacterial infection that is dentoalveolar (periapical) abscess is confined to bone at:
Give an example of palliative treatment.
Give an example of definitive treatment.
analgesics, local anesthetics, NOT ANTIBIOTICS - they cannot reach source of problem
extraction of tooth, root canal treatment
persistent periapical infections after root canal treatment
persistent apical lesions
surgical therapy used to clean apex of bacteria and necrotic tissue
endodontic microsurgery = apicoectomy
the apex during treatment of persistent apical lesions is sealed with a biocompatible agent like:
mineral trioxide aggregate (MTA)
an infections is said to be odontogenic when:
a dental infection spreads to surrounding tissues
lower facial cellulitis is never dental
antibiotics should be used to manage cellulitis
F - almost always dental
A cellulitis abscess requires which type of treatment?
drainage through surgery
Describe the ratio of microbiology of cellulitis
2-3 anaerobes: 1 aerobes
what are the two antibiotics of choice for cellulitis?
name 3 bone infections
alveolar osteitis (dry socket)
osteomyelitis of jaw
antiresorptive agent-induced osteronecrosis of jaw
Describe alveolar osteitis and the feeling of it.
swelling, redness, exposed bone
painful, throbbin, aching
Symptoms of osteomyelitis
is osteomyelitis radiolucent or radiopaque?
which kind of patients are susceptible to antiresorptive agent-induced osteonecrosis of jaw?
patients who have taken antiresorptive agents
Name the 3 antiresorptive agents
cathepsin K inhibitors
what do antiresorptive agents do?
inhibit osteoclasts and bone remodeling