Oral Abscess

Question 1

4 presentations of oral abscesses

Answer 1

pain, swelling, erythema and suppuration

Question 2

4 prokaryotic routes of infection in the mouth

Answer 2

caries, gingival, periodontitis and pericoronitis

Question 3

Localised dentoalveolar abscess symptoms

Answer 3

acute or chronic, tender to pressure and pygoenic, inflammation

Question 4

Key factors for dentoalveolar abscess

Answer 4

number/type of virulent bacteria, immune response and anatomical damage

Question 5

Treatment for dentoalveolar abscess

Answer 5

drainage, rct, xla, antibiotics, antimicrobials

Question 6

Name a facultative anaerobe group

Answer 6

S.anginosus

Question 7

Name 2 strict anaerobes

Answer 7

Prevotella spp and Fusobacterium nucleatum

Question 8

Periodontal abscess symptoms

Answer 8

sudden onset, swelling, redness and may spread and destroy bone/soft tissue

Question 9

Periodontal abscess GNABs ?

Answer 9

Porphyromonas and Prevotella

Question 10

Gram negative endodontic infection bacteria

Answer 10

Fusobacterium nucleatum

Question 11

Gram-positive endodontic infection bacteria

Answer 11

Enterococcus faescialis

Question 12

What is Enterococcus faecalis?

Answer 12

facultative anaerobe common in intestine

Question 13

Key features of Enterococcus faecalis

Answer 13

resistance to calcium hydroxide and sodium hypochlorite treatment and low-high pH range

Question 14

When does a dry socket happen?

Answer 14

following xla the socket fails to heal

Question 15

Dry socket prophylaxis

Answer 15

chlorohexidine irrigation prior and post xla

Question 16

Dry socket treatment

Answer 16

antiseptic dressing and metronidazole

Question 17

4 prokaryotic infections of the mouth

Answer 17

Abscesses, pulpitis, post extraction and peri-implantitis

Question 18

Where is actinomyces found?

Answer 18

supra and subgingival plaque

Question 19

What does Actinomyces israellii cause?

Answer 19

Actinomyosis

Question 20

What is the thick fluid expressed from the sinuses?

Answer 20

pus

Question 21

What is the yellow, granular particulate in pus known as?

Answer 21

sulphur granules

Question 22

What is associated with acute necrotising ulcerative gingivitis?

Answer 22

immunosuppression

Question 23

Symptoms of acute necrotising ulcerative gingivitis?

Answer 23

inflammation, spontaneous bleeding, grey pseudomembrane, intense pain

Question 24

What does fusobacteria in acute necrotising ulcerative gingivitis do?

Answer 24

induce protein kinases associated with cell migration, proliferation and cell survival

Question 25

Treatment of acute necrotising ulcerative gingivitis

Answer 25

intense oral hygiene, short course of antibiotics e.g., metronidazole

Question 26

What kind of infection is Ludwig’s angina?

Answer 26

Bilateral and post extraction infection