OSTEOMYLITIS Flashcards
(26 cards)
Inflammation of bone and its marrow contents
Osteomylitis
Changes in calcified tissues are secondary to inflammation of th soft tissue component of the bone
Osteomylitis
Serious sequel of periapical infection
ACUTE SUPPURATIVE OSTEOMYELITIS
Diffused spread of infection throughout the medullary spaces, with subsequent necrosis of a variable amount of bone
ACUTE SUPPURATIVE OSTEOMYELITIS
- Arises from a dental infection are the same as those present after infection to a fracture of the jaw, gunshot wound, or even hematogenous spread.
- Maxilla: fairly localized, Mandi: more diffuse and widespread
ACUTE SUPPURATIVE OSTEOMYELITIS
TREATMENT FOR ACUTE SUPPURATIVE OSTEOMYELITIS
- Debridement, drainage, and antimicrobial therapy
inadequately treated acute osteomyelitis, or may arise from a dental infection without preceding acute stage.
CHRONIC SUPPURATIVE OSTEOMYELITIS
similar to acute osteomyelitis except all signs and symptoms are milder.
CHRONIC SUPPURATIVE OSTEOMYELITIS
- Unusual reaction of the bone to infection
CHRONIC FOCAL SCLEROSING OSTEOMYELITIS
- Reaction to mild bacterial infection entering the bone through carious tooth
CHRONIC FOCAL SCLEROSING OSTEOMYELITIS
SYMPTOMS OF CHRONIC FOCAL SCLEROSING OSTEOMYELITIS
no signs or symptoms of the disease other than mild pain associated with an infected pulp
RADRIOGRAPHIC FEATURES OF CHRONIC FOCAL SCLEROSING OSTEOMYELITIS
well circumscribed radiopaque mass of sclerotic bone surrounding and extending below the apex of one or both roots.
- Proliferative reaction of the bone to a low grade infection.
CHRONIC DIFFUSE SCLEROSING OSTEOMYELITIS
Portal of entry OF CHRONIC DIFFUESE SCLEROSING OSTEOMYELITIS
diffuse periodontal disease
Mild bacterial infection entering the bone through a carious tooth, Infection acts as a stimulus rather than an irritant
CONDENSING OSTEITIS
Diffuse inflammation that spread through tissue spaces and along fascial spaces.
CELLULITIS (PHLEGMON)
Result of infection by microorganism which act to breakdown or dissolve hyaluronic acid.
CELLULITIS (PHLEGMON)
a common causative organism in cases of cellulitis.
Streptococci
CLINICAL FEATURE of phlegmon
- Moderately ill with elevated temp.
- Painful swelling of soft tissues involved that are firm and brawny
- Skin is inflamed, has an orange peel appearance and is even purplish sometimes
- Life threatening toxic cellulitis, beginning usually in the submandibular space and secondary involving the sublingual and submental spaces
LUDWIG’S ANGINA
all submandibular spaces are involved
LUDWIG’S ANGINA
- Perforates bone to establish drainage, lingual plate is the one most frequent perforated.
LUDWIG’S ANGINA
treatment for edema of the glottis,
tracheotomy
- Formation of a thrombus in the cavernous sinus.
CAVERNOUS SINUS THROMBOSIS (THROMBOPHLEBITIS)