Spread of Infection Flashcards

1
Q

Where might infection of upper anterior teeth spread to?

A
  • lip
  • nasolabial region
  • lower eyelid
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2
Q

Where might infection of upper lateral incisor spread to?

A

Palate (not very common)

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3
Q

Where might infection of upper premolars and molars spread to?

A
  • cheek
  • infra-temporal region
  • maxillary antrum (very rare)
  • palate (less common)
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4
Q

Where might infection of lower anteriors spread to?

A

mental and submental space

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5
Q

Where might infection of lower premolars and molars spread to?

A
  • buccal space
  • submassteric space
  • sublingual space
  • submandibular space
  • lateral pharyngeal space
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6
Q

How is spreading infection managed?

A
  • establishment of drainage
  • removal of source infection
  • antibiotic therapy
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7
Q

What are the intraoral features of Ludwig’s Angina?

A
  • raised tongue
  • difficulty breathing
  • difficulty swallowing
  • drooling
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8
Q

What are the extraoral features of Ludwig’s Angina?

A
  • diffuse redness and swelling bilaterally in submandibular region
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9
Q

What is Ludwig’s Angina?

A

Bilateral cellulitis of the sublingual and submandibular spaces

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10
Q

What are the systemic features of Ludwig’s Angina?

A
  • increased HR
  • increased respiratory rate
  • high temperature
  • high white cell count
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11
Q

Where does infection that has spread to the palate originate from?

A

Maxillary teeth = Palatal roots of premolars and molars (also lateral incisors with a palatally curved root)

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12
Q

Where does infection that has spread to the buccal space originate from?

A

Maxillary = canines, premolars, molars

Mandibular = canines, premolars, molars

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13
Q

Where does infection that has spread to the infraorbital/periorbital region originate from?

A

Maxillary canines mainly

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14
Q

Where does infection that has spread to the maxillary sinus originate from?

A

Maxillary = canines, premolars and molars

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15
Q

Where does infection that has spread to the upper lip originate from?

A

Maxillary = central & lateral incisors

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16
Q

Where does infection that has spread to the masseteric space originate from?

A

lower third molars

17
Q

Where does infection that has spread to the pterygomandibular space originate from?

A

lower third molars

18
Q

Where does infection that has spread to the lateral pharyngeal space originate from?

A

lower third molars

19
Q

Where does infection that has spread to the lower lip originate from?

A

Mandibular incisors and canines

20
Q

Where does infection that has spread to the submandibular space originate from?

A

Root apices below insertion of mylohyoid - usually molars but can also be premolars

21
Q

Where does infection that has spread to the submental space originate from?

A

incisors and canines

22
Q

Where does infection that has spread to the sublingual space originate from?

A

root apices above mylohyoid/geniohyoid - usually incisors, canines and premolars (rarely molars but depends on root positioning)

23
Q
A