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DEN 7108 Micro and Immuno Concepts Part II > 1/9 Kingsley Dentoalveolar Infections > Flashcards

1/9 Kingsley Dentoalveolar Infections Flashcards

1
Q

What are dentoalveolar infections?

Pyogenic (___) infections associated with ____ and surrounding/supporting structures, including ____

A

Pus; teeth; periodontium and alveolar bone

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2
Q

Pulpitis

A

Inflammation of dental pulp tissue

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3
Q

Pulpitis is mainly caused by:

A

Bacterial infections, secondary to caries development

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4
Q

Causes of pulpitis

A
  • dental caries
  • traumatic tooth fracture
  • bruxism
  • traumatic dental treatment
  • periodontitis in gingival crevice
  • blood supply problem
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5
Q

Two types of pulpitis

A
  • reversible
  • irreversible
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6
Q

Reversible pulpitis involves ____ pulp which ____ responds to carious lesion

A

Inflamed; actively

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7
Q

Reversible pulpitis symptoms

A

Transient sharp, localized pain (hot, cold, sweet)

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8
Q

When reversible pulpitis is treated, pulp remains

A

Vital

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9
Q

Irreversible pulpitis symptoms

A

Dull throbbing pain without stimulus

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10
Q

____ does not subside quickly and may be difficult to localize

A

Irreversible pulpitis

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11
Q

True or false: irreversible pulpitis rarely requires intervention via endodontics and extraction

A

False - typically requires

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12
Q

____ is known as a pulp polyp

A

Chronic hyperplastic pulpitis

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13
Q

Pulp polyp usually occurs in:

A
  • deciduous molars
  • permanent first molars
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14
Q

Pulp polyps are reversible or irreversible?

A

Irreversible

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15
Q

Three main types of dentoalveolar abscesses

A
  • periapical abscess
  • periodontal abscess
  • pericoronitis
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16
Q

Periapical abscess is most common among:

A

Children and teenagers (kids that have not been to the dentist in a long time)

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17
Q

Periodontal abscess is most common among:

A

Adults and elderly

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18
Q

_____ is a complication of pulpitis

A

Periapical abscess

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19
Q

____ is a complication of periodontitis, pocket trauma, periapical periodontitis

A

Periodontal abscess

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20
Q

Pericoronitis is an infection of:

A

Operculum covering impacted or partially erupted third molar

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21
Q

Apical periodontitis or periapical abscess is located at:

A

Tip (apex) of root

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22
Q

____ is common with a periapical abscess

A

Apical radiolucency

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23
Q

In a periapical abscess, ____ usually precedes any ____

A

Pain; swelling

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24
Q

Periapical abscess: intraoral dental sinus may occur, also known as ____ or _____

A

Parulis; gumboil

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25
Q

Periodontal abscess usually begins in a:

A

Periodontal pocket

26
Q

Most common dental abscess among adults and in elderly

A

Periodontal abscess

27
Q

Periodontal abscess is a complication of:

A

Periodontitis

28
Q

_____ is associated with periodontal abscess

A

Deep periodontal pocket

29
Q

Periodontal abscess symptoms

A
  • Swelling, redness, tenderness of gingiva overlying abscess
  • pain continuous or related to biting
30
Q

In a periodontal abscess, ____ usually precedes any ____

A

Swelling; pain

31
Q

A periodontal abscess may remain localized in:

A

Periodontal tissues

32
Q

What is an operculum?

A

Soft tissue covering partially erupted tooth

33
Q

Pericoronitis is a bacterial infection beneath _____

A

Operculum

34
Q

Pericoronitis is associated with:

A
  • Partially erupted or impacted third molars
  • most commonly mandibular third molars
35
Q

Dental abscesses are usually ____ in nature

A

Polymicrobial (may differ between periapical and periodontal abscess)

36
Q

In a periodontal abscess, ____ predominates

A

Strict anaerobes

37
Q

Treatment for dental abscess

A
  • simple drainage indicated
  • Antibiotics
38
Q

DOC for dental abscess

A
  • Penicillin
  • Metronidazole
39
Q

In treating a dental abscess, if the tooth can be restored, _____ therapy is indicated. Otherwise _____

A

Endodontic; extraction

40
Q

Complications of dental abscess

A
  • dentocutaneous fistula
  • cellulitis
  • spread from maxillary teeth
  • spread from mandibular teeth
41
Q

If a dental abscess from maxillary teeth spreads, what problems can occur?

A
  • purulent maxillary sinusitis
  • infraorbital/orbital cellulitis
  • cavernous sinus thrombosis
42
Q

If a dental abscess from mandibular teeth spreads, what problems can occur?

A
  • osteomyelitis
  • Ludwig’s angina
  • cervicofacial actinomycosis (lumpy jaw)
43
Q

_____ is an abnormal pathway between cutaneous surface of the face and oral cavity and is a rare complication of untreated dental abscess

A

Dentocutaneous fistula

44
Q

____ is a bacterial infection involving the layers of the skin

A

Cellulitis

45
Q

Infraorbital cellulitis can occur due to spread from _____. Bacterial infection spreads via ____ sinuses

A

Maxillary teeth (canine); paranasal (maxillary)

46
Q

Cavernous sinus thrombosis can occur due to spread from ___

A

Maxillary teeth

47
Q

Symptoms of cavernous sinus thrombosis

A
  • unilateral periorbital edema
  • CN 6 palsy
  • proptosis (protrusion of eyeball)
48
Q

Cavernous sinus thrombosis is almost always ____

A

Unilateral

49
Q

Osteomyelitis occurs due to spread from _____

A

Mandibular teeth

50
Q

Osteomyelitis is also known as:

A

Osteonecrosis of the jaw (ONJ)

51
Q

True or false: osteomyelitis is relatively rare, thanks to antibiotics

A

True

52
Q

Osteomyelitis is more common in the ____ than the ____

A

Mandible; maxilla

53
Q

Common pathogens that cause osteomyelitis

A

Anaerobes (Tannerella, Prevotella, Porphyromonas)

54
Q

Osteomyelitis of long bones is caused by:

A

S. aureus

55
Q

Ludwig’s angina is caused due to bacterial spread from _____

A

Mandibular teeth

56
Q

Ludwig’s angina is also called:

A

Angina ludovici

57
Q

_____ causes serious, life-threatening cellulitis which closes the throat

A

Ludwig’s angina

58
Q

Ludwig’s angina is recognized as a ____

A

Serious infection (oral surgery emergency)

59
Q

_____ is also known as lumpy jaw

A

Actinomycosis

60
Q

Cervicofacial actinomycosis is often associated with:

A

chronic abscess commonly at angle of the mandible (mandibular first molars)

61
Q

Actinomyces israelii, naeslundii, and viscosus are all:

A

Gram-positive bacilli

DEN 7108 Micro and Immuno Concepts Part II (27 decks)

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