526 Mouth Flashcards
What is the treatment for dental infection
NSAIDs
amox or clinday for 7-10 days
why do dental abcesses not respond well to abx and what is the definitive treatment
because there is no blood supply to carry the abx to the abcess
definitive treatment is incision and drainage
which patients with dental infection may have no pain or only mild pain
patients on glucocorticoids
DM
advanced age
what are signs of severe dental infection
trismus, airway compromise, dysphagia
true or false: radiography is recommended to diagnose dental abcess
false, primarily diagnosed through history and physical
ludwig angina had what symptoms and is a possible life threatening complication of what
trismus, drooling, induration of tongue, tachypnea and dyspnea
possible complication of dental abcess
what are the 3 main pairs of salivary glands
parotid
submandibular
sublingual
parasympathetic innervation (increases or decreases) saliva production and sympathetic innervation (increases or decreases) saliva production
parasympathetic = increase
sympathetic = decrease
which salivary gland is most likely to develop a tumor
parotid
what is xerostomia
dry mouth
what is ptyalism
excess salivaw
what is initial treatment for non infectious nonmalignant salivary gland problems
hydration and pain management
mucocele is typically seen where
common in lower lip
a ranula is most commonly seen where
on the floor of the mouth
what is the treatment for a mucocele and ranula
excision
what is a sialolith
calcified mass blocking a salivary duct
TB may cause what salivary gland disease
sarcoidosis
how do you treat sarcoidosis
corticosteroids
what is keratoconjunctivitis sicca and what autoimmune disorder is it accosiated with
dry eyes
sjorgrens syndrome
what is parotitis
inflammation of the parotid gland
what viruses are most commonly associated with parotitis
paramyxovirus (mumps)
HIV
what medications increase risk of parotitis and why
anticholinergics and antihistamines
decrease saliva
rapid edema, pain and induration along the jaw/side of face in indicative of what glandular disorder
parotitis
is steroids a common treatment for parotitis
no, there use in treatment is questionable
what is the main treatment for parotitis
abx
what are important differentials to rule out with a peritonsillar abcess
mono
tumor
peritonsillar cellulitis
epiglotitis
what is a more likely presentation with mono versus peritonsillar abcess
mono usually has a prodrome of headache, malaise, fatigue and anorexia before a sore throat
what findings would make epiglottitis less likely when ruling out for a possible peritonsillar abcess
epiglottitis is less likely if there is peritonsillar swelling with preserved swallowing and no stridor
what condition would cause white-grey exudate on the tonsils with petechiae on the palate and posterior cervical adenopathy
mono
what is the most common fungus to infect the mouth
candida albicans
what oral disease would cause vesicular lesions with an erythematous base
HSV
what oral disease would cause a prodrome of pain, tingling and burning
HSV
what oral disease has lesions that are white, verrucous and may be in clusters or singular and found on the lips, hard palate or gingiva
HPV
what is the proper term for a canker sore
apthous ulcer
what oral disease has shallow painful ulcerations in the oral mucosa that are nonkertonized
apthous ulcers
how would you differentiate apthous ulcers from herpetic lesions
herpetic lesions originate from vesicles and are found on oral mucosa attached to bone structure
how is oral HSV treated
oral zinc
antivirals
topical corticosteroids
how are oral papillomas from HPV treated
surgical excision
how is oral candida treated
nystatin
clotrimazole
flucanozole
how is aphthous stomatitis treated
topical steroids or rinse
peroxide rinse
different combination “mouthwashes”
