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Oral Pathology > 6-Bone Inflammation > Flashcards

6-Bone Inflammation Flashcards

1
Q

What is osteolyelitis?

A

bone marrow inflammation with possible suppuration (pus formation)

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2
Q

Acute Osteomyelitis clinical presentation?

A 
Significant pain
Fever
WBC rise
Swelling of overlying tissues/lymph nodes
Pus
Necrotis bone sequestra
Parasthesia
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3
Q

Radiographic appearance of Acute Osteomyelitis?

A

ill-defined, asymmetric radiolucency

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4
Q

Treatment for Acute Osteomyelitis?

A

antibiotics!!

surgical drainage if not spontaneous

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5
Q

Chronic Osteomyelitis clinical presentation?

A

Variable pain
Swelling
Tooth loss

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6
Q

Radiographic appearance of Chronic Osteomyelitis?

A

ill-defined, asymmetric radiolucency

increased density

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7
Q

Treatment for Chronic Osteomyelitis?

A

IV antibiotics

long duration

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8
Q

What is Chronic Focal Sclerosing Osteomyelitis?

A

Condensing Osteitis, a reaction to low grade odontogenic infection where the tooth is NON-VITAL

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9
Q

Radiographic appearance of Chronic Focal Sclerosing Osteomyelitis?

A

irregular opacity, asymmetric and blends

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10
Q

What is Chronic Diffuse Sclerosing Osteomyelitis?

A

reaction to low grade odontogenic infection following trauma or surgery, but affects large area of bone in 1 quandrant

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11
Q

Radiographic appearance of Chronic Diffuse Sclerosing Osteomyelitis?

A

diffuse radiopacity of varying density in Posterior Md

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12
Q

What is Chronic Osteomyelitis with Proliferative Periostitis?

A

low grade osteomyelitis in younger patients, inflammation involves periosteum on or near cortical surface, draining sinus tract from an infected tooth most often

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13
Q

Radiographic appearance of Chronic Osteomyelitis with Proliferative Periostitis?

A

thin layering of cortical bone
Onion skin pattern
lucency under cortex

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14
Q

What is Alveolar Osteitis?

A

dry socket post extraction from loss/breakdown of blood clot

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15
Q

Treatment for Alveolar Osteitis?

A

packing of socket with protective dressing

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16
Q

Who does Alveolar Osteitis affect and why?

A

women because of birth control pills

17
Q

What is Bisphosphonate-induced osteonecrosis (BRONJ)?

A

drug that inhibits action of osteoclasts also can affect angiogenesis (bone healing) and osteoblasts to increase bone density

18
Q

What type of Bisphosphonate-induced osteonecrosis drug produces greater risk?

A

IV administration

19
Q

Bisphosphonate-induced osteonecrosis clinical presentation?

A

bone necrosis

follows surgical procedures

20
Q

Bisphosphonate-induced osteonecrosis best treatment?

A

prevention

21
Q

What is Cemento-Osseous Dysplasia?

A

Non inflammation, non neoplastic, no genetic pattern defect in progenitor cells in the PDL which affects ability to remodel bone and cementum

22
Q

What is Periapical Cemento-Osseous Dysplasia?

A

middle age remodeling bone/cementum defect affecting Blacks 70% and Females 90%

23
Q

Periapical Cemento-Osseous Dysplasia clinical presentation?

A

anterior Md
Painless
TOOTH VITAL

24
Q

Periapical Cemento-Osseous Dysplasia radiographic appearance?

A

anterior Md
apex
Progressive lucent to sclerosis fused to tooth root

25
Q

Periapical Cemento-Osseous Dysplasia Tx?

A

None

DO NOT DO RCT

26
Q

What is Florid Cemento-Osseous Dysplasia?

A

Middle age remodeling bone/cementum defect affecting Blacks and Females

27
Q

Florid Cemento-Osseous Dysplasia clincal presentation?

A

multiple posterior quandrants in Md
painless
possible expansion

28
Q

Florid Cemento-Osseous Dysplasia Tx?

A

Prevention

try to not take out teeth and keep gums healthy

29
Q

What happens if Florid Cemento-Osseous Dysplasia lesions become infected?

A

large portions of bone may sequestrate

30
Q

What is Focal Cemento-Osseous Dysplasia?

A

remodeling bone/cementum defect in Md, doesn’t follow normal classic population and common in EDENTULOUS areas

31
Q

Focal Cemento-Osseous Dysplasia radiographic appearance?

A

opaque with lucent halo

Oral Pathology (20 decks)

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