Chapter 16- Periodonal Emergencies

Question 1

An abscess associated with a partially or fully erupted tooth that is covered completely or partly by a flap of tissue called______

usually found in young adults

Answer 1

pericoronitis

operculum

Question 2

The most commonly affected tooth

Answer 2

mandibular molar

Question 3

What are the symptoms of acute pericoronitis ?

Answer 3

swelling of the operculum
trismus
fever
purulent exudate

Question 4

What is the initial therapy of treating pericoronitis?

Answer 4

palliative and symptomatic

Question 5

What happens during the initial debridement treating pericoronitis?

Answer 5

once topical anesthetic is applied to area, it must be debrided, usually by flushing with warm water or chlorhexidine

the pt should be instructed to rest, use warm salt water rinses, and drink fluids to avoid dehydration

antibiotics should be prescribed if the patient has a FEVER

Question 6

After the initial therapy is performed treating pericoronitis, what happens next?

Answer 6

the pt should return the next day!

at the second visit, the area should be flushed and instrumented if possible

once it is resolved, the pt should be evaluated by the dentist for further treatment: extraction of the third molar, which is often only partially erupted, may be required.

Question 7

An opportunistic infection of the gingiva that is associated with stress, lifestlye, and some chronic illnesses and conditions, such as blood dyscrasias, human immunodeficiency virus infection, and Down syndrome

Answer 7

necrotizing ulcerative gingivitis