Dental Abscesses & Salivary Gland Infections Flashcards
what is the MOA for dentoalveolar abscess
carious lesion/trauma
bac spread via dentinal tubules
anachoresis
acute inflam and chronic
what is the ass dentoalveolar abscess acute inflmamation
pulpitis
necrosis of the pulp
what is the assc dentoalveolar abscess chronic inflammation
abscess
pulp remains viable
how does dentoalveolar abscesses spread
local
soft tissue
- direct
- indirect
what are the symptoms of an abscess
pain
swelling
erythema
suppuration
what are the key factors considered when thinking of an abscess
number of virulent bacteria
local and systemic immunity
anatomical damage
what are the accultataive anaerobes assc with DA abscess
s anginosus
s oralid
what are the struct anaerobes assc with DA abscess
prevotella
fusobacterum
what si the treatment for a DA abscess
needle aspiration
train pus
amoxicillin
metronidazole
what is a periodontal ascess
infection periodontiuum
acute or chronic
what is the causes of a PD abscess
occlusion of an opening into the mouth
impaction
what are the symptoms of a PD abscess
sudden swelling erythema suppuration ain tissue/bone destruction
what si the assc microbiology with a PD abscess
GNABS streptococci treponema f nuc propionibacterium
how is a PD abscess treated
scale
irrigate
penicillin
metronidazole
what is the assc bac with a root infection
Fusobac (-VE)
Enterococcus Faecalis
Lactobacilli
Candida albicans
what re the ket features of enterococcus faelcalis
adhere to collagen
persist
biofilm for
resist CaOH
what is a dry socket
localised osetomyleits
post extraction fails to heal
what is the prphylais used for a dry socket
irrigate with CHX before and after extraction
how si a dry socket treated
metronidazole and antiseptic dressing
what is the assc bac on an osseointegrated abscess
a aureus
s epidermis
fusobac
what is ludwig angina
post extraction
bilateral infection of summand/lingual spaces
what re the symptoms of ludwig angina
base of mouth
brawny oedema
airway obstruction
what is the microbiology assc with ldwigs angina
staph
fusobacterium
prevotella
enterococci
how are the airways insured to stay open in ludwig
surgical intervention
drainage
parenteral hydration
how is ludwig angina treated
IV penicillin
cephtiaxone
mertonidazoel
what is osteomyelitis of the jaw
inflammation of medullary cavity of the anidble
what are the types of omsteomyleitits of the jar
acute = pain mild fever, loose teeth, pus
chronic - tender, nindruated skin
what is the assc bac with osteo of jaw
endogenous
tannerlla
M tb
how does post radiation therapy affect osteo of jaw
necrosis of blood supply
reached saliva flow
exogenous bac
what are the predisposing factors for acute bac parotitis
drugs
abnormalities
sialectastasis
wat si th prensnetaiotn fo ABP
swelling glands parotid
pain
purulent secretions
fever
what is the assc bac for ABP
s aureus
streps
hamoplihus
who is ABP treated
co amoxiclav
flucloxacillin
salavation
what is chronic bacterial parotitis
recurrent infection
sjorgens
fibrosis of glands
what is parotitis of childhood
before puberty repeated acute episodes - duct abnormalities - mumps - trauma
what is submandibular sialadentitis
rare
calculi
strictures
