DENTAL INFECTIONS Flashcards
______ is inflammation of the dental pulp resulting from untreated caries, trauma, or multiple restorations. Its principle symptom is pain.
Pulpitis
Pulpitis Treatment involves
removing decay, restoring the damaged tooth, and sometimes performing root canal therapy or extracting the tooth
Pulpitis begins as a reversible condition in which the tooth can be saved by _____
a simple filling.
In ____________ Pulpitis pain occurs spontaneously or lingers minutes after the stimulus is removed. A patient may have difficulty locating the tooth from which the pain originates, even confusing the maxillary and mandibular arches
irreversible pulpitis
Infectious sequelae of pulpitis include
apical periodontitis,
periapical abscess,
cellulitis,
osteomyelitis of the jaw.
True/False
In reversible pulpitis, pulp vitality can be maintained if the tooth is treated, usually by caries removal, and then restored
True
Irreversible pulpitis and its sequelae requires what type of therapy?
endodontic (root canal) therapy or tooth
extraction
If the patient has systemic signs of infection,
such as fever what would you give?
oral antibiotic is prescribed
Penicillin
or
clindamycin for patients who are allergic
Irreversible pulpitis
If symptoms persist of worsen, _________ is usually repeated in case a root canal was missed.
root canal therapy
________ is an acute or chronic inflammatory lesion around the apex of a tooth root which usually caused by bacterial invasion from the pulp of a necrotic tooth.
Periapical Periodontitis
Periapical Periodontitis
Symptomatic vs Asymptomatic
Symptomatic: painful response to biting and/or percussion. May or may not be accompanied by radiographic changes
Asymptomatic: does not illicit pain to biting or
percussion. Appears as apical radiolucency
Treatment Periapical Periodontitis.
(1) Symptomatic treatment
(2) Antibiotics
(3) Referral to dental for root canal therapy or tooth extraction.
An ________ is a collection of pus within the periodontium caused by the body’s immune
response to a bacterial infection.
abscess
______________ is a collection of pus at the apex of a tooth, usually caused by an infection that has spread from the apical foramen of a tooth with irreversible pulpitis to the surrounding tissues. It is a sequelae of Periapical Periodontitis.
Periapical abscess
____________ is a collection of pus within the periodontium that occurs alongside a tooth as a result of an infection not caused by its root. It can be the result of food impaction in the sulcus, improperly scaled teeth, or penetration
Periodontal abscess
____________ is a collection of pus within the periodontium that occurs alongside a tooth as a result of an infection not caused by its root. It can be the result of food impaction in the sulcus, improperly scaled teeth, or penetration
Periodontal abscess
Periodontal abscess tx
(a) Systemic pain relief
(b) Drainage via gentle irrigation and dental scaling, else I & D.
(c) Antibiotics
Periapical abscess tx
(a) Systemic pain relief
(b) Drainage via I & D
(c) Antibiotics
(d) Refer to dental for root canal therapy or tooth extraction
________ is inflammation of the gingiva, producing bleeding with swelling, redness, exudate, a change of normal contours, and occasionally, discomfort.
Gingivitis
The most common cause of gingivitis is _________ which allows plaque to accumulate between the gingiva and teeth (sulcus).
poor oral hygiene
True/False
Gingivitis may be an early sign of a systemic disorder, particularly those that affect the response to infection particularly if it occurs in patients with minimal dental plaque.
True
What is an acute, painful inflammation of the gingival flap over a partially erupted tooth, usually around mandibular 3rd molars (wisdom teeth). Infection is common, and an abscess may develop.
-often recurs as food gets trapped beneath the
flap.
Pericoronitis
Prevention of Gingivitis
- Daily removal of plaque with dental floss and a toothbrush
- routine cleaning by a dentist or hygienist at 6-mo to 1-yeaer intervals can help prevent gingivitis
When do you refer gingivitis and for what?
Refer to dental for cleaning if unable to resolve with personal hygiene
