Dentistry

Question 1

Gingivitis n periodontists

Answer 1

Oral hygiene
Pharma - antipain. Oral antiseptic (chlorhex, h2o2, providine iod) I’d systemic add abx - amox plus metri OR doxy

Question 2

NUG

Answer 2

Non pharm- oral haygine with salt soln debride tt cause
Pharm - Aug or amox metri
If can’t tolerate oral abx -ceftra plus metri
OR doxy or clinda
3. Oral antiseptics
4. Pain mgt

Question 3

Dental carries

Answer 3

1. Non cavitation acidulated phosphate gel or na fluoride varnish
2. Cavitating fluoride tt , filling, crown, root canal, tooth extraction

Question 4

Periapical abcess n periodontal abcess

Answer 4

Non phar. Root therapy, trepination, excision n drain, tooth extraction
Pharm- Pain mgt, abx (Aug OR Amox plus metri….like the previous mgt

Question 5

Pericoronitis

Answer 5

Pain mgt
Oral hygiene
Flapectomy, extraction, grind or extract the opposing tooth
Abx- like the previous slide

Question 6

Ludwig angina

Answer 6

Non pharm, airway mgt ETT is not usually safe, drain if abcess
Pharm - immunocompetent- pen g with metri (if pen allergic clinda )
Immunocompromise - cefepime plus metri
2nd line meropenem or piper-tazobactam
Vanco if deteriorating for both pts
Duration - 2-3 week or until improve clinically

Question 7

Osteomyelitis of jaw

Answer 7

Debride , squesterectomy, decortication
Extraction
Phar. Ceftra metri IV for 1 week or clinda of same duration
Change to culture sens drug
Then oral abx - Aug plus metri or clinda for atleast 6 week alternative amox metri

Question 8

Dentine hypersens

Answer 8

Pain mgt and fluoride gel n oral hygiene

Question 9

Post extraction bleeding

Answer 9

Remove left tooth fragment, pack, cauterise, or suture
Pain mgt
Tranexamic acid If bleeding persists
Transfusion or fluid

Question 10

Infected socket

Answer 10

Socket debridment , irrigation , mouth wash with warm saline or 3% h202
Abx- amox plus metri
Pain mgt

Question 11

Dry socket/ alveolar osteitis

Answer 11

D & I with saline or 3%h2o2
Tramadole, nsaid
Abx not needed

Question 12

Tooth eruption disorders
–eruption cyst

Answer 12

Conservative
If fails to subside by itself - sx

Question 13

Shedding 1° teeth

Answer 13

Educate parents but if they fail consult dentist

Question 14

Edentulousness - partial or full loss of natural teeth w assd alveolar bone resorption

Answer 14

Refer

Question 15

Malocclusions

Answer 15

Appliances

Question 16

Aphthous ulcers
Very recurrent, systemic sxx like fever is not present, heal without scar

Answer 16

Oral hygiene avoid trauma to mucosa like by brace or bitting
Phar. Triamcinolone acetonide paste
If not available sys steroid - pred

Question 17

Candid /oropharyngeal (trush)

Answer 17

Tt underlying cause of immuocomprom
Pharm- topical- mild - miconazole oral gel OR clotrimazole torches
Systemic, for mod to sever d. Or failed topical tt -> Fluconazole
Both for 7- 14 days

Question 18

HSV gingivostomatitis

Answer 18

Hydration
Topical or oral* acyclovir
Antipain NSAID