Lecture 1- Management of Odontogenic Infections Flashcards

1
Q

Odontogenic infections are a 2 stage progression. Stage 1 is initiated by … bacteria and the second stage is perpetuated by …. bacteria

A

aerobic

anaerobic

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2
Q

the natural course of an odontogenic infection is … , … , …

A

cellulitis (aerobic)
abscess (anaerobic)
fistula (if you don’t intervene)

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3
Q

Cellulitis can be thought of as a sponge meaning it won’t …

A

drain a lot

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4
Q

Cellulitis is primarily …

A

streptococcus

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5
Q

early cellulitis presentation…

A

mild, soft/red, easily treated

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6
Q

advanced cellulitis presentation

A

diffuse, hard, severe/life threatening, hard to treat

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7
Q

an abscess is primarily … and is a … filled cavity

A

anaerobes

pus filled

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8
Q

3 determinants of the spread of an odontogenic infection

A

muscle attachments
bone thickness
root angulation

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9
Q

T/F an infection in the submandibular space is very difficult to drain from inside the mouth

A

true

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10
Q

T/F an infection in the vestibular or buccal space is very difficult to drain inside the mouth

A

false

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11
Q

what is Ludwig’s angina?

A

bilateral submandibular, sublingual and submental space cellulitis

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12
Q

what is a concern of Ludwig’s angina?

A

airway

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13
Q

Trismus is a hallmark sign of an infection in the … space

A

pterygomandibular

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14
Q

what causes rapid/severe fascial space involvement?

A

high speed hand piece used for extractions

  • non sterile air/water
  • vented into wound
  • rapidly involves multiple spaces distant from wound
  • crepitance on palpation or air on radiograph
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15
Q

trismus indicates …. involvement

A

secondary space

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16
Q

the most important surgical goal is

A

remove source of infection

then drain pus and release tension to improve circulation