Mgmnt of Minor Odontogenic infections

Question 1

Infection of ____ origin is one of the commonest diseases affecting the oro-facial
region.

Answer 1

Dental orgin

Question 2

Most minor odontogenic infections are easily managed with ____ and ______

Answer 2

minor surgery and antibiotics

Question 3

Most oral infections are ____in origin consisting of aerobic and anaerobic gram
positive and gram negative organisms

Answer 3

mixed

Question 4

Are anaerobic or aerobic bacteria more present in minor odontogenic infections?

Answer 4

Anaerobic

Question 5

In early stages of infection, what type of bacteria are present?

Answer 5

Gram + aerobes

Question 6

In later stages of infection, what type of bacteria are present?

Answer 6

Anaerobes

Question 7

Do you do an I&D for cellulitis?

Answer 7

Yes: want to expose anaerobic microbes to O2

Question 8

What are the 3 stages of the infection?

Answer 8

Edema, Cellulitis, Abscess

Question 9

 Diffuse, reddened, brawny swelling that is tender to
palpation.

 Inflammatory response not yet forming a true abscess.

 Microorganisms have just begun to overcome host
defenses and spread beyond tissue planes.

Answer 9

Cellultis

Question 10

What is the most rapidly spreading stage of infection?

Answer 10

Cellulitis

Question 11

 As inflammatory response matures and an abscess
develops.

 An abscess is a localized collection of pus.

 May develop spontaneous drainage intraorally or
extraorally.

Answer 11

Abscess

Question 12

What are the 5 steps to treat a minor odontogenic infection?

Answer 12

1. Remove the cause of infection.
2. Establish drainage.
3. Choose and prescribe the appropriate Antibiotics
4. Supportive care, including proper rest and nutrition
5. Re-evaluate the patient frequently

Question 13

 Indications for _______

 Rapidly progressive swelling
 Diffuse swelling (cellulitis)
 Fascial space involvement
 Compromised host defenses
 Severe pericoronitis
 Osteomyelitis
 Trauma

Answer 13

Indications for antibiotics