Odontogenic Infections Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What is the most common cause of pulpal inflammation and necrosis?

A

Bacterial infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How does bacteria get to the pulp?

A

Caries or direct access from fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

T/F: A non-vital tooth is more susceptible to subsequent infection.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What bacterial species are responsible for the foul odor of necrotic pulps?

A

Prevotella and porphyromonas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What bacterial species have been associated with periapical abscesses?

A

Prevotella and porphyromonas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

T/F: Strep is the main cause of pulpal infections.

A

FALSE

Mixed bacterial infections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Where in the pulp do proteolytic bacteria grow best?

A

Apically

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

T/F: Pulpitis can be reversed if treated early.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the early stage symptoms of pulpitis?

A
  1. Lower pain threshold

2. Prolonged pain response to cold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What happens once the pulp becomes necrotic?

A

No more blood supply so inflammatory response shifts to periapical tissues

Bacteria is still most numerous in the root canal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

T/F: Periapical lesions are often associated with severe pain.

A

False

Since pulp is necrotic often asymptomatic

Diagnosis via radiographs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is an acute dentoalveolar abscess?

A

Bacterial infection including pulp and apical bone

Very painful due to pus causing pressure on tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

T/F: Antibiotics are effective against infections in the pulp and apical periodontitis/abscesses.

A

FALSE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How are persistent apical lesions treated?

A

Microsurgery or apicoectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

If tooth infections are left untreated, what type of infection can be caused in the surrounding facial tissues?

A

Cellulitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

If tissue is undergoing cellulitis, what would be the clinical signs?

A

Swollen (edema), hard to palpation, and no pus

17
Q

T/F: Lower facial cellulitis is almost always dental.

A

True

18
Q

Cellulitis can progress to an _________.

A

Abscess

19
Q

T/F: Cellulitis and dental abscess is a polymicrobial disease.

A

True

20
Q

T/F: Anaerobes are more likely to cause cellulitis and dental abscess.

A

True

21
Q

T/F: Cellulitis can be managed with antibiotics.

A

True

Still want to remove source of infection

22
Q

What are the first choices of antibiotics for dental abscess and cellulitis?

A

Clindomycin and penicillin

23
Q

Alveolar osteitis is caused by ___________ formation on bone surface.

A

Biofilm

24
Q

T/F: Systemic antibiotics are effective against a dry socket.

A

False

Gentle debridement and medicated dressing

25
Q

T/F: Long term antibiotic treatment is used for osteomyelitis of the jaw.

A

TRUE

26
Q

How do you avoid MRONJ?

A

Avoid dental extractions in immunocompromised patients with history of bisphosphonate treatment