Spread of Infection

Question 1

Maxillary spreads of infection

Answer 1

1. Above insertion of buccinator: buccal space
2. Below insertion of buccinator: oral cavity
3. Palatally
4. Into sinus

Question 2

Mandibular spreads of infection

Answer 2

1. Above insertion of mylohyoid: sublingual
2. Below insertion of mylohyoid: submandibular
3. Above insertion of buccinator: oral cavity
4. Below insertion of buccinator: buccal space

Question 3

What is an abscess?

Answer 3

Collection of pus in tooth due to infection

Question 4

Swelling hx

Answer 4

SOCRATES
Eye involvement
Difficulty swallowing
Difficulty breathing
Swelling rapidly increasing
URGENT REFERRAL TO MAX FAX

Question 5

SIs for swelling

Answer 5

PA
Take temp, BP, HR - pulse, RR - breaths/min, O2 sat

Question 6

What is Sepsis?

Answer 6

Life threatening inflammatory reaction to an infection

Question 7

Signs of Sepsis

Answer 7

Temp <36 or >38
HR >90bpm
RR>22/min
WBC <4000 or >12,000

Question 8

What is the sepsis 6

Answer 8

IN
IV Abx
Fluids
O2

OUT
Lactate
Blood
Urine

Question 9

Tx for infection

Answer 9

Provide drainage
Remove source of infection: extirpate/XLa
Abx if required

Question 10

What is Ludwig’s angina?

Answer 10

Bilateral red swelling in submandibular region

Question 11

Symptoms of Ludwig’s angina

Answer 11

Difficulty breathing/swallowing/drooling
Increased HR,RR,Temp,WBC - need MAX FAX