Spreading Infection Flashcards
Where can infection spread from a lower molar tooth?
Sublingual space
Vestibul
Buccal space
Submandibular space
When get sublingual infection?
Infection perforates lingual cortical bone above attachment of mylohyoid
When get vestibule infection?
Infection perforate thorough buccal cortex above buccinator
When get buccal space infection?
Infection perforate buccal cortical bone infection to buccinator
When get submandibular infection?
Infection spread below mylohyoid muscle
What can be issues caused upper canine infection?
Infection can perforate buccal cortex leading to periorbital cellulite - prevent eye opening
What is mx of dental abscess?
- Tx source of infection
- Drainage of abscess
- Ab if requied
When should ab not be prescribed?
Dry socket or pulpits
What is first line tx for dental abscess?
Amoxicillin 500mg TDS 5 days
What should be wary about when prescribing clarithromycin?
Clostridium difficile infections esp in eldrly pt
What are signs that pt would need urgent referral to max fax unit?
Systemic signs
Spreading infection
Raised floor mouth and tongue, difficulty swallowing or breathing, hot potato voice
What is Ludwig’s anginga?
Severe case of spreading infection w/ bilateral cellulitis affecting submandibular and sublingual space
Risks of Ludwig’s angina
Life-treating due to restriction of airway
Requires urgent hospital admission and IV ab and incision of swelling for drainage
