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ADK > Swellings > Flashcards

Swellings Flashcards

1
Q

what are the differential diagnosis for a patient who has swelling and apical pathology is present

A

periapical periodontitis, perio-endo lesion, periodontal abscess, periapical abscess, periapical cyst

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2
Q

what are the differential diagnosis for a patient who has swelling and apical pathology is not present

A

salivary gland obstruction/infection, pericoronitis, fractured jaw, fractured tooth, malignancy, bony diseases, tumour, tori

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3
Q

what are the symptoms of acute apical abscess

A

localised pain, pain increases on chewing/touching tooth, quick onset of swelling and pain, possible mobility

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4
Q

what is the immediate management of acute apical abscess

A

establish drainage, extirpate/XLA +/- incision of fluctuant swellings, analgesia, antimicrobials, consider relieving occlusion

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5
Q

what is the long term management of acute apical abscess

A

review, RCT or XLA

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6
Q

what are the symptoms of pericoronitis

A

localised pain to partially erupted tooth, swelling of gingiva which can progress to facial swelling, limited mouth opening, bad taste and smell

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7
Q

what is the immediate management of peicoronitis

A

debride area, irrigate with saline, assess need to antimicrobials, consider adjustment of opposing tooth

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8
Q

what is the long term management of pericoronitis

A

consider XLA for 2 or more episodes or 1 severe episode, XLA of opposing tooth

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9
Q

what are the symptoms of perio-endo abscess

A

generalised periodontitis with localised pain, swelling, deep pocketing to root apex

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10
Q

what is the immediate treatment for perio-endo abscess

A

debride pockets, irrigate, chemical plaque control, establish drainage - extirpate/XLA +/- incision, antibiotics

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11
Q

what is the long term management of perio-endo abscess

A

review OH, based on whether the cause is primary endo/perio carry out endodontic/periodontal therapy initially, followed up by the other one

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12
Q

what are the symptoms of salivary gland obstruction/infection

A

pain in major salivary gland, swelling, history of dehydration, history of xerostomia

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13
Q

what is the immediate management of salivary gland obstruction/infection

A

analgesia, advise patient to increase fluid intake, use warm compress on gland, massage gland, encourage salivary slow, consult GMP to consider changing medication, referral

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14
Q

what is the long term management of salivary gland obstruction/infection

A

saliva substitutes, high caries risk prevention protocol

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15
Q

what are the symptoms of periodontal abscess

A

pain/tenderness of gingiva, increased mobility, gingival swelling, suppuration from gingiva, systemic symptoms inlude pyrexia, lymphadenopathy and malaise

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16
Q

what is the immediate management of peridontal abscess

A

supra and sub-gingival debridement of pockets, antibiotics, consider extraction

17
Q

what is the long term management of periodontal abscess

A

review OH, periodontal treatment, consider extraction

18
Q

what is a radicular cyst

A

apical to non-vital tooth, egg-shell crackling of bone, commonly upper centrals

19
Q

what is the treatment of radicular cysts

A

root canal or extraction

20
Q

what is a residual cyst

A

following extraction of tooth with radicular cysts, cyst remains and becomes residual cyst

21
Q

what is the treatment of a residual cyst

A

no treatment and monitor or enucleation

22
Q

what is a dentigerous cyst

A

cyst that develops around CEJ of teeth and prevents their eruption

23
Q

what is the treatment of dentigerous cyst

A

surgical removal or uncover the tooth

24
Q

what is a mucocele

A

due to trauma to minor salivary gland, usually lower lip

25
Q

what is the treatment of a mucocele

A

monitor or enucleation

26
Q

what is a ranula

A

cyst formed from major salivary gland (submandibular or sublingual)

27
Q

what is the treatment for a ranula

A

marsupialisation

28
Q

what is a salivary gland stone/obstruction

A

cause pain and swelling, diagnosis with clinical signs and symptoms physical exam

29
Q

what is the treatment for salivary gland stone/obstruction

A

depends on size and location: no treatment, surgical removal, basket retrieval, lithotripsy

ADK (15 decks)

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