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| == Odontogenic Infections == | | == Odontogenic Infections == |
| #[[Dental Caries (Pulpitis)]] | | #[[Dental Caries (Pulpitis)]] |
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| #[[Periapical Abcess]] | | #[[Periapical Abcess]] |
| | | #[[Trench Mouth (Acute Necrotizing Ulcerative Gingivitis)]] |
| === [[Trench Mouth (Acute Necrotizing Ulcerative Gingivitis)]] ===
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| ====Background====
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| #Severe gingival disease
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| #Must distinguish from herpes gingivostomatitis
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| ##Herpes has more systemic signs, less bleeding, lack of interdental papilla involvement
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| #Associated with immunosuppression, especially HIV
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| ====Clinical Features====
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| #Triad of:
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| ##Pain
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| ##Ulcerated or "punched out" interdental papillae
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| ##Gingival bleeding
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| #Secondary signs:
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| ##Fetid breath
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| ##"Wooden teeth" feeling
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| ##Teeth mobility
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| ##Fever
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| ##Malaise
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| ====Treatment====
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| #Chlorhexidine 0.01% oral rinse BID
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| #Metronidazole 500mg PO TID
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| #Dental debridement and scaling
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| ==See Also== | | ==See Also== |
