Acute alveolar osteitis: Difference between revisions
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==Background== | ==Background== | ||
Osteomyelitis of | *Osteomyelitis of alveolar bone d/t premature loss of healing clot after tooth extraction | ||
==Diagnosis== | ==Diagnosis== | ||
#2- | #Occurs 2-4d after tooth extraction | ||
#Initial post-extraction pain subsides followed by sudden/severe pain at extraction site | #Initial post-extraction pain subsides followed by sudden/severe pain at extraction site | ||
#Physical exam often unremarkable | #Physical exam often unremarkable | ||
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##Often requires dental block | ##Often requires dental block | ||
#Irrigate and suction | #Irrigate and suction | ||
#Pack with gauze soaked with eugenol or local anesthetic | #Pack with ribbon gauze soaked with eugenol or local anesthetic | ||
# | #Penicillin VK 500mg PO QID OR clindamycin 300mg PO QID | ||
#Referral to dentist within 24hr | |||
==See Also== | ==See Also== | ||
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==Source== | ==Source== | ||
*EBmedicine: Acute Dental Emergencies in Emergency Medicine | |||
*Tintinalli | |||
EBmedicine: Acute Dental Emergencies in Emergency Medicine | |||
[[Category:ENT]] | [[Category:ENT]] | ||
Revision as of 21:50, 15 November 2011
Background
- Osteomyelitis of alveolar bone d/t premature loss of healing clot after tooth extraction
Diagnosis
- Occurs 2-4d after tooth extraction
- Initial post-extraction pain subsides followed by sudden/severe pain at extraction site
- Physical exam often unremarkable
Treatment
- Analgesia
- Often requires dental block
- Irrigate and suction
- Pack with ribbon gauze soaked with eugenol or local anesthetic
- Penicillin VK 500mg PO QID OR clindamycin 300mg PO QID
- Referral to dentist within 24hr
See Also
Source
- EBmedicine: Acute Dental Emergencies in Emergency Medicine
- Tintinalli