Dental problems: Difference between revisions

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==Dentoalveolar Injuries==
==Types==
#[[Tooth Fracture]]
{{Template:Dental Problems DDX}}
#[[Tooth Subluxation]]
#[[Tooth Avulsion]]
#[[Bleeding Dental Socket]]


== Odontogenic Infections ==
{{Maxillofacial trauma DDX}}
=== [[Dental Caries (Pulpitis)]] ===
#Two types: reversible pulpitis and irreversible pulpitis
##Reversible Pulpitis
###Duration of pain is short (seconds)
###Associated with noxious stimuli (cold or heat)
##Irreversible Pulpitis
###Duration of pain is long (hours) and intense
###Associated with noxious stimuli or may occur spontaneously
###Tx = root canal or extraction


=== [[Periapical Abcess]] ===
{{Facial swelling DDX}}
#Treatment
##I&D
##Penicillin VK 500mg PO QID OR Clindamycin 300mg PO QID
##Dental referral


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


==See Also==
==References==
*[[Acute Alveolar Osteitis (Dry Socket)]]
<references/>
*[[Dental Numbers]]


[[Category:ENT]]
[[Category:ENT]]
 
[[Category:ID]]
== Source ==
[[Category:Trauma]]
*ER Atlas
[[Category:Symptoms]]
*Tintinalli
*UpToDate

Revision as of 00:49, 12 February 2017

Types

Dentoalveolar Injuries

Odontogenic Infections

Other

Maxillofacial Trauma

Facial Swelling

See Also

References