Presentation
Healing of the sinus tract with some scarring was present. [oralhealthgroup.com]
Caries presenting as opaque white areas with central cavitations. FIGURE 2. Caries presenting as opaque white areas with central cavitations. FIGURE 3. Caries in the primary dentition. [aafp.org]
In case of acute alveolar abscess, there is: Severe throbbing pain is present Tooth is tender on percussion Swelling is present and it becomes more pronounced as the infection progresses Tooth becomes mobile and gets extruded from the socket. [identalhub.com]
HISTORY OF PRESENT ILLNESS: Mr. A028 is a 24 year old male presenting with a dental abscess he has had for 9 days. He had two episodes of dental abscesses prior for which he was treated. [ukessays.com]
Swelling may or may not be present, depending on whether the intense pressure from the infection has been able to vent into or through the tooth’s bony housing. [toothiq.com]
Entire Body System
- Falling
Pulps of most teeth with deep carious lesions without any clinical symptoms fall into this category. The inflammatory response is reversible if the carious lesions are completely excavated and a sedative filling is placed. & 6. [columbia.edu]
Trauma to the tooth due to an injury or fall that results in a broken or chipped tooth. It can create some extra space in the region giving room for the bacteria to accumulate. Pressure on the teeth due to grinding or clenching. [momjunction.com]
Damage can extend to the periodontal ligament and alveolar bone causing the tooth to become loose and, in severe cases, fall out. There are two forms of periodontitis; chronic and aggressive. Chronic periodontitis takes years to develop. [atsu.edu]
[…] of removing tissue for histologic evaluation. birthday rule : When a dependent child's parents both have dental coverage, this rule states that the primary program (the one which pays first) is the one covering the parent whose month and day of birth falls [ridgewoodsmilesdentistry.com]
[…] and calculus which obstructs the ability to perform an evaluation; removal of contused and devitalized tissue from a wound surface. decay: The lay term for carious lesions in a tooth; decomposition of tooth structure. deciduous: Having the property of falling [northdaytondental.com]
- Weakness
Musculoskeletal: Patient denied any muscle weakness, tenderness or swelling. He also denied joint pain and locking. Neurological: Patient denied having any weakness, blackouts or fainting. [ukessays.com]
The pain should be managed with appropriate analgesia such as a nonsteroidal anti-inflammatory drug (NSAID) or a weak opioid combined with an NSAID or acetaminophen in an appropriate quantity to last until the dental appointment. [aafp.org]
- High Fever
Systemic findings of high fevers, chills, and marked toxicity are generally present. Treatment requires reversal of salivary stasis, and duct cannulation may be necessary. [antimicrobe.org]
- Pathologist
[…] through cutting the adjacent soft tissues and bone to allow direct access. operculectomy : Removal of the operculum. operculum : The flap of tissue over an unerupted or partially erupted tooth. oral : Pertaining to the mouth. oral and maxillofacial pathologist [drrossdixon.com]
Respiratoric
- Aspiration
Abstract The microflora of pus samples aspirated from 50 acute dento-alveolar abscesses was examined. [ncbi.nlm.nih.gov]
1025 Gingival Fibromatosis 277 Bibliography 278 Biopsy and Histopathological Examination 281 1131 Traumatic Fibroma 283 1132 Peripheral Giant Cell Granuloma 286 1134 Peripheral Fibroma of Gingiva 291 1135 Leukoplakia 294 114 Incisional Biopsy 295 115 Aspiration [books.google.com]
In cases of actinomycosis, needle aspiration of the abscess can be helpful. If sulfur granules are present in the aspirate, Gram stains should be performed to demonstrate gram-positive branching filamentous bacteria in the sample. [atsu.edu]
Mycetoma Madura Foot 181 27 Fever and Lymphadenopathy 187 Clinical Syndromes 195 28 Acute and Chronic Bronchitis 197 29 Croup Supraglottitis and Laryngitis 205 30 Atypical Pneumonia 211 31 CommunityAcquired Pneumonia 221 32 Nosocomial Pneumonia 229 33 Aspiration [books.google.ro]
Aspiration usually produces yellowish pus. Regional lymph nodes may become enlarged and painful. [softdental.com]
Gastrointestinal
- Food Poisoning
Poisoning 359 50 AntibioticAssociated Diarrhea 367 51 Sexually Transmitted Enteric Infections 371 52 Acute Appendicitis 377 53 Diverticulitis 381 54 Abdominal Abscess 387 55 Splenic Abscess 391 56 Peritonitis 397 57 Whipples Disease and Sprue 403 PART [books.google.ro]
- Hematochezia
Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself [nejm.org]
Jaw & Teeth
- Jaw Pain
CT Scan in case the infection has spread or is suspected to have spread to other parts of the face and the neck. [ Read: Jaw Pain In Children ] Treating An Abscessed Tooth In Child The treatment for an abscess in a child’s mouth depends on the severity [momjunction.com]
- Poor Oral Hygiene
oral hygiene can result in infections that are of concern to physicians. [atsu.edu]
Face, Head & Neck
- Facial Swelling
swelling, fever Treatment Antibiotics, drainage, deep cleaning. [medical-dictionary.thefreedictionary.com]
The signs often found in conjunction with a dental abscess may include, but are not limited to: deep cavities, gum inflammation, oral or facial swelling, tenderness with touch, pus drainage, and sometimes limited ability to open the mouth (difficulty [emedicinehealth.com]
In some cases, a tooth abscess may perforate bone and start draining into the surrounding tissues creating local facial swelling. In some cases, the lymph glands in the neck will become swollen and tender in response to the infection. [en.wikipedia.org]
Periodontal abscess manifests similar to dentoalveolar abscess (i.e., pain and facial swelling over the site of the abscess); however, the patient with periodontal abscess also has signs of periodontal disease. [atsu.edu]
Adults who do not wish to attempt to keep their teeth or who have significant facial swelling should be referred to an oral surgeon. The Authors show all author info ALAN B. [aafp.org]
Treatment
By achieving a proper diagnosis, proper treatment such as endodontic treatment or extraction can alleviate the cause, which will result in healing of the sinus tract with minimal, if any, scarring. [oralhealthgroup.com]
Homeopathic treatment was effective in 80% of patients and partially effective in 20%; most patients declared to be satisfied with treatment. It is concluded that Hepar sulphur in acute alveolar abscess was useful, effective and innocuous. [aph.org.br]
[…] of Radicular Cysts 300 Bibliography 308 Apicoectomy 309 134 Surgical Technique 312 135 Complications 322 Bibliography 323 Surgical Treatment of Salivary Gland Lesions 327 142 Removal of Mucus Cysts 330 1422 Ranula 334 Bibliography 335 Osseointegrated [books.google.com]
Treatment Remove all irritants. Give free vent for the escape of the pus. Destroy sac of abscess by therapeutic treatment, or by a surgical operation. [chestofbooks.com]
Previous dental history: recent treatment; periodontal treatment; any history of trauma to the teeth. [nature.com]
Prognosis
Plain radiograph / OPG and CT well-defined lucency at or distal to the root apex, usually 2-4 the tooth or teeth involved often show signs of caries an empty socket may indicate recent extraction for infection Treatment and prognosis Some dental abscesses [radiopaedia.org]
However, if the fracture line is horizontal or diagonal and superficial to the alveolar crest, then the prognosis may be better. [nature.com]
What Is the Prognosis for Dental Abscesses? The prognosis is good for resolution of a small dental abscess once it has ruptured or been drained. If the symptoms are improving, it is unlikely that the infection is getting worse. [emedicinehealth.com]
Etiology
M I CROBIAL ETIOLOGY The microbial etiology of orofacial infections may be anticipated from the normal resident flora of the contiguous mucosal surfaces from which the infection originated. [antimicrobe.org]
The main etiologic agent is bacterial plaque. [aafp.org]
Cutaneous sinus tracts of dental etiology. Oral Surg Oral Med Oral Pathol 1988; 66(5):608-14. 4.Liebgott B. Applied Anatomy. In: The anatomical basis of dentistry 2nd Ed. St. Louis: Mosby, Inc.; 2001: 517-20. [oralhealthgroup.com]
Etiology Dentoalveolar and periodontal abscess, Ludwig’s angina, and osteomyelitis of the jaw are all polymicrobial infections (Table TGJ-2). Table TGJ-2. [atsu.edu]
A dental radiograph is of little help in the early stages of a dental abscess, but later usually the position of the abscess, and hence indication of endodontal/periodontal etiology can be determined. [en.wikipedia.org]
Epidemiology
Epidemiology Dental caries, gingivitis, and periodontal disease are ubiquitous; however, with good oral hygiene and preventive dental practices, the incidence is decreasing in the Western world. [atsu.edu]
Classification, etiology and epidemiology of traumatic dental injuries. In: Andreasen JO, Andreasen FM, eds. Textbook and color atlas of traumatic injuries to the teeth. 3d ed. Copenhagen: Munksgaard, 1994:151–77. 12. McTigue DJ. [aafp.org]
Pathophysiology
Pathophysiology of Periapical Tissue Acute Apical Periodontitis (AAP): This acute inflammation usually results from an irritation via the root canal. The causes may be root canal instrumentation or a high filling. [columbia.edu]
Prevention
Management of Medical Emergencies chapter helps you prepare for, prevent, and manage the most common emergencies that may occur in the dental office setting. [books.google.com]
Regular check up with your dentist is the best mode of prevention. [ndcs.com.sg]
[…] kids makes it easier to prevent it. [momjunction.com]
How Do You Prevent a Dental Abscess? Prevention plays a major role in maintaining good dental health. Daily brushing and flossing along with regular dental checkups can prevent tooth decay and dental abscess. [emedicinehealth.com]
How can you prevent an abscessed tooth? The best way to prevent an abscessed tooth is to take good care of your teeth and gums: Brush your teeth 2 times a day, in the morning and at night. [northshore.org]