Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
27 Cards in this Set
- Front
- Back
|
treatment of an intrusion |
soft diet for 1-2 weeks and a soft toothbrush with dental referral to evaluate for potential damage to surrounding teeth these teeth can re-erupt |
|
|
treatment of an avulsion in an adult |
permanent teeth ideally should be replaced within 5 min (if done within 30 min then still excellent chance of retention without root resorption) carefully rinse tooth without damaging the periodontal ligament prompt dental evaluation |
|
|
how to treat a periapical abscess |
I&D, antibiotics only if concurrent cellulitis is present, analgesics, and referral to a dentist for definitive treatment with root canal or extraction |
|
|
antibiotic of choice for intraoral infection |
penicillin |
|
|
tongue piercings increase the risk of... |
periodontal dz, abscessed teeth, tooth fractures, stud aspiration, allergic rxn, nerve damage, speech impediment, gingival recession (gum recession), infection |
|
|
when should an avulsed tooth of a child be replaced |
never |
|
|
indications for hospitalization of a child with facial cellulitis |
1. tracking of swelling into neck, orbit, or deeper facial structures 2. toxic appearing 3. unable to tolerate PO |
|
|
which of the following requires treatment with antibiotics (periapical abscess, cellulitis, caries, pulpitis) |
cellulitis |
|
|
treatment of choice for an abscessed tooth |
dental referral for extraction or root canal treatment (note that root canal treatment is mainly used for permanent teeth, not primary teeth)
do not incise and drain, do not start antibiotics |
|
|
what would you do first in evaluating a patient with facial trauma |
assess ABCs |
|
|
how do you treat a periapical abscess that has spread into the adjacent tissues causing cellulitis |
give amoxicillin + clavulanate if PCN allergic, then Rx with clindamycin |
|
|
how to check for a fracture of the alveolar ridge in facial trauma |
look for a step-off in an imaginary line drawn along the top of the teeth |
|
|
how to rinse debris off of an avulsed tooth |
rinse off with saline or milk NEVER touch, rub, or scrub the root of the tooth |
|
|
how to transport an avulsed tooth |
isotonic solution such as Hank's solution, milk, saline, or in buccal sulcus (do not use water, bleach, juice b/c could negatively impact tooth viability) |
|
|
what to do after an avulsed tooth has been re-implanted |
patient should bite down on gauze and get flexible splinting radiographs to eval for other injuries chlorhexidine mouthwashand good oral hygiene root canal Rx for all mature permanent teeth |
|
|
analgesia for oral pain |
NSAIDS (first line) Opioids (occasionally used for severe pain, but there is potential for abuse) |
|
|
symptoms of reversible pulpitis |
where a carious lesion wears down the protective dentine and allows triggers such as hot, cold, and sweet foods to inflame the pulp resolves with trigger removal (vs. irreversible pulpitis) |
|
|
rx for reversible pulpitis |
filling insulates the pulp causing symptoms to disappear analgesics usually not necessary |
|
|
symptoms of irreversible pulpitis |
tooth is sensitive to percussion pain is severe, persistent, poorly localized |
|
|
Rx of irreversible pulpitis |
root canal or tooth extraction (involves removal of pulp and filling of the residual space followed by a crown) analgesics often necessary |
|
|
diagnosis of pericoronitis |
infection of the gum flap overlying partially erupted molars, most commonly wisdom teeth food and plaque are trapped under the gum causing inflammation, gum swelling, pain, and inability to bite down on the affected side |
|
|
rx of pericoronitis |
mild cases --> irrigation under flap cellulitis --> antibiotics analgesics PRN recurrent cases --> removal of tooth or gum flap |
|
|
antibiotic options for oral infections |
PCN, amoxicillin, amoxicillin-calvulanate clindamycin for PCN allergic severe cases --> ampicillin-sulbactam, cefotaxime, ceftizoxime, piperacillin-tazobactam, imipenem-cilastatin |
|
|
definition of concussion, subluxation, luxation, intrusion, extrusion, avulsion of a tooth |
concussion = tender but not displaced or mobile subluxation = mobile but no displacement luxation = loose with lateral displacement intrusion = pushed deeper into its socket extrusion = partially displaced axially from socket avulsion = diplaced or knocked out
|
|
|
types of tooth fractures |
1. root fracture (closer to apex of tooth, usually not detectable clinically unless mobile) 2. crown fracture (involving pulp, dentin, and enamel) 3. simple crown fracture (no pulp involvement, only through enamel and/or dentin) |
|
|
rx for dif tooth fractures |
root --> if primary tooth, routine referral for diagnosis and extraction of mobile fragment. if permanent tooth, then urgent one day referral if tooth is mobile and root fracture suspected crown with pulp --> urgent one day referral for pulp treatment or extraction simple crown --> routine dental referral for smoothing or restoration |
|
|
complications of permanent tooth avulsion |
tooth death, root resorption, ankylosis |
