Diferencia entre revisiones de «Acute alveolar osteitis»

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==Background==
==Background==
Osteomyelitis of the alveolar bone due to premature loss of the healing clot after tooth extraction
*Osteomyelitis of alveolar bone d/t premature loss of healing clot after tooth extraction


==Diagnosis==
==Diagnosis==
#2-4 days after tooth extraction
#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
Línea 11: Línea 11:
##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
#Refer to dentist or have pt return to ED in 24-36 hrs to have the gauze replaced
#Penicillin VK 500mg PO QID OR clindamycin 300mg PO QID
#Referral to dentist within 24hr


==See Also==
==See Also==
Línea 19: Línea 20:


==Source==
==Source==
 
*EBmedicine: Acute Dental Emergencies in Emergency Medicine
 
*Tintinalli
EBmedicine: Acute Dental Emergencies in Emergency Medicine
 
 
 


[[Category:ENT]]
[[Category:ENT]]

Revisión del 21:50 15 nov 2011

Background

  • Osteomyelitis of alveolar bone d/t premature loss of healing clot after tooth extraction

Diagnosis

  1. Occurs 2-4d after tooth extraction
  2. Initial post-extraction pain subsides followed by sudden/severe pain at extraction site
  3. Physical exam often unremarkable

Treatment

  1. Analgesia
    1. Often requires dental block
  2. Irrigate and suction
  3. Pack with ribbon gauze soaked with eugenol or local anesthetic
  4. Penicillin VK 500mg PO QID OR clindamycin 300mg PO QID
  5. Referral to dentist within 24hr

See Also

Source

  • EBmedicine: Acute Dental Emergencies in Emergency Medicine
  • Tintinalli