Acute alveolar osteitis: Difference between revisions
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#Irrigate and suction | #Irrigate and suction | ||
#Pack with ribbon 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 | #[[Penicillin VK]] 500mg PO QID OR [[clindamycin]] 300mg PO QID | ||
#Referral to dentist within 24hr | #Referral to dentist within 24hr | ||
Revision as of 20:21, 8 March 2014
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
DDX
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
Source
- EBmedicine: Acute Dental Emergencies in Emergency Medicine
- Tintinalli