Acute alveolar osteitis: Difference between revisions
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==Background== | ==Background== | ||
Osteomyelitis of the alveolar bone due to premature loss of the healing clot after tooth extraction | |||
Diagnosis | ==Diagnosis== | ||
#2-4 days after tooth extraction | |||
#Initial post-extraction pain subsides followed by sudden/severe pain at extraction site | |||
#Physical exam often unremarkable | |||
==Treatment== | ==Treatment== | ||
Revision as of 11:50, 12 March 2011
Background
Osteomyelitis of the alveolar bone due to premature loss of the healing clot after tooth extraction
Diagnosis
- 2-4 days after tooth extraction
- Initial post-extraction pain subsides followed by sudden/severe pain at extraction site
- Physical exam often unremarkable
Treatment
- Analgesia
- Often requires dental block
- Irrigate and suction
- Pack with 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
See Also
Dental Problems
Dental Numbers
Source
EBmedicine: Acute Dental Emergencies in Emergency Medicine