Acute alveolar osteitis: Difference between revisions

Revision as of 23:38, 1 March 2011

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

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

EBmedicine: Acute Dental Emergencies in Emergency Medicine

Authors:

@@ Line 2: / Line 2: @@
-Results from the premature loss of the healing clot from the socket and the resultant localized infection of the alveolar bone
+* 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
--3-5 days after tooth extraction-initial post-extraction pain subsides,  followed by sudden and severe pain at the extraction site-foul odor and metallic taste ==Work-Up==
+==Treatment==
-None== ==
-==DDx==
-Insert ==Treatment==
--systemic analgesia or dental block-gentle socket irrigation-pack alveolar defect with iodoform gauze (soaked with eugenol)-antibiotics? (controversial)Avoid topical analgesia and aspirin containing products==Disposition==
-Outpatient
+* 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
@@ Line 31: / Line 25: @@
-ENT: Dental Problems
+Dental Problems
-ENT: Dental Numbers
+Dental Numbers
@@ Line 40: / Line 34: @@
-Adapted from KajiQuestions
+EBmedicine: Acute Dental Emergencies in Emergency Medicine