Acute alveolar osteitis: Difference between revisions
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#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 | ||
==DDX== | |||
[[Dental Problems]] | |||
==Treatment== | ==Treatment== | ||
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#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 | ||
==Source== | |||
*EBmedicine: Acute Dental Emergencies in Emergency Medicine | |||
*Tintinalli | |||
==See Also== | ==See Also== | ||
*[[Dental Problems]] | *[[Dental Problems]] | ||
*[[Dental Numbers]] | *[[Dental Numbers]] | ||
[[Category:ENT]] | [[Category:ENT]] | ||
[[Category:ID]] | |||
Revision as of 11:04, 27 June 2012
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