Acute alveolar osteitis: Difference between revisions
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{{Template:Dental Problems DDX}} | {{Template:Dental Problems DDX}} | ||
== | ==Evaluation== | ||
*Occurs 2-4d 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 | ||
Revision as of 01:48, 28 July 2016
Background
- Osteomyelitis of alveolar bone due to premature loss of healing clot after tooth extraction
Clinical Features
- Exposed bone with no clot in extraction site
Differential Diagnosis
Dentoalveolar Injuries
Odontogenic Infections
- Acute alveolar osteitis (dry socket)
- Acute necrotizing ulcerative gingivitis (trench mouth)
- Dental abscess
- Periapical abscess
- Periodontal abscess
- Ludwig's angina
- Pulpitis (dental caries)
- Pericoronitis
- Peritonsillar abscess (PTA)
- Retropharyngeal abscess
- Vincent's angina - tonsillitis and pharyngitis
Other
Evaluation
- Occurs 2-4d after tooth extraction
- Initial post-extraction pain subsides followed by sudden/severe pain at extraction site
- Physical exam often unremarkable
Management
- Analgesia (often requires dental block)
- Irrigate and suction
- Pack with iodoform ribbon gauze soaked with eugenol (oil of cloves) or local anesthetic
- Penicillin VK 500mg PO QID OR clindamycin 300mg PO QID
Disposition
- Discharge with dental follow-up within 24 hours