Acute alveolar osteitis: Difference between revisions

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==Treatment==
==Treatment==
 
#Analgesia
 
##Often requires dental block
* Analgesia
#Irrigate and suction
* Often requires dental block
#Pack with gauze soaked with eugenol or local anesthetic
* Irrigate and suction
#Refer to dentist or have pt return to ED in 24-36 hrs to have the gauze replaced
* 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==
==See Also==

Revision as of 11:49, 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

  1. Analgesia
    1. Often requires dental block
  2. Irrigate and suction
  3. Pack with gauze soaked with eugenol or local anesthetic
  4. 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