Acute alveolar osteitis: Difference between revisions
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*Osteomyelitis of alveolar bone d/t premature loss of healing clot after tooth extraction | *Osteomyelitis of alveolar bone d/t premature loss of healing clot after tooth extraction | ||
== | ==Clinical Features== | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Template:Dental Problems DDX}} | {{Template:Dental Problems DDX}} | ||
== | ==Diagnosis== | ||
*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 ribbon gauze soaked with eugenol or local anesthetic | |||
*[[Penicillin VK]] 500mg PO QID OR [[clindamycin]] 300mg PO QID | |||
==Disposition== | |||
*Discharge with dental follow-up within 24 hours | |||
==See Also== | ==See Also== | ||
*[[Dental Problems]] | *[[Dental Problems]] | ||
*[[Dental Numbers]] | *[[Dental Numbers]] | ||
==References== | |||
<References/> | |||
[[Category:ENT]] | [[Category:ENT]] | ||
[[Category:ID]] | [[Category:ID]] | ||
Revision as of 10:17, 17 August 2015
Background
- Osteomyelitis of alveolar bone d/t premature loss of healing clot after tooth extraction
Clinical Features
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
Diagnosis
- 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 ribbon gauze soaked with eugenol or local anesthetic
- Penicillin VK 500mg PO QID OR clindamycin 300mg PO QID
Disposition
- Discharge with dental follow-up within 24 hours