List some cardinal signs and symptoms of spreading infection
- Cellulitis
- Lymph node involvement
- Fever
- Malaise
What is an acute apical abscess
Acute inflammation of the soft tissues immediately surrounding the tip of the root of a tooth often caused by tooth decay and subsequent death of the pulp tissue
List some key signs and symptoms of acute apical abscess
- Pain
- Swelling of the gingiva, face or neck
- Fever
What should you first identify if an emergency patient walks into your practice
ABC
Is the airway compromised if so A&E
Name the main acute periodontal conditions
- Necrotising gingivitis and periodontitis
- Periodontal abscess
- Perio Endo lesion
What is Necrotising gingivitis and necrotising periodontitis
They are severe inflammatory conditions of the gingiva caused by pathogenic bacteria
Common in immunocomposimased patients
List the key signs and symptoms of necrotising periodontitis
- Pain
- Swelling
- Bleeding
- Halitosis
- Ulcerated gingival tissue
- Loss of attachment
- Malaise
- Fever
What is a periodontal abscess
Represent an active period of periodontal breakdown which occurs whilst there is marginal closure of the deep periodontal pocket occluding drainage
Abscess can form in deep periodontal pockets
List some key signs and symptoms of periodontal abscess
- Pain and tenderness of gingival tissue
- Increased tooth mobility
- Feverl and swollen or enlarged regional lymph nodes
- Presence of swelling on gingiva
- Suppuration from the gingiva
List some key signs and symptoms of a Periodontal Endo lesion
A lesion that
What are molars affected by MIH more prone to
- Breakdown
- Sensitive to hot and cold
- Sometimes painful to brush due to poor wealth of enamel
- Increased caries risk
How do we assess prognosis of MIH teeth
- Enamel colour (white/cream> Yellow> Brown)
- Location of defect (smooth surface > occlusal surface> cuspal involvement)
- Is the tooth sensitive to brush
- Are restorations atypically shaped
- Any paten reported symptoms
How should we treat MIH affected molars with small carious asymtpocal lesion
Prevention FS and monitor
