Odontogenic Infections

Mucosal Apical Deep Space

Pericoronitis
Operculum of erupting wisdom teeth becomes filled with impacted food, debris
Cellulitis follows

Irrigate area out Oral Hygiene +/- Antibiotics Analgesics

Dentoalveolar Infection
Usually arises in Dental Pulp Periapical Abscess forms
Pain and possibly swelling + / - Fever

Follows path of least resistance

Abscess tracks through alveolar bone into oral mucosa or skin
Superficial abscess

Dissects into deep spaces

Diagnosis
Swelling of face or jaw Swelling or fluctuance in gingiva Panorex if available, may show apical origin Consider CT for Deep Space infections

Treatment
Antibiotics
PCN or Clindamycin for the infection May require multiple agents if deep spaces involved Surgical Drainage
Dependent drainage of gingival lesions Deep space lesions should be managed by experienced surgeon. Extraction or root canal for periapical abscess

Mucosal Infections
Ginigivitis
Inflamation Clean Debris out of sulci Mouth rinses

Thrush Ginigivostomatitis
Children most common Wont eat or drink due to pain Nystatin for thrush Magic Mouthwash

Gingivitis

ANUG
Acute Necrotizing Ulcerative Gingivostomatitis
Trench Mouth or Vincents Angina Fusospirochettal infection

Antibiotics Will need debridement

Herpangina

Thrush