Complications After Tooth Extraction

(See also overview of dental emergencies.) Swelling and pain Swelling is normal after intraoral operations; typically it is proportional to the degree of manipulation and of the trauma. An ice pack (or a plastic bag of frozen peas or corn, which adapts to the contours of the face) should be used for the first day. Refrigerant should be used for every 25 min or every hour. 2 If the swelling with the 3rd postoperative day does not decrease, an infection is likely and an antibiotic should be administered (eg., Penicillin VK 500 mg PO every 6 hours or Clindamycin 300 mg PO every 6 h) and 72 h after the decay of symptoms. Postoperative pain can be moderate to severe and with analgesics treated (pain treatment). Alveolitis and osteomyelitis In a alveolitis after extraction (post-extraction pain, dry socket) is formed of the pain through the exposed bone when the blood clot is decomposed in the alveolus. Although this condition is attributed to bacterial influences, it occurs much more frequently in smokers and users of oral contraceptives. It is usually after the removal of mandibular molars, normally seen of wisdom teeth. Typically, start the pain at the 2nd or 3rd postoperative day, radiate to the ear and last from a few days to many weeks. Alveolitis is best treated with topical analgesics: A 3-5 cm long iodoform-gauze, impregnated with eugenol or coated with an anesthetic ointment such as lidocaine or tetracaine 2.5% 0.5%, is in the alveolus inserted. The strip is changed at intervals of 1-3 days until symptoms also not recur after the strip is removed for several hours. By this method, no systemic analgesics are required. Osteomyelitis, which is confused in rare cases with alveolitis, distinguished by the occurrence of fever, local tenderness and swelling. If the symptoms persist for a month, should be sought through an X-ray after a Sequestrum, which is a diagnostic criterion for osteomyelitis. Osteomyelitis requires long-term treatment with antibiotics that act against both gram-positive and gram-negative organisms, and a referral to definitive treatment. Osteomyelitis Photo courtesy of Byron (Pete) Benson, DDS, MS. Texas A & M University Baylor College of Dentistry. var model = {thumbnailUrl: ‘/-/media/manual/professional/images/osteomyelitis-pano-murchison-dental-emergencies-pv-high_de.jpg?la=de&thn=0&mw=350’ imageUrl: ‘/ – / media /manual/professional/images/osteomyelitis-pano-murchison-dental-emergencies-pv-high_de.jpg?la=de&thn=0 ‘, title:’ osteomyelitis ‘description:’ u003Ca id = “v37894095 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003eDas radiograph shows osteomyelitis with an apparent sequestration in the left rear quadrant of. u003c / p u003e u003c / div u003e ‘credits’ photo courtesy of Byron (Pete) Benson

Leave a Reply