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INFECTION
The Spread Of Dental Infection
Arise trough :
Pulpal and Periapical disease
Periodontal Disease
Dental Plaque
( A complex mass comprising bacteria, their products host-derived material,
and food debris which adheres to teeth)
Clinical features :
- Sudden mild to moderate pain of short duration
Clinical features :
- sharp, severe pain upon thermal stimulation
Tenderness
Pain, sensitive to percussion
Extrusion of the tooth
Swelling of the tissues
Does not respond to cold or electric pulp
testing
Headache, malaise, fever, chills
With progression, the purulence
- may extend through the medullary spaces
away from the apical area
osteomyelitis
- May perforate the cortex and spread
diffusely trough the overlying soft tissue
cellulitis
Osteomyelitis
An inflammatory process within medullary (trabecular) bone that
involves the marrow spaces
Clinical features :
- Protrusion and fixation of the eyeball
- Indurations and swelling of the adjacent fore head and
nose
- Pupil dilation, lacrimation,photopobia, loss of vision
- Pain over the eye and the trigeminal nerve
- Fever, chills, sweating, tachycardia, nausea, vomitus
- With progression central nervous system involvement
developed
- meningitis, tachypnea, irregular breathing, stiffening of
the neck, deepening stupor (advanced toxemia and
meningeal involvement)
- Occasionally brain abscesses
thank you…