This week we delve into dental emergencies from infections to trauma as well as discussing dental anesthesia.
Core EM - Emergency Medicine Podcast Episode 40.0 – Dental Emergencies
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Mar 28, 2016 Dental emergencies take center stage, covering everything from infections to trauma. Experts emphasize the critical role of nerve blocks in managing pain effectively. Discover the signs of deep space infections and the importance of thorough dental exams after facial injuries. Learn about assessing mandibular fractures with the tongue blade test and proper techniques for re-implanting avulsed teeth. The classification of dental fractures is also explained, providing essential insights for managing these urgent situations in emergency medicine.
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Effective Dental Pain Management
- Use nerve blocks for dental pain as systemic medications often fail to control it effectively.
- Start with simple super periosteal blocks and advance to more complex regional blocks as needed.
Managing Dental Abscesses
- For dental alveolar abscess, perform incision and drainage with periosteum scraping if possible.
- Discharge patients on antibiotics like amoxicillin-clavulanic acid or clindamycin for penicillin allergies.
Recognizing Serious Dental Infections
- Suspect deep space infection with facial/neck swelling, sublingual tenderness, or trismus.
- Get contrast CT imaging and admit for IV antibiotics and likely surgical drainage.