Question 1

A patient reports tooth pain in a lower molar and the provider notes a mobile tooth with erythema and edema of the surrounding tissues without discharge. Which is the initial course of action by the provider?

A) Perform an incision and drainage of the edematous tissue.
B) Prescribe amoxicillin and refer to a dentist in 2 to 3 days.
C) Recommend oral antiseptic rinses and follow up in 1 week.
D) Refer to an oral surgeon for emergency surgery.

B

Accepted Answer

The presence of mobile tooth with erythema and edema of the surrounding tissues suggests either periodontal abscess or endodontic abscess involving the surrounding periodontal tissues. Since there is no discharge, incision and drainage are not indicated. Referral to a dentist is essential for further evaluation and management. Prescribing antibiotics such as amoxicillin will help to control the infection until the referral appointment. Follow up in 2 to 3 days is appropriate to assess the response to antibiotics and ensure the referral has been made.

Question 2

A patient has been taking amoxicillin for treatment of a dental abscess. In a follow-up visit, the provider notes edema of the eyelids and conjunctivae. What is the next action?&#10;A) Hospitalize the patient for an endodontist consultation.&#10;B) Prescribe amoxicillin clavulanate for 10 to 14 days.&#10;C) Recommend follow-up with a dentist in 2 to 3 days.&#10;D) Suggest using warm compresses to the eyes for comfort.

Accepted Answer

A

Deck 77: Dental Abscess