NBDE Quiz # 22
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1. Question
Signs and symptoms of alveolar osteitis include all of the following except:
CorrectThe correct answer is D. Alveolar osteitis (dry socket) is a self-limiting condition that will improve and resolve with time. Antibiotics are not indicated without the signs of infection. It generally presents after extraction of teeth. Alveolar osteitis is a painful phenomenon that most commonly occurs a few days following the removal of mandibular (lower) wisdom teeth. It occurs when the blood clot within the healing tooth extraction site is disrupted. In rare cases, the removal of the upper wisdom teeth can also result in possible alveolar osteitis. Signs of alveolar osteitis include worsening, throbbing pain 2 to 5 days after extraction of a tooth. Radiation of pain from the socket up and down the head and neck. Fetid odor and bad taste are common complaints. Management is palliative with interventions that decrease pain during an episode of dry socket. These treatments consists of a gentle rinsing of the inflamed socket followed by the direct placement within the socket of a sedative dressing, which soothes the inflamed bone for a period of time and promotes tissue growth. This is usually done without anesthesia. The active ingredients in these sedative dressings usually include natural substances like zinc oxide, eugenol, and oil of cloves. Additional analgesics are sometimes prescribed.
IncorrectThe correct answer is D. Alveolar osteitis (dry socket) is a self-limiting condition that will improve and resolve with time. Antibiotics are not indicated without the signs of infection. It generally presents after extraction of teeth. Alveolar osteitis is a painful phenomenon that most commonly occurs a few days following the removal of mandibular (lower) wisdom teeth. It occurs when the blood clot within the healing tooth extraction site is disrupted. In rare cases, the removal of the upper wisdom teeth can also result in possible alveolar osteitis. Signs of alveolar osteitis include worsening, throbbing pain 2 to 5 days after extraction of a tooth. Radiation of pain from the socket up and down the head and neck. Fetid odor and bad taste are common complaints. Management is palliative with interventions that decrease pain during an episode of dry socket. These treatments consists of a gentle rinsing of the inflamed socket followed by the direct placement within the socket of a sedative dressing, which soothes the inflamed bone for a period of time and promotes tissue growth. This is usually done without anesthesia. The active ingredients in these sedative dressings usually include natural substances like zinc oxide, eugenol, and oil of cloves. Additional analgesics are sometimes prescribed.