Hospital Dentistry (Dr. Pawlowicz)

  1. What are the 4 in-patient conditions evaluated and treated in a hospital?
    • Sepsis/endocarditis/brain abscess of suspected/potential dental origin
    • Facial/intra-oral swellings
    • Poor dentition/traumatized dentition that poses an aspiration risk (perio involved teeth become aspiration risks during intubation)
    • Traumatized dentition
  2. Acute threat to the airway, altered vitals, breathing, and or circulation from a dental etiology is a ____

    What type of management is necessary?

    Prompt, aggressive management
  3. Complains, vital signs, illness or injury consistent with acute condition that could progress to life-threatening or increase morbidity if not treated within 24 hours is ____

    What type of management is necessary?

    Prompt management
  4. Complains, vitals illness or injury consistent with a subacute or chronic condition that do NOT require treatment within 24 hours to reduce morbidity or mortality is _____

    What type of management is necessary?

    • Sub-acute can be seen within 1-2 weeks
    • Chronic to be seen in 2-4 weeks
  5. ED procedures (4)
    • I and D 
    • Suturing of minor oral and lip lacerations 
    • Stabilization of dentoalveolar injuries 
    • Curettage and packing of osteitis post-extraction (dry socket) 

    • Consult OMFS with more complex trauma or airway protective I&D
    • Recommend to admit patients for IV antibiotic therapy of sepsis and scheduling for emergent extraction
  6. Pre-surgical clearance patient types (5)
    • Kidney, liver, lung, heart, and other organ transplants
    • Bone marrow transplants 
    • TAVR, LVAD and other cardiothoracic surgeries 
    • Pre- and post-oncology patients 
    • orthopedic joint replacements
  7. What injuries are the most common acute trauma treated by hospital based dentists?
  8. No fracture below the gingival margin
    Crown (ellis) fracture
  9. Fracture below the gingival margin
    Crown/root fracture
  10. Tend to percussion, no mobility
  11. Tooth in place, but 1-2 mobility is noticeable, tender to percussion
    Subluxated Teeth
  12. T/F: stabilization is not needed for non-displaced injury
  13. T/F: stabilization and/or extraction is not needed for displaced injury
    FALSE--they are needed
  14. 6 types of displaced injury
    • Intruded 
    • luxated
    • extruded
    • root fracture 
    • alveolar fracture 
    • avulsed teeth
  15. Head and neck cancer accounts for what percentage of all cancer?
  16. H&N cancer is more common in
  17. Pre-treatment of cancer patients includes (4) and does what?
    • cleaning
    • restorations
    • extractions
    • coordination of maxillofacial prosthetics

    decreases morbidities
  18. Peri-treatment and post-treatment with aggressive ____ and _____, _____ _______ and strategies to deal with long term and permanent side effects decreases morbidities.
    • recalls
    • cleanings 
    • fluoride applications
Card Set
Hospital Dentistry (Dr. Pawlowicz)
Final Exam Material