Danbot: Expand: EM-relevant differential, red flags for deep space infection, Ludwig angina

2026-03-21T01:48:23Z

Expand: EM-relevant differential, red flags for deep space infection, Ludwig angina

← Older revision		Revision as of 01:48, 21 March 2026
Line 1:		Line 1:
	==Background==		==Background==
	*~~Inflammatory~~ condition of the supporting tissues of teeth caused by ~~specific microorganisms~~		*Chronic inflammatory condition of the supporting tissues of teeth caused by bacterial biofilm
	*Results in progressive destruction of periodontal ligament and alveolar bone		*Results in progressive destruction of periodontal ligament and alveolar bone
	*Major cause of tooth loss in adults		*Major cause of tooth loss in adults
			*'''EM relevance:''' Patients present with dental pain, gingival bleeding, or loose teeth; must differentiate from [[dental abscess]] and [[ANUG]] (acute emergencies)

	==Clinical Features==		==Clinical Features==
	*Gingival bleeding ~~and~~ erythema		*Gingival bleeding, erythema, swelling
	*Deep periodontal pockets (>3mm)		*Deep periodontal pockets (>3mm)
	*Gingival recession		*Gingival recession, exposed root surfaces
	*Tooth mobility		*Tooth mobility
	*Halitosis		*Halitosis
			*Usually chronic and painless (pain suggests abscess complication)

	==Differential Diagnosis==		==Differential Diagnosis==
	*[[Gingivitis]]		*[[Gingivitis]] — reversible gingival inflammation without bone loss
	*[[Dental abscess]]		*[[Dental abscess]] — localized fluctuant swelling, severe pain, possible systemic toxicity
	*[[ANUG]]		*[[ANUG]] (acute necrotizing ulcerative gingivitis) — acute onset, necrotic interdental papillae, fetid breath, pain, fever
			*[[Leukemia]] or other hematologic malignancy — gingival hyperplasia with bleeding

	==Evaluation==		==Evaluation==
	*Clinical ~~examination with periodontal probing~~		*Clinical exam: assess for fluctuance, facial swelling, trismus, floor of mouth elevation ([[Ludwig's angina]])
	*Dental radiographs showing bone loss		*'''In the ED:''' Rule out abscess and deep space infection
			*Dental radiographs showing alveolar bone loss (definitive, usually outpatient)

	==Management==		==Management==
	~~===Antibiotic Dosing===~~		*'''In the ED:''' Pain control, rule out abscess
			*Chlorhexidine 0.12% oral rinse BID
			*Antibiotics as adjunct for severe disease:
	*{{AntibioticDose\|drug=Doxycycline\|dose=100mg PO daily (as adjunct to scaling and root planing)\|context=Periodontitis\|disease=Periodontitis\|population=Adult}}		*{{AntibioticDose\|drug=Doxycycline\|dose=100mg PO daily (as adjunct to scaling and root planing)\|context=Periodontitis\|disease=Periodontitis\|population=Adult}}
			*Definitive treatment is scaling and root planing (dental office)

	==Disposition==		==Disposition==
	*~~Dental~~/periodontal referral		*Outpatient dental/periodontal referral
	*~~Outpatient management~~		*'''Red flags requiring urgent evaluation:''' Facial swelling, trismus, dysphagia, floor of mouth elevation, fever

	==See Also==		==See Also==
	*[[Dental abscess]]		*[[Dental abscess]]
	*[[ANUG]]		*[[ANUG]]
			*[[Gingivitis]]
	~~==External Links==~~		*[[Ludwig's angina]]

	==References==		==References==

Danbot: Remove non-existent Standard Template reference

2026-03-20T11:11:32Z

Remove non-existent Standard Template reference

← Older revision		Revision as of 11:11, 20 March 2026
Line 1:		Line 1:
	~~{{Standard Template}}~~
	==Background==		==Background==
	*Inflammatory condition of the supporting tissues of teeth caused by specific microorganisms		*Inflammatory condition of the supporting tissues of teeth caused by specific microorganisms

Danbot: Create page with Doxycycline AntibioticDose entry

2026-03-20T11:03:58Z

Create page with Doxycycline AntibioticDose entry

New page

{{Standard Template}}
==Background==
*Inflammatory condition of the supporting tissues of teeth caused by specific microorganisms
*Results in progressive destruction of periodontal ligament and alveolar bone
*Major cause of tooth loss in adults

==Clinical Features==
*Gingival bleeding and erythema
*Deep periodontal pockets (>3mm)
*Gingival recession
*Tooth mobility
*Halitosis

==Differential Diagnosis==
*[[Gingivitis]]
*[[Dental abscess]]
*[[ANUG]]

==Evaluation==
*Clinical examination with periodontal probing
*Dental radiographs showing bone loss

==Management==
===Antibiotic Dosing===
*{{AntibioticDose|drug=Doxycycline|dose=100mg PO daily (as adjunct to scaling and root planing)|context=Periodontitis|disease=Periodontitis|population=Adult}}

==Disposition==
*Dental/periodontal referral
*Outpatient management

==See Also==
*[[Dental abscess]]
*[[ANUG]]

==External Links==

==References==
<references/>

[[Category:Dental]]

Periodontitis - Revision history

Danbot: Expand: EM-relevant differential, red flags for deep space infection, Ludwig angina

Danbot: Remove non-existent Standard Template reference

Danbot: Create page with Doxycycline AntibioticDose entry