Difference between revisions of "Alveolar Periostitis"

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==Overview==
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*A more virulent infection into the alveolus produces alveolar periostitis.  
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Alveolar periostitis is not common in the dog. It is usually caused when infection and inflammatory mediators spread from the [[Tooth - Anatomy & Physiology#Pulp|pulp]] and consequently produce a periostitis. This spread of infection and inflammation may then go on to affect the surrounding bone and cause [[Osteomyelitis|osteomyelitis]]. The condition is sometimes seen when infection of a dog's carnassial teeth results in a chronic sinus discharging below the eye, this is a so called 'malar' abscess.  
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*Infection spreads from [[Pulp - Anatomy & Physiology|pulp]] or from gingivitis to produce the periostitis.  
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*This may then break out of the alveolus into the bone causing [[Bones Inflammatory - Pathology#Osteomyelitis|osteomyelitis]].
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==Treatment==
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**Seen in infection of carnassial teeth in dogs as chronic sinus discharging below eye. So called 'malar' abscess.  
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The only available treatment for the resolution of alveolar periostitis is the [[Exodontics|removal]] of the affected [[:Category:Teeth - Anatomy & Physiology|tooth]]. It is especially hard to evaluate when present in the [[Skull and Facial Muscles - Anatomy & Physiology#Mandible (mandibula)|mandible]] and may produce a fistula which also requires the tooth to be extracted.  
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*Only treated by removal of [[Oral Cavity - Teeth & Gingiva - Anatomy & Physiology|tooth]].
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*Abscess may break through into maxillary sinus. If drained will get recovery.
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**Other maxillary cheek [[Oral Cavity - Teeth & Gingiva - Anatomy & Physiology|teeth]] can be involved in pyaemic infection with sinus formation.  
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*Hard to evaluate on [[Skull and Facial Muscles - Anatomy & Physiology#Mandible (mandibula)|mandible]], may produce fistula that also needs [[Oral Cavity - Teeth & Gingiva - Anatomy & Physiology|tooth]] removal.
 
[[Category:Teeth_-_Inflammatory_Pathology]]
 
[[Category:Teeth_-_Inflammatory_Pathology]]
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[[Category:To_Do_-_Clinical]]

Revision as of 22:36, 28 June 2010

  • A more virulent infection into the alveolus produces alveolar periostitis.
  • Infection spreads from pulp or from gingivitis to produce the periostitis.
  • This may then break out of the alveolus into the bone causing osteomyelitis.
    • Seen in infection of carnassial teeth in dogs as chronic sinus discharging below eye. So called 'malar' abscess.
  • Only treated by removal of tooth.
  • Abscess may break through into maxillary sinus. If drained will get recovery.
    • Other maxillary cheek teeth can be involved in pyaemic infection with sinus formation.
  • Hard to evaluate on mandible, may produce fistula that also needs tooth removal.
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