Dentaltown July 2020 - 27

Even as a dentist, if this were me, I would slick that tooth. I wouldn't go through hospital,
IV clindamycin with risk of c-diff, complications of steroids, etc., just to save #18. If this were
my tooth, I'd ask my oral surgeon to I&D and extract it, figure out an implant later if need be. ■

Just a Dentist
Member Since: 10/13/11
Post: 23 of 39

3/4/2020

For me, submandibular swelling equals send to ER at local university hospital that has OS
on call 24/7. I've even called the hospital to speak to the OS and told them I was sending a
patient and why I'm sending them. I also give a letter to the patient to present to the ER.
The one time I decided to just EXT on a patient with submandibular swelling they
ended up in the ER later that same night because the swelling only worsened, despite prescribing antibiotics. ■

Chmrb
Member Since: 02/25/17
Post: 24 of 39

3/4/2020

Thanks for all the advice. I would obviously like to save the tooth but at this point I don't
know if we'd even be able to pull it; trismus set in so she can hardly open to eat normal food.
To the previous posts, I left the temp crown out of occlusion. And I didn't do the crown
originally-it was done years ago by her previous dentist and was close to the pulp. I RCT these
off the bat if it's in my hands.
I don't have the PA on my phone but couldn't see anything substantial on it, seemed like the
PDL curves around the roots on it and no clear PARL. ■

Batlle
Member Since: 08/29/18
Posts: 25 and 26 of 39

3/4/2020

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Dentaltown July 2020

Table of Contents for the Digital Edition of Dentaltown July 2020

Dentaltown July 2020 - Intro
Dentaltown July 2020 - Cover1
Dentaltown July 2020 - Cover2
Dentaltown July 2020 - 1
Dentaltown July 2020 - 2
Dentaltown July 2020 - 3
Dentaltown July 2020 - 4
Dentaltown July 2020 - 5
Dentaltown July 2020 - 6
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Dentaltown July 2020 - Cover3
Dentaltown July 2020 - Cover4
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https://www.nxtbook.com/farran/dentaltown/2014december
https://www.nxtbook.com/farran/dentaltown/2014decemberb
https://www.nxtbook.com/farran/dentaltown/2014november
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