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Protecting All Children's Teeth (PACT): A Pediatric Oral Health Training Program
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Key Points
Extension of dental caries is the most common precipitating cause of dental abscesses.
Ludwig's angina is a medical emergency due to potential airway compromise.
The spread of a dental abscess can cause severe morbidity.
Rarely, the spread of a dental abscess can lead to cavernous sinus thrombosis.
Dental abscess flora is usually mixed, with anaerobes predominating.
All dental abscesses should be incised and drained.
All dental abscesses require referral to a dentist for definitive care of the infected tooth.
Temporomandibular Joint (TMJ) disorders increase in prevalence with advancing age.
Symptoms of a TMJ disorder include bruxism, enamel wearing, pain, joint clicking, and limited jaw opening.
The efficacy of TMJ disorder treatments is not well-established in children.
TMJ disease in children is often overdiagnosed and over-treated.
Dental pathology should be considered in the differential diagnosis of eye, ear, head, jaw, facial, and temple pain.
Acute bacterial sinusitis and otitis media can present clinically as tooth pain.
The major morbidity of primary HSV infection is dehydration.
Treatment for viral infections with oral manifestations is generally only supportive care.
Consider immunodeficiency in a child who has frequent or persistent candidal infections after 1 year of age.
A strawberry tongue is commonly seen with GABHS infections and Kawasaki Syndrome.
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