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Wednesday, September 1, 2010

info: abscess

salam hallu~~~
hi today i would like to share my last case today, refered from KP Kemasik, terengganu.
which the case happen to 15 years old, malay , school girl patient.
with complaint of upper lip swelling since last week..
whoa...so big..and so sexy haha
opss..joke..
okay..
so for the past med history, patient have allergy to seafood..
and the history of the present illness wre pt was really want to eat crab meat..and it happen last thursday..
after a day, she noticed her gum slightly swelling..and shes going to dental clinic A, n the doc prescribed antibiotics to her..but at friday night..she claimed the swelling become bigger..ad pain..and disturbing during eating..and shes going to dental clinic B, hoping for the best treatment..
orait..the swelling reduced a little and static untill she come to us, today..
it was about 2cm times 4cm.
so we send her for x-ray..occlusal and PA for assessment of the sweling.we noticed the 1 front tooth was non vital.using EPT test..
so from the x-ray, we conclude that was dentogenic abscess..expand to the buccal sulcus..
so our specialist decide to make incision and drainage to reduce the sewelling..
and i m involved in this treatment..
so we give local anaesthesia..and using blade, we make a small windom under the peak off swelling..
and syruusssshhhh the pus out...
wow...
after irrigate wif chlorhexidine 0.2%, the window need to close...with suture using vicryl 4.0.. love that..
and we prescribed new antibiotic to her and next treatment..yhe infectious tooth will b clean and canal treatment..to keep the tooth, as pt request..
okey..done..but i m going home 30minutes late...
its ok..
i can claim off hahahhaha~~
moral: take care of ur teeth.

2 comments:

  1. sy pon nak buat i&d kat clinic la..buat sendiri..takde la menyusahkan surgeon...ye tak? btw, bile u start district zatil? jum la teman kat setiu ni...

    ReplyDelete
  2. i may b start around jan next year la drorise..lama lagi huhu..boring betol..
    yup kalu blh wat sndr ok le..ni surgeon x bg wat pon hikhik

    ReplyDelete

thanks. i'll reply soon..

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