Dental Emergencies in Urgent Care: Management Strategies That Improve Outcomes (Trauma CME, Pain Management CME, Infectious Disease CME, and Pharmacology CME) | Points & Pearls
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Dental Emergencies in Urgent Care: Management Strategies That Improve Outcomes (Trauma CME, Pain Management CME, Infectious Disease CME, and Pharmacology CME)

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Points & Pearls Excerpt

  • The most common diagnosis for dental pain is pulpitis from caries. Pain without any stimulus (ie, touch) is likely irreversible pulpitis, which can lead to a periapical abscess.
  • Localized periapical abscess in an adult can be treated with incision and drainage by a frontline clinician.
  • Although still commonly prescribed for pulpitis, there is no evidence that antibiotics are beneficial in its treatment. Patients with simple gingivitis benefit from better routine oral hygiene, not systemic antibiotics.
  • Pericoronitis should be treated with chlorhexidine rinses; however, a randomized trial showed that green tea was just as effective.
  • All patients with subluxation, luxation, or avulsion injuries should be prescribed chlorhexidine rinses and maintain a soft diet.
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Publication Information
Editor in Chief & Update Author

Keith Pochick, MD, FACEP

Urgent Care Peer Reviewer

Ivan Koay, MD, MBChB, MRCS, FRNZCUC

Charting Commentator

Brad Laymon, PA-C, CPC, CEMC

Publication Date

May 1, 2023

CME Expiration Date

May 1, 2026    CME Information

CME Credits

4 AMA PRA Category 1 Credits™. 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 3 Trauma, 2 Pain Management, 1 Infectious Disease, and 1 Pharmacology CME credits

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