Inflammation In Dentistry - Part 2: Diagnostics And Therapy - Dental Online College
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Inflammation In Dentistry - Part 2: Diagnostics And Therapy

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Dr. Dr. Tröltzsch

Oral inflammations have a wide variety of forms and intensities; in worst case they can be life threatening. In the second part of his presentation about inflammations in dentistry, Dr. Markus Tröltzsch introduces diagnostics and treatment methods for the therapy of inflammations. First, a thorough anamnesis needs to be taken.

It is the cornerstone of any successful treatment and gives information about the patient’s medical history, his general state of health as well as about local symptoms. Usually, inflammations undergo two stages requiring different therapeutic approaches. In the primary phase a serous infiltrate of interstitial fluid and inflammatory mediators is produced. The serous phase is different from the second, the cellular phase, which is mainly characterized by the formation of pus. Generally, the serous phase of an inflammation can be successfully treated through the sole use of antibiotics.

Better physical irrigation of the abscess cavity

If pus has developed, a surgical intervention, which includes the incision, drainage and rinsing of the abscess, is indicated. In such a case, a marginal incision, but also a direct incision at the point of maximum swelling can be performed. The former is often less painful, causes less bleeding and results in a superior wound healing with better readaptation.

The direct incision on the other hand allows for a better physical irrigation of the abscess cavity; however it shows healing by second intention and may result in unsightly scars. Usually, adjuvant medication like systemic antibiotics and analgesics as well as cooling and rest may be prescribed and provide a significantly faster pain relief.

The expert

Dr. Dr. Markus Tröltzsch

Practice Dr. Dr. Tröltzsch in Ansbach

Dr. Tröltzsch graduated in dentistry at the University of Erlangen-Nuremberg 2005 and subsequently he graduated in medicine at the same university 2010. 
During his medicine studies, he did continuing studies with the curriculum for aesthetic dentistry of the Academy of Practice and Science and at the Department for Surgery of the University of Sydney and the Department for Oral and Maxillofacial Surgery at the University of Zurich. 
Dr. Tröltzsch works in the research group of Professor Messlinger (Department of Physiology at the University of Erlangen-Nuremberg), worked at the Depart ...more »
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The Dental Online College is an online learning platform for dental surgeons and students. This service focuses on providing superior-quality professional training videos in the area of dental medicine that can be called up from an Internet platform. As a professional online training platform, the Dental Online College provides dental surgeons and students with instruction in surgical procedure, demonstrating challenging surgical techniques using easy to understand videos, and including interviews that provide further detail, video presentations, and documentation on performing the procedures in question.

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