Infection in Oral Maxillofacial Region课件.ppt

Infection inOral Maxillofacial Region Yu Chuang-Qi Infection--- inoral maxillofacial region Infection Conception Trait Anatomy Arising Route Mutation Influence factors Diagnosis Principles Treatment Principles Infection---conception Trait of anatomy Oral and nasal cavity Tooth Space Blood and Lymphoid system Bacteria Trait of anatomy Oral and nasal cavity Maxillary sinus(上颌窦) Trait of anatomy Trait of anatomy Trait of anatomy Blood and lymphoid system Beneficial Abundance Harmful Trait of pathogenic bacterium Varied Numerous Streptococcus hemolyticus (溶血性链球菌) Staphylococcus aureus (金黄色葡萄球菌) Escherichia coli (大肠杆菌) Anaerobe (厌氧菌) Route of infection Odontogenic infection Adenogenous(腺源性) infection Traumatic infection Hematogenous(血源性) infection Iatrogenic(医源性) infection Odontogenic infection Periapical infection Pathways of Periapical infection Pericoronitis (冠周炎) Infection---Arising Host--- defense system Microbe---virulence quantity Local circumstance Mutation Influence factors Changing directions Influence factors Host--- defense system Microbe---virulence quantity Treatment strategy Changing directions Localization and recovery Acute chronic Diffusion How to diagnose? Local Signs and Symptoms Systemical Signs and Symptoms Local Signs and Symptoms Pain Swelling Surface erythema Pus formation Limitation of motion Systemical Signs and Symptoms Fever Lymphadenopathy Malaise Toxic appearance Elevated white blood cell count How to treat? Acute stage Chronic stage Acute stage Host Antibiotic therapy Surgical drainage and incision Host Migration of white blood cell Production of antibodies Most important factor --- final outcome The infections--- cured by the host, not by antibiotics  Principles for choosing appropriate antibiotic causative organism(致病菌) sensitivity specific, narro