Doc, My mouth hurts - Page 2

**Roguish Lawyer** · 04-07-2004, 16:41

So you really are a dentist, eh, Saca?

Sacamuelas · 04-07-2004, 21:12

Quote:

Originally posted by Roguish Lawyer
So you really are a dentist, eh, Saca?

Yes, some have accused me of having such skill sets in my bad of tricks.

Sacamuelas · 04-15-2006, 20:47

pulled from the depths of the archive due to a recent article focused on just this aspect of SF medicine.
http://www.professionalsoldiers.com/...ad.php?t=10457

mugwump · 05-24-2006, 11:00

Necropost redux:

Mother of mercy, I hope someone straps my mouth shut when I reach droolin' age.

disease - fly infestation .jpg

**Roguish Lawyer** · 05-24-2006, 11:16

Yuck!

jfhiller · 05-24-2006, 11:24

I can think of better ways to get my protein.

mugwump · 05-24-2006, 11:36

Quote:

Originally Posted by Roguish Lawyer

Yuck!

Yeah, I figured if I had to live with that image burned into my brain I'd share the wealth.

paramedicfred · 05-27-2006, 09:36

All I have to say is CRAP! that was a very interesting CME Class. Thank you.

JMH85 · 06-28-2006, 19:18

What’s the procedure to deal with the larva in the above photo? Can the teeth be saved? Any guess how long he's been like that?

John

Sacamuelas · 06-29-2006, 20:27

The teeth are hopeless. From the photo, it is obvious that the teeth exhibit severe periodontal infection. There is most likely <20% of the bone surrounding the teeth that originally existed which leaves them mobile and non-restorable. The periodontal condition/bone loss is a chronic and progressive condition that has probably existed for years/decades. The acute necrotizing ulcerative periodontitis (ANUP) that is present in the picture which created the environmental conditions for the maggots is most likely that.... acute.

The teeth between canines would be extracted due to the perio condition... then debride the wound. I marked them in the picture. The bone loss in most cases like this makes it pointless to leave the teeth which are the etiology(cause) of the infection.

You won't see this condition in American troops. You might rarely see it's baby brother sans maggots though. It's called ANUG or acute necrotizing ulcerative gingivitis. aka trench mouth.

JMH85 · 06-29-2006, 21:23

Very interesting. Thanks for the information Sacamuelas.