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Understanding Actinomycosis: A Dental Hygiene Case Study

Learn about Actinomyces israelii, a gram-positive oral bacteria that can cause abscesses, and the importance of dental hygiene in preventing infections. Follow a case study of treating actinomycosis in a patient.

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Understanding Actinomycosis: A Dental Hygiene Case Study

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  1. Olivia Bennett #2 Rebeca Daman #4 J Nicolini #12 Jenny Wu #20 DH125 November 2015 Actinomycosis

  2. Actinomycosis • Actinomycesisraeliianaerobic, filamentous , gram-positive bacteria that are found in the oral cavity along the teeth, gum & tonsils • Pose no threat unless tissue is damaged • Cervicofacialactinomycosis produces firm swellings (abscesses) in the mouth, jaw, facial area, or neck • Sinus tracts can develop & may split skin or rupture, releasing pus

  3. Histology • Actinomycetes colonies within granules, surrounded by defense cells http://www.scielo.br/img/revistas/bjid/v8n2/a11fig03.jpg http://www.turkjpath.org/images/figure_TPD_1582_2.jpg

  4. Treatment • Draining with a needle • Removing abscess with surgery if infection spreads to critical areas • Antibiotics (penicillin or tetracycline) http://www.microbiologybook.org/mycology/actino-lump2.jpg

  5. Case Study • Jerome, 35 year-old non-smoker with abscess on right side of face • Has been on antibiotics for 1 week • Radiographs show class II calculus & furcations http://mddk.com/wp-content/uploads/2015/02/actinomycosis.jpg

  6. Unmet Human Needs • Skin & Mucuous Membrane Integrity • Swollen lumps • Lesions & abscess present • Conceptualization & Understanding • Unaware that poor dental hygiene could result in severe bacterial infections • Unaware of importance of daily home care • Poor brushing and flossing technique http://www.the-dermatologist.com/sites/default/files/issues/Screen%20Shot%202013-09-17%20at%202.50.40%20PM.png

  7. Dental Hygiene Intervention Skin & Mucous Membrane Integrity • Treat unaffected area of mouth and encourage client to follow up with physician and continue antibiotics as prescribed Conceptualization & Understanding • Provide oral homecare education & instruction • Emphasize importance of continuing Dental Hygiene treatment

  8. References • Bush, L. (n.d.). Actinomycosis - Infections. Retrieved October 14, 2015, from http://www.merckmanuals.com/home/infections/bacterial-infections/actinomycosis • The Maxillofacial Center for Diagnostics & Research. Actinomycosis. (n.d.). Retrieved October 14, 2015, from http://www.maxillofacialcenter.com/BondBook/mucosa/actinomycosis.html • Okulicz, J. (2015, July 28). Actinomycosis. Retrieved October 14, 2015, from http://emedicine.medscape.com/article/211587-overview#showall

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