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

2. Actinomycosis
Actinomyces israeliianaerobic, filamentous , gram-positive bacteria that are found in the oral cavity along the teeth, gum & tonsils
Pose no threat unless tissue is damaged
Cervicofacial actinomycosis 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

4. Treatment Draining with a needle
Removing abscess with surgery if infection spreads to critical areas
Antibiotics (penicillin or tetracycline)

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

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

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
The Maxillofacial Center for Diagnostics & Research. Actinomycosis. (n.d.). Retrieved October 14, 2015, from
Okulicz, J. (2015, July 28). Actinomycosis. Retrieved October 14, 2015, from