07 August 2012
ABSCESSES OF THE PERIODONTIUM | PERIODONTOLOGY
Abscesses of the periodontium are localized acute bacterial infections classified primarily based on location.
Types
There are four types of abscesses associated with the periodontal tissues:-
1. Gingival abscesses
2. Periodontal abscesses
3. Pericoronal abscesses
4. Combined periodontal/endodontic abscesses
IMAGES
LATERAL PERIODONTAL ABSCESS
Definition: “A periodontal abscess is a localized, purulent infection involves a greater dimension of gum tissues extending apically and adjacent to periodontal pocket such lesion may contribute to destruction of the periodontal ligament and alveolar bone.
Periodontal abscesses can be acute or chronic
Causes of lateral periodontal abscesses
- Continued irritation by calculus, food debris, deposition of foreign body in the interdental spaces
- lateral periodontal abscess is commonly associated to supra and infra bony pockets as they are very hard to clean.
- External root resorption
- cracked tooth
- perforation of lateral wall of tooth during root canal therapy possible cause.
SIGNS AND SYMPTOMS:
- mild, moderate to severe pain
- Gums are reddened, swollen and pus may come out an application of pressure
- tooth may show mobility, tenderness and slight elevation
- fever
- lymph node tenderness is common
- mouth opening may be difficult
TREATMENT:
- Incision and drainage
- Analgesic for eliminate pain
- Antibiotics for eliminate infection
- maintain oral hygiene
- scaling, gingivectomy if necessary
- examination if needed
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