Monday, October 3, 2016

Periodontal and periapical abscess

How to identify a tooth abscess? Periodontal abscesses may be difficult to distinguish from periapical abscesses. Sometimes, the periodontal abscess occurs due to the spread of the infection from the pulp within a tooth ( periapical abscess) through the periodontal ligament. This is known as combined Endo-Perio lesion. A periapical abscess usually occurs as a result of untreated dental caries, crack, or trauma.


A dental abscess is a localized collection of pus associated with a tooth.

The most common type of dental abscess is a periapical abscess, and the second most common is a periodontal abscess. In a periapical abscess, usually the origin is a bacterial infection that has accumulated in the soft, often dea pulp of the tooth. A periodontal abscess is a collection of pus that can occur in the gums. It generally occurs in those affected by chronic periodontal disease (in the vast majority of cases).


It is termed ‘gingival abscess’ if only the gums are affected. Let’s look at some of the key points about this problem. It is an acute destructive process in the periodontium resulting in localized collections of pus communicating with the oral cavity through the gingival sulcus or other periodontal sites (Figure 2).


If a tooth develops a crack or decay, then the soft, living tissues inside of it may become exposed to bacteria. The bacteria cause infection, which can spread down the tooth root into its tip.

What causes this condition? It is here where the abscess pus pocket develops. Types of Tooth Abscess: periapical , gingival, periodontal, and pericoronal Symptoms of Periapical Abscess. Periapical abscess causes persistent, throbbing toothache that increases in severity over the following hours or days.


Also, the pain can radiate to the ear, jaw, or neck. Pain – dull May affect the entire side of the face. Affected by thermal changes Not affected by thermal changes.


Dental ( periapical ) abscesses are an acute infection of the periapical tissue around the root of the tooth. Clinical presentation Patients may present with pain, edema, and purulent discharge localized to the site of pathology with or without f. Bacteria can then live in this tiny little space and if any plaque or food get stuck within the space, it will begin to grow bacteria. It is important to distinguish this from a periradicular abscess caused by an infection emanating from the pulp, and in order to emphasise this distinction the term ‘lateral periodontal abscess ’ is often used.


Your Care Instructions. It looks like a small red ball pushing out of the swollen gum. An abscess can occur with serious gum disease (periodontitis), which causes the gums to pull away from the teeth.


This leaves deep pockets where bacteria can grow. The abscess can occur at different regions of the tooth for different reasons. A periapical (per-e-AP-ih-kul) abscess occurs at the tip of the root, whereas a periodontal (per-e-o-DON-tul) abscess occurs in the gums at the side of a tooth root.


Localize purulent infection within the tissues adjacent to the periodontal pocket that may lead to the destruction of periodontal ligament and alveolar bone. The original cause may be from a deep cavity, periodontal (gum) disease, a cracked tooth, trauma, or sometimes even due to recent dental procedures such as extractions and implants.

More detail and supporting information is in the main article. There are three types of dental abscess : Gingival, periodontal and periapical. Odontogenic infections leading to a simple dentoalveolar abscess (DA) are a common, non-traumatic dental condition (NTDC) encountered in emergency departments (ED).


A lateral periodontal abscess is a result of rapidly-growing within a periodontal pocket. The case described here is a deep infrabone periodontal pocket masquerading as a periodontal abscess. Early diagnosis of the deep infrabone periodontal pocket is based on clinical findings.


To show this, sometimes the term “lateral ( periodontal ) abscess ” is used. Learn Facts About The Difference Between Gingivitis And Periodontitis.

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