Thursday, November 24, 2016

Chronic periapical abscess

Can Rocephin be used for dental abscess? What is chronic apical abscess? 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 periapical abscess is a collection of pus at the root of a tooth, usually caused by an infection that has spread from a tooth to the surrounding tissues.

See also Overview of Tooth Disorders. The body attacks an infection with large numbers of white blood cells. Acute apical abscess is the most common form of dental abscess and is caused by infection of the root canal of the tooth.


It is usually localized intraorally, but in some cases the apical abscess may spread and result in severe complications or even mortality. Radiographically, there are typically signs of osseous destruction such as a radiolucency. A periapical tooth abscess usually occurs as a result of an untreated dental cavity, an injury or prior dental work. Dentists will treat a tooth abscess by draining it and getting rid of the infection.


They may be able to save your tooth with a root canal treatment, but in some cases the tooth may need to be pulled.

The term is derived from peri- meaning aroun apical referring to the apex of the root (the tip of the root), and -itis meaning a disease characterized by inflammation. In few cases the abscess forms a channel leading to an opening over the gums or the skin, which drains the pus. The channel is known as a sinus tract, which leads to incomplete drainage of the pus and can cause a chronic periapical abscess. An undiagnosed or untreated periapical abscess can lead to complications. Bacteria can enter the innermost part of the tooth through either a deep cavity or a chip or crack in your tooth.


The resulting infection and inflammation can cause an abscess at the tip of the root. Periapical tooth abscess. The term chronic means the condition has been present for a significant length of time (at least several weeks, and sometimes much longer). 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. Read and know all about the causes, symptoms, diagnosis and treatment of this disorder.


Abscess indicates the presence of pus, and chronic means that it’s an infection that has been there for some time. Most of these patients don’t have pain, but they can still be a bit tender to percussion. Chronic Apical Abscess : The tooth has a sinus tract.


Focal inflammation and abscesses can produce intense pain, and the diagnosis can be achieved through physical examination. However, intraoral drainage is more common than extraoral in both dentitions. Nevertheless, the simultaneous presentation of extraoral and intraoral sinus tract is very rarely reported in primary dentition.

This case report discussed the management of a girl aged years with a chronic periapical abscess. Nonsurgical management of periapical lesions have shown a high success rate. A nonsurgical approach should always be adopted before resorting to surgery. The decompression and aspiration–irrigation techniques can be used when there is drainage of cystic fluid from the canals. An acute exacerbation in chronic cases can be seen in some cases.


The clinical features of periodontal abscess include, The patient complains of pain, which is throbbing in an acute periodontal abscess and dull and gnawing in a chronic periodontal abscess. Doctor on Symptoms, Diagnosis, Treatment, and More: Dr. Aragona on chronic periapical abscess : See your dentist if you think you have an abscess in your mouth or you have dental pain.


Mastoiditis needs immediate care by an md.

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