Wednesday, May 17, 2017

Acute alveolar abscess

The acute apical abscess is the most common form of dental abscesses and is the subject of this review. Endodontic infection develops only in root canals of teeth devoid of a vital pulp. This may be due to necrosis of the dental pulp as a consequence of caries or trauma to the tooth or to removal of the pulp tissue for previous root canal treatment.


Clinical features of acute alveolar abscess. That is why it is called so. Bartholin abscess acute infection of a Bartholin gland with symptoms including pain, swelling, cellulitis of the vulva, and dyspareunia.

Abscess , cross section. Treatment is incision and drainage of the abscess. Cultures should be obtained to rule out infections by Neisseria gonorrhoeae or Chlamydia.


A dental abscess is a localized collection of pus associated with a tooth. In a periapical abscess , usually the origin is a bacterial infection that has accumulated in the soft, often dea pulp of the tooth. Almost always, the condition occurs following a long-term infection. A dentoalveolar abscess is an acute lesion characterized by localization of pus in the structures that surround the teeth. Dental (periapical) abscesses are an acute infection of the periapical tissue around the root of the tooth.


A periapical tooth abscess occurs when bacteria invade the dental pulp — the innermost part of the tooth that contains blood vessels, nerves and connective tissue.

Bacteria enter through either a dental cavity or a chip or crack in the tooth and spread all the way down to the root. Once pus formation occurs, it may remain localized at the root apex and develop into either an acute or a chronic abscess , develop into a focal osteomyelitis, or spread into the surrounding tissues (Figs 3 and 3 ). Infections extending to adjacent anatomical structures (acute dento-alveolar abscess) Local spreading of an acute dental abscess into the surrounding bone and tissue. The condition is commonly precipitated by advanced dental caries, failure of root canal treatment, advanced chronic infection of the supporting structures of the tooth (periodontitis), or trauma. Acute suppurative osteomyelitis was common before the era of antibiotic therapy.


Osteomyelitis is an inflammation of the medullary cavity and adjacent cortex of bone. The mandible is more commonly. The above dental abscess symptoms are all characteristic of what is called an acute dental abscess.


This spreads fast and usually causes great discomfort and pain for the patient. The acute dental abscess is usually polymicrobial comprising facultative anaerobes, such as viridans group streptococci and the Streptococcus anginosus group, with predominantly strict anaerobes, such as anaerobic cocci, Prevotella and Fusobacterium species. A periapical abscess is an inflammatory reaction with the accumulation of pus at the root of an infected tooth. It can lead to death of the central region of the tooth known as the dental pulp.


Generally a periapical abscess is an acute dental infection requiring immediate dental intervention. An acute lateral periodontal abscess will arise quite quickly and is generally more severe in terms of the symptoms that occur. Generally speaking, these infections are ‘draining’.


A chronic abscess is one that has been present for some time. This means that the pus is slowly shed via the gum or a hole in the gum (a sinus). ICD-9-CM conversion, index and annotation crosswalks, DRG grouping and more.


When a carious lesion impinges on the dental pulp, pulpitis follows an ultimately, necrosis of the pulp occurs.

Untreated necrosis may lead to a localized abscess.

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