specific treatment approaches to periodontal abscesses

• Contents:
• Introduction
• Defenition &types
• Specific Treatment approaches
• References

*introduction: periodontal abscess is an acute destructive process at the periodontium resulting in localized formation of pus communicating with oral cavity through the gingival sulcus or other periodontal location and not arising from the tooth pulp
The prevalence of periodontal abscess is relatively high and it's affects the prognosis of the teeth.
Periodontal abscesses can occur on the base of persisting periodontitis but can also occur at the absence of periodontitis. The causes of the development of periodontal abscess originating from >chronic periodontitis is the marginal closure …show more content…
Treatment The coz of treatment of an acute abscess is to decrease the pain, control the fusion of infection, and establish drainage, The patient's general systemic response should be evaluated. Rise in temperature, feverish appear, & a feeling of malaise should be noted and a proper antibiotic regimen started
Drainage can be established by the pocket or by means of an incision from the outer surface,, The former preferable.
Drainage through the Pocket. The area is anesthetized by topical and if necessary, local anesthesia is in-jected around the abscess,, Care is taken not to inject into the swelling itself. A flat instrument or a probe is carefully introduced into the pocket in an attempt to distend the pocket wall for drainage.
A curette can then be gently inserted in the pocket to further drain and gently curette the mass of tissue internally.
Drainage through an External Incision. The abscess is isolated & dried with gauze sponges. After the application of topical anesthesia, local anesthesia is injected around the periphery of the abscess. A #15 blade is used to make a angular incision through the most fluctuant part of the swelling, extending to an area just apical to the abscess (Fig. …show more content…
The external aspect of the abscess is gently pushed to drain the re-maining purulent material and approximate the wound edges. Sutures are usually not required. After the drainage stops, the area is dried and painted with an antiseptic,, Patients without systemic complications are instructed to rinse with a solution of 1st tsp salt in a glass of warm water and to return for follow-up evaluation the next day. In addition to the rinses, penicillin or other antibiotics prescribed for the patients with high temperatures.
The patient is also instructed to avoid exertion and is placed on a copious fluid diet.
If necessary, bed rest is