Notice that there is not a tremendous amount of keratinized gingiva kg at the adjacent teeth for a lateral pedicle. Microscopic image showing a dense infiltrate of neutrophils. It is important to distinguish this from a periradicular abscess caused by an. A gingival abscess usually occurs in previously diseasefree areas of. In the past, the periodontal abscess in peri odontal diseased teeth was the main.
The prevalence of periodontal abscess is relatively high and it affects the prognosis of the tooth. The cause can also be from trapped food particles or other matter from improper brushing and flossing techniques. Pain may be associated due to secondary traumata via brushing, flossing or chewing. Primary objective is to establish drainage of swelling to relieve pressure and reduce suppuration in lesion. The pericoronal abscess is associated with the crown of a partially erupted tooth. Gingival abscess is one of the five types of dental abscesses. Acute gingival infections free download as powerpoint presentation.
Sep 16, 2015 in adults, this lesion frequently represents as firm, pink, uninflammed mass, and it seems to grow from below the free gingival margininterdental papilla figure figure1a. A periodontal abscess occurs alongside a tooth, and is different from the more common periapical abscess, which represents the spread of infection from a dead tooth i. A dental abscess is a localized collection of pus associated with a tooth. A tender erythematous fluctuant gingival enlargement is present facial to the maxillary first and second molars. This article revises the existing knowledge of different types of enlargements and highlights some important diagnostic.
Acute gingival infections herpes simplex infection free. Diffrential diagnosis the periodontal abscess should be ruled out from the following similar conditions and lesions. The 1999 classification for abscesses in the periodontium included gingival, periodontal, pericoronal, and periapical abscesses. The periodontal abscess is a localized purulent infection within the tissues adjacent to the periodontal pocket that can lead to the rapid destruction of the periodontal ligament and alveolar bone figure 117. If tartar builds up too much, or if food gets stuck in the pockets, pus forms. Since an abscess is an infection, pockets of pus can form at the gum area where the infection is located. This website provides free medical books this website provides over 0 free medical books and more for all students and doctors this website the best choice for medical students during and after learning medicine. This is caused by bacterial infection due to tooth decay, rough brushing, broken teeth, food stuck in the gum line, or when bleeding occurs in. O among all the abscesses of the periodontium, the periodontal abscess is the most important one, which often represents the chronic and refractory form of the disease. Everything is treated with a ct connective tissue graft and an overlying flap. This infection can also occur in the mouth, vagina, armpits, or anus as well as the base of the spine. In a periapical abscess, usually the origin is a bacterial infection that has accumulated in the soft, often dead, pulp of the tooth. A periodontal abscess is a localized collection of pus i. Perio acute gingival infections flashcards quizlet.
Abscess is a bacterial infection which causes inflammation and sacs filled with pus. Abscesses of the periodontium are categorized as gingival abscess, periodontal abscess and pericoronal abscess. Often occurs in the course of chronic destructive periodontitis occurs in previously disease free areas. Acute periodontal lesions periodontal abscesses and. Pdf the periodontal abscess is an acute destructive process in the periodontium resulting in localized collections of pus. It is often related to the presence of a foreign body, and it manifests as localized. The use of free gingival grafts for aesthetic purposes. Foreign body impaction, alteration in root integrity. Periodontal abscess article about periodontal abscess by. Scribd is the worlds largest social reading and publishing site.
Localized bacterial infection causes destruct of the affected tissue. A periodontal abscess is a pocket of pus in the tissues of the gum. Gingival abscess, ask a doctor about diagnosis, treatment. Gingival abscess definition of gingival abscess by medical. For some individuals, therapeutic mouth rinses and periodontal treatments may be recommended as. Among these conditions, the following diseases have been listed. Clinically and radiographically, the lesion was mimicking an acute apical abscess secondary to pulpal necrosis. The periodontal abscess can be classified depending on their course, number, location. Gingival abscess abscess is a bacterial infection which causes inflammation and sacs filled with pus. Dr kuljeet mehta is the specialist periodontist, practices a full scope of periodontics with expertise ranging from dental implants to cosmetic periodontal surgery, gum grafting.
Acute periodontal lesions periodontal abscesses and necrotizing. History of recent trauma localisation to the gingiva no periodontal pocket 18. Periodontal abscess gingival abscess involves supporting periodontal structure confined to marginal and or interdental gingiva. Some authors injected entamoeba gingivalis in the base of the gingival pocket of rats, which induced periodontal abscess in 78. Drain through periodontal pocket with curette or use an external incision into soft tissue to attain drainage try to remove the foreign material from area if present. Some of my friends never do free gingival grafts fgg. Acutg the most prevalent symptom that the patient will report with an acute periodontal. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Normal periodontium gingiva clinical periodontology. Xray bone loss present acute inflammatory response to forcing of foreign material into the gingiva. An abscess can occur with serious gum disease periodontitis, which causes the gums to pull away from the teeth. An acute, destructive process in the periodontium resulting in localised collections of pus communicating with the oral cavity through the gingival sulcus or other periodontal sites and not arising from the tooth pulp 6. Although the pulp is typically still vital, a history of reoccurring periodontal abscesses and substantially jeopardized periodontal support indicate that the prognosis for the tooth is poor and it should be gotten rid of. An abscess can cause a fever and a throbbing pain in.
Etiology of the periodontal abscess have been either directly. Longitudinal evaluation of free autogenous gingival graft. Jul 21, 2019 abses gingiva pdf there are three types. Gingival abscessa localized, purulent infection involves only the soft gum tissue near the marginal gingiva or the interdental papilla. Periodontal abscess an overview sciencedirect topics. A periodontal abscess can occur with any type of periodontitis and is therefore not a type of periodontitis but a particular feature or symptom. Gingival abscess definition of gingival abscess by. Periodontal abscesses pa are important because they represent common. Periodontal abscess is the third most frequent dental emergency, representing 7a14% of all the dental emergencies.
The periodontal abscess is the third most common dental emergency, representing 614%of all dental emergencies. Gingival abscess diffrentiating features of gingival abscess are. A crucial aspect is whether the involved tooth is to be extracted or kept. This can be caused by tooth decay, broken teeth or extensive.
Mar 03, 2017 diffrential diagnosis the periodontal abscess should be ruled out from the following similar conditions and lesions. There are a number of different dental abscesses, such as the gingival abscess, the periapical abscess, and the tooth or abscessed tooth, which is basically a sac filled with liquid or pus. Difference between periodontal abscess and gingival abscess. If tartar builds up too much, or if food gets stuck. A gingival abscess usually occurs in previously disease free areas of the marginal gingiva or interdental papilla, and it is not associated with deeper pathology. According to the american academy of periodontology, 1 acute periodontal diseases are rapid. Clinical features can include the following signs and symptoms. Gingival abscess the first type is called a gingival abscess because it is contained in the area of the gum that is closest to the neck of the tooth. O gingival abscess o pericoronal abscess o periodontal abscess.
Poorly controlled diabetes mellitus has been considered a predisposing factor for periodontal abscess formation gingival abscess the gingival abscess is a localized. A gingival abscess usually occurs in previously diseasefree areas of the marginal gingiva or interdental papilla, and it is not associated with deeper pathology. Gingiva definition of gingiva by medical dictionary. A periodontal abscess also termed lateral abscess, or parietal abscess, is a localized collection of pus i. Gingival abscess 6 aphthous ulceration 7 pericoronitits 8 erythema multiforme 9 drug allergy and contact hypersensitivity acute herpetic gingivostomatitis. The diagnosis of these lesions is essential for their successful management and of the patient as a whole. The tooth usually doesnt have preexisting pockets or bone loss, suggests the university of medicine and pharmacy of targu mure. Acute gingival infections herpes simplex infection. Gingival abscess are usually found whiten the gingival sulcus while periodontal abscess. Pdf a periodontal abscess is a localized, purulent infection. The treatment of the periodontal abscess has been a challenge for many years. A periodontal abscess is an infection located contiguous to the periodontal pocket and may result in the destruction of the pdl and alveolar bone.
Causes and treatments for a gingival abscess or abscessed tooth. Causes and treatments for a gingival abscess or abscessed. The periodontal abscess 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 and not arising from the tooth pulp. Gingival abscess, ask a doctor about diagnosis, treatment and. What is the most likely cause of of gingival abscesses. The periodontal abscess 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. This type is called a gingival abscess and can progress to a periodontal abscess if it moves deeper into the gum.
A gingival retraction cord which is accidentally left in situ is an occasional cause of a periodontal abscess. Periodontal abscess is developed due to accumulation of pus in the gum gingival sulcus or other associated periodontal sites. Classification of periodontal diseases pdf for free. An abscess is a localized collection of pus which forms during an acute infection. A microscopic image showing a dense infiltrate of neutrophils, some of which are undergoing liquefaction necrosis. The most common type of dental abscess is a periapical abscess, and the second most common is a periodontal abscess. Free periodontal abscess exam periodontal abscess is an accumulation of pus that can develop in the teeth or gums due to bacterial infection.
The important difference between a periapical abscess and abscesses of the periodontium are that the latter do not arise from pulp necrosis. Periodontal abscess conditions in which periodontal abscess is not related to inflammatory periodontal disease include tooth perforation or fracture and foreign body impaction. Anatomical relationship of normal gingiva in facial view a and in crosssection b. Here is a case where i think a free graft is indicated. A localized collection of pus in part of the body, formed by tissue disintegration and surrounded by an inflamed area.
Maintaining good oral hygiene is the first step toward keeping an abscess from forming. Repair potential following appropriate treatment of acute periodontal. Penetrating injury to the gingivafor example, with a toothbrush bristle, fishbone, toothpick or periodontal instrumentmay inoculate bacteria into the tissues. Complications and consequences include tooth loss and the spread of the infection to other body sites 58. It looks like a small red ball pushing out of the swollen gum. Classification of periodontal diseases pdf free pdf epub. A periodontal abscess forms when pus collects in the connective tissue wall of a pocket. When the acute infections originate from other local source. Clearing food debris and dental plaque from the mouth with daily brushing and flossing stops harmful bacteria from proliferating in the mouth and under the gums. The periodontal abscess is the third most prevalent emergency infection %67, after acute dentoalveoler abscess %1425, and pericoronitis %1011 9,10.
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