Why Is Periodontal Abscess Important?

Chapter 25: Periodontal emergencies * Abscess of the periodontium- an acute, circumscribed collection of pus in the periodontium 1) Acute- condition has a rapid onset, rapid course, and can be accompanied by pain or discomfort 2) Circumscribed- abscess is localized 3) Pus- a collection of dead white blood cells that result from the body defense mechanisms involved in fighting the infection * 3 types of periodontal abscesses 4) Gingival- an abscess of the periodontium that is limited to the gingival margin area. Occurs in a healthy mouth when some foreign object is forced into a healthy gingival sulcus 5) Periodontal abscess- occurs in a site with preexisting periodontal disease including preexisting periodontal pockets. Affects the deeper structures of the periodontium and is not limited to the gingival margin area only as is the gingival abscess
Through the pocket itself or by performing periodontal surgery. Puncture the soft tissue wall of the pocket with the toe of a sterile curet. * Thorough periodontal debridement of the tooth surfaces in the area of the abscess * Adjustment of the tooth occlusion is usually indicated * Antibiotics may be needed in advanced cases * Recommend warm saltwater rinses to help keep the abscess draining until completely healed * Dental team should appoint the patient for a thorough periodontal