Periodontal abscess: Difference between revisions
(Created page with "==Background== *Occurs when plaque and debris become entrapped in periodontal pocket *Other terms: lateral abscess, parietal abscess ==Clinical Features== *Severe pain *Sensi...") |
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==Differential diagnosis== | ==Differential diagnosis== | ||
{{Template:Dental Problems DDX}} | {{Template:Dental Problems DDX}} | ||
==Evaluation== | |||
*Usually clinical | |||
==Management== | |||
*Local therapy for small abscesses | |||
**Penicillin VK 500 mg PO QID or clindamycin 300 mg PO QID | |||
**Warm saline rinses | |||
*Larger abscesses require I+D | |||
*Chlorhexidine 0.1% mouth rinses BID for short-term use | |||
Revision as of 20:43, 7 September 2017
Background
- Occurs when plaque and debris become entrapped in periodontal pocket
- Other terms: lateral abscess, parietal abscess
Clinical Features
- Severe pain
- Sensitivity to palpation
- Suppuration with gentle pressure
Differential diagnosis
Dentoalveolar Injuries
Odontogenic Infections
- Acute alveolar osteitis (dry socket)
- Acute necrotizing ulcerative gingivitis (trench mouth)
- Dental abscess
- Periapical abscess
- Periodontal abscess
- Ludwig's angina
- Pulpitis (dental caries)
- Pericoronitis
- Peritonsillar abscess (PTA)
- Retropharyngeal abscess
- Vincent's angina - tonsillitis and pharyngitis
Other
Evaluation
- Usually clinical
Management
- Local therapy for small abscesses
- Penicillin VK 500 mg PO QID or clindamycin 300 mg PO QID
- Warm saline rinses
- Larger abscesses require I+D
- Chlorhexidine 0.1% mouth rinses BID for short-term use