|
|
| Line 1: |
Line 1: |
| ==Background==
| | #REDIRECT[[Dental abscess]] |
| {{Dental numbers}}
| |
| | |
| [[File:Periodontium.png|thumb|Anatomy of the periodontium. The crown of the tooth is covered by enamel (A). Dentin (B). The root of the tooth is covered by cementum. C, alveolar bone. D, subepithelial connective tissue. E, oral epithelium. F, free gingival margin. G, gingival sulcus. H, principal gingival fibers. I, alveolar crest fibers of the periodontal ligament (PDL). J, horizontal fibers of the PDL. K, oblique fibers of the PDL.]] | |
| *Occurs when plaque and debris become entrapped in periodontal pocket
| |
| *Other terms: lateral abscess, parietal abscess
| |
| | |
| ==Clinical Features==
| |
| [[File:GingivalAbscess.jpg|thumb|Periodontal abscess between the lower left canine and first premolar.]]
| |
| *Severe [[dental pain|pain]]
| |
| *Sensitivity to palpation
| |
| *Suppuration with gentle pressure
| |
| | |
| ==Differential diagnosis==
| |
| {{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
| |
| | |
| ==Disposition==
| |
| *Out-patient treatment
| |
| | |
| ==See also==
| |
| [[Dental problems]]
| |
| | |
| ==References==
| |
| | |
| [[Category:ENT]]
| |
| [[Category:ID]]
| |
