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Strategy forex lungo periodontal abscessАвтор: Shakatilar | Category: Under 19 cricket world cup 2022 betting | Октябрь 2, 2012
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Chronic periodontal abscess on the lateral aspect of first mandibular molar demonstrating fibrotic swollen gingiva. Classification according to the etiology: Periodontitis related abscess: When acute infection originates from the microbial biofilm in deepened periodontal pocket. Non-Periodontitis related abscess: When the acute infection originates from another local source e.
Etiology of periodontal abscess The periodontal abscess usually develops in an association with moderate to deep periodontal pockets Other etiological factors include incomplete calculus removal, embedding ……….. Contents available in the book …… Contents available in the book…… Contents available in the book…… Contents available in the book…….
Periodontitis related abscess: Deep and tortuous periodontal pockets 1. Marginal closure of a periodontal pocket that may lead to an extension of the infection into the surrounding periodontal tissues due to the pressure of the suppuration inside the closed pocket The changes in the composition of the microflora, bacterial virulence, or in host defenses could also make the pocket lumen inefficient to drain the increased suppuration Treatment with systemic antibiotics without subgingival debridement in patients with advanced periodontitis may also cause abscess formation Non-periodontitis related abscess: Due to impaction of foreign bodies such as a piece of dental floss, a popcorn kernel, a piece of a toothpick, fishbone, or an unknown object Perforation of the tooth wall by endodontic instrument 1, Due to infected lateral cysts Anatomical factors affecting the root morphology like the presence of cervical cemental tears may also predispose to periodontal abscess formation 10, 20, Differences between gingival and periodontal abscess Gingival abscess Limited to marginal gingiva and interdental papilla.
Usually, involves attached gingiva. Caused by bacteria being carried deep into the tissues when a foreign substance like a toothbrush bristles is forcefully embedded in the gingiva. Caused because of the localization of inflammation due to one of the underlying reasons: 1. Extension of infection to lateral wall of pocket. Extension of infection deep into the supporting periodontal tissues. The primary symptom of a periodontal abscess is deep, throbbing pain, usually sudden in onset, that is exacerbated by biting on the tooth that is adjacent to the abscess.
This tooth may feel elevated or particularly prominent, or it may be mobile, if the abscess has played a part in the destruction of the alveolar bone and the periodontal ligament. The tissue that covers a periodontal abscess in its early stages appears red and swollen and is painful to the touch. The surface may appear stretched and shiny, because of the swelling of the abscess. Before pus is present in the abscess, there is no discharge associated with the periodontal abscess, though the proximal lymph nodes may be swollen.
As pus forms in the periodontal abscess, the pain and pressure increase, until eventually the periodontal abscess spontaneously drains. At this point, the pain and pressure of the abscess are relieved, though patients report a foul taste and smell in the mouth as pus drains into the oral cavity. The pus usually drains into the mouth through a periodontal pocket; if the pus does not drain, the infection may spread and develop into cellulitis or an infection of the tooth and its surrounding tissues.
Abscesses of the periodontium commonly present as complications of advanced periodontal disease. When bacteria invade periodontal pockets, an inflammatory response occurs. If these bacteria are allowed to multiply and find their way into the soft tissues of the oral mucosa, a purulent abscess may form. Normally, these infection processes are regulated by the immune system; when the resistance of the host decreases, the immune system attempts to isolate the infection by forming a pocket of abscess.
Abscess may also arise if the opening of a periodontal pocket is blocked for any reason. This may happen if the periodontal pocket has become very deep and has plaque and tartar trapped inside, or it may happen if food debris becomes trapped in a periodontal pocket. Infection may also form if a periodontal pocket is scaled incorrectly or incompletely, trapping the bacteria that remains in the periodontal pocket. Rarely, a gingival retraction cord may be accidentally left in place following treatment, which can also cause a periodontal abscess.
Bacteria may also enter the periodontal pocket if the gingiva is accidentally punctured while cleaning the teeth or eating, which can lead to abscess, and trauma to the gingival tissue due to impact or pressure may also cause periodontal abscess.
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