Acute Periapical Abscess or Dental Abscess
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Infection with pus formation at the root of a tooth as a sequel to pulpitis caused by dental caries or trauma
Cause
- Mixed bacterial flora but mainly Staphylococcus spp
Clinical features
- Severe pain that disturbs sleep
- Facial swelling may be localized in the gum or extend to adjacent tissues
- Abscesses of the mandibular incisors or molars may discharge extra orally
- Affected tooth is mobile and tender to percussion
- Fever and headache may be present if infection has spread
Differential diagnosis
- Gingivitis
- Swelling due to trauma
- Pain due to sinusitis, temporomandibular joint pain dysfunction syndrome, or erupting wisdom teeth
- Dentine sensitivity due to thermal, tactile, or osmotic stimulus
Management
Treatment | LOC |
Infections localized to a tooth and its surroundings (swelling limited to the gum and no signs of infection extending to anatomical structures, or general signs of infection)
If infection is spreading to local adjacent structures (painful gingival and buccal swelling) or systemic signs and symptoms (fever) are present:
|
HC4 |