Periodontal Abscess

PeriodontalAbscess

Periodontal abscess is seen almost exclusively in patients with existing periodontal disease and/or uncontrolled diabetes.

The discomfort associated with the swelling, is usually not enough to keep the patient awake at night.

Pain is often difficult to locate. The flora associated with periodontal abscess is more mixed than with most other periodontal infection.

periodontal abscess
Periodontal abscess is clearly visible as red swollen area associated with maxillary canine and premolar.

Q. What is the treatment of periodontal abscess?

Answer: Mechanical or surgical access to the tooth root of any plaque and calculus.

In advance cases, extractions may be considered.

If systemic signs and symptoms are present, or if patient is not responding to local treatment, antimicrobial therapy should be considered.

  1.      Phenoxymethylpenicilline 500 mg four times a day, 5 days in (children:10 mg/kg body weight up to 500mg for 5 days)

Or

  1.      Amoxicillin 500mg, 3 times a day, for 5 days;

In case of hyprsensitivity to penicillin, give

  1.      Clindamycin 500 mg (child: 10 mg/kg up to 500 mg) orally, 3 times a day for 5 days.

Patients who are not responding to treatment and are desirous of  retaining their teeth require management by a specialist

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