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IP International Journal of Periodontology and Implantology


Periodontal abscess –A sneak peek


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Author Details: Ramanarayana Boyapati, Srikanth C, Shyam Sunder S, Arpita Paul R, Kiran Kumar Nagubandi

Volume : 1

Issue : 3

Online ISSN : 2457-0087

Print ISSN : 2581-9836

Article First Page : 81

Article End Page : 84


Abstract

A periodontal abscess, synonyms being lateral abscess or parietal abscess, is characterized by accumulation of pus locally within the supporting apparatus of periodontium. Generally these abscesses are acute or sudden in onset and are characteristically classified on the basis of its location. Interestingly these periodontal abscess remain mostly painless and occurs as a sequel of progressive periodontal diseases. The immune response of the host harnessed as local and systemic resistance demarcates the proliferation and multiplication of the microorganisms within the gingival soft tissue. Incomplete debridement of the periodontal pocket serves as another major etiology. Inoculation of the bacteria into the periodontal tissue occurs as a result of various penetrating injuries like bristle of the toothbrush or food remnants like fish bone etc. Endondontic procedural accidents like root canal perforations also could pave way for abscess formation as a result of an established endo-perio lesion. Signs and symptom: the main symptom is pain, worsened by biting associated with mobile tooth surrounded by erythematous, swollen mucosa, characterized by regional lymphadenitis and systemic illness. Treatment of periodontal abscess mainly involves adequate and robust management of the acute lesion followed by addressing the original or underlying residual lesions. Incision and drainage being the primary emergence protocol could be established through various pathways like pocket lumen, subgingival scaling and root planning and curettage of the pocket epithelium followed by systemic antibiotics and analgesics.

Keywords: Periodontal abscess, Periodontal pocket, Tooth mobility, Gingival abscess