Periodontal abscess: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Severe pain | *Severe [[dental pain|pain]] | ||
*Sensitivity to palpation | *Sensitivity to palpation | ||
*Suppuration with gentle pressure | *Suppuration with gentle pressure | ||
==Differential diagnosis== | ==Differential diagnosis== | ||
{{ | {{Dental Problems DDX}} | ||
==Evaluation== | ==Evaluation== | ||
| Line 16: | Line 16: | ||
==Management== | ==Management== | ||
*Local therapy for small abscesses | *Local therapy for small abscesses | ||
**Penicillin VK 500 mg PO QID or clindamycin 300 mg PO QID | **[[Penicillin VK]] 500 mg PO QID or clindamycin 300 mg PO QID | ||
**Warm saline rinses | **Warm saline rinses | ||
*Larger abscesses require I | *Larger abscesses require [[I&D]] | ||
*Chlorhexidine 0.1% mouth rinses BID for short-term use | *Chlorhexidine 0.1% mouth rinses BID for short-term use | ||
==Disposition== | |||
*Out-patient treatment | |||
==See also== | ==See also== | ||
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==References== | ==References== | ||
[[Category:ENT]] | [[Category:ENT]] | ||
[[Category:ID]] | [[Category:ID]] | ||
Revision as of 22:26, 30 September 2019
Background
- Occurs when plaque and debris become entrapped in periodontal pocket
- Other terms: lateral abscess, parietal abscess
Clinical Features
- Severe pain
- Sensitivity to palpation
- Suppuration with gentle pressure
Differential diagnosis
Dentoalveolar Injuries
Odontogenic Infections
- Acute alveolar osteitis (dry socket)
- Acute necrotizing ulcerative gingivitis (trench mouth)
- Dental abscess
- Periapical abscess
- Periodontal abscess
- Ludwig's angina
- Pulpitis (dental caries)
- Pericoronitis
- Peritonsillar abscess (PTA)
- Retropharyngeal abscess
- Vincent's angina - tonsillitis and pharyngitis
Other
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