There are three types: O Gingival abscess O Pericoronal abscess O Periodontal abscess. 5. O Among all the abscesses of the periodontium. “Regional” enlargements refer to involvement of gingiva around three or more . Histopathological examination of gingival/periodontal/pericoronal abscess may. The periodontal abscess is an acute destructive process in the periodontium the gingival sulcus or other periodontal sites and not arising from the tooth pulp.
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The high vascularity of these lesions can be understood by their purplish-red color and tendency to bleed.
How Do I Manage a Patient with Periodontal Abscess? | jcda
It is a type of dental abscess. The oral mucosa covering an early periodontal abscess appears erythematous red absss, swollen and painful to touch. The enlarged gingiva usually is soft and friable, bright red or magenta, with a smooth, shiny surface.
Histopathology and electron and immunofluorescence microscopy of gingivitis granulomatosa associated with glossitis and cheilitis in a case of Ginngiva disease. The management following the acute phase involves removing any residual infection, and correcting the factors that lead to the formation of the periodontal abscess. Capillary hemangiomas, increased size of lips, tongue, teeth malformations, delayed exfoliation of teeth, calcified roots.
The enlargement starts as beadlike enlargement of the interdental papilla and eventually may involve marginal gingiva.
How Do I Manage a Patient with Periodontal Abscess?
Painful joint contractures, diffuse thickening of the skin xbses pearly papules and fleshy nodules and failure to thrive. Abscess of pericoronal flap. Drug induced gingival enlargement. Antibiotics are generally reserved for severe infections, in which there is facial swelling, systemic upset and elevated temperature. There are no specific tests for sarcoidosis. The enlargement may reduce spontaneously after the delivery, but complete elimination may require the removal of all local irritants and additional surgical intervention of any fibrotic remnants.
N Engl J Med. Usually at the initial presentation there is no pain.
[Periodontal abscess: etiology, diagnosis and treatment].
If the tooth is to be removed, drainage will occur via the socket. Open in a separate window.
Determine the existence of a periodontal pocket Fig. The diagnosis of these lesions is essential for their successful management and of the patient as a whole. Schinzel-Giedion syndrome[ 24 ]. In contrast, secondary oral tuberculosis can be seen in 0. Retrieved from ” https: Liu SQ Gihgiva statement: Obtain radiographic evidence of bone loss. Superimposed with secondary inflammation; B: Gingkva, primary tuberculosis manifesting solely as gingival enlargement is extremely rare which can be diagnosed based on history of fever, weakness, loss of appetite and weight loss[ 47 ].
Unsourced material may be challenged and removed. J Oral Maxillofac Pathol. This section does not cite any sources. Dwarfism, flexion contractures, hernias, corneal clouding, macroglossia, short mandibular rami, peg-shaped teeth.
It is normally associated with swelling of lips, bowel disorders, fever and ulcers. However due to their varied presentations, the diagnosis of these entities becomes challenging for the clinician.
Bruxism is a common cause of excessive occlusal forces. The bulge may progressively increase in size and extent to become generalized. Subsequently, after detailed investigation, clinician makes a final diagnosis or diagnosis of exclusion.
Systemic Hyalinosis[ 20 ].