Periodontal Abscess
Periodontal Abscess is a topic covered in the 5-Minute Emergency Consult.
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Basics
Description
Description
- Collection of pus in supporting structures of teeth:
- Periodontal ligament
- Alveolar bone
- Periodontal pockets result from progression of periodontal disease and resultant bone loss:
- Food and debris accumulate in periodontal pockets
- Coronal epithelial tissues can reattach to tooth while bacteria and food debris remain trapped in pocket, impairing drainage
- Food and debris become secondarily infected in the setting of impaired drainage
- Complications:
- Osteomyelitis
- Dentocutaneous fistula
- Cavernous sinus thrombosis
- Ludwig angina
- Maxillary sinusitis
- Mediastinitis
- Tooth loss
- Sepsis
Pediatric Considerations
- Periodontal abscess is rare in children
- Periapical abscess is more common:
- Originates in pulp
- Associated with caries
Etiology
Etiology
- Anaerobic gram-negative rods
- Peptostreptococci
- Viridans group streptococci
- Neisseria species
- Usually polymicrobial
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Citation
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TY - ELEC
T1 - Periodontal Abscess
ID - 307360
ED - Barkin,Adam Z,
ED - Barkin,Roger M,
ED - Hayden,Stephen R,
ED - Rosen,Peter,
ED - Schaider,Jeffrey J,
ED - Shayne,Philip,
ED - Wolfe,Richard E,
BT - 5-Minute Emergency Consult
UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307360/all/Periodontal_Abscess
PB - Lippincott Williams & Wilkins
ET - 5
DB - Emergency Central
DP - Unbound Medicine
ER -