5-Minute Emergency Consult
Periodontal Abscess
Periodontal Abscess is a topic covered in the 5-Minute Emergency Consult.
To view the entire topic, please log in or purchase a subscription.
Emergency Central is a collection of disease, drug, and test information including 5-Minute Emergency Medicine Consult, Davis’s Drug, McGraw-Hill Medical’s Diagnosaurus®, Pocket Guide to Diagnostic Tests, and MEDLINE Journals created for emergency medicine professionals. Explore these free sample topics:
-- The first section of this topic is shown below --
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
-- To view the remaining sections of this topic, please log in or purchase a subscription --
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
There's more to see -- the rest of this topic is available only to subscribers.
Citation
Schaider, Jeffrey J., et al., editors. "Periodontal Abscess." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307360/all/Periodontal_Abscess.
Periodontal Abscess. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307360/all/Periodontal_Abscess. Accessed March 28, 2023.
Periodontal Abscess. (2016). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (5th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307360/all/Periodontal_Abscess
Periodontal Abscess [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2023 March 28]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307360/all/Periodontal_Abscess.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Periodontal Abscess
ID - 307360
ED - Barkin,Adam Z,
ED - Shayne,Philip,
ED - Rosen,Peter,
ED - Schaider,Jeffrey J,
ED - Barkin,Roger M,
ED - Hayden,Stephen R,
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 -
