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    Periodontal Abscess

    Periodontal Abscess is a topic covered in the 5-Minute Emergency Consult.

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    Emergency Central

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    Basics

    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

    • Anaerobic gram-negative rods
    • Peptostreptococci
    • Viridans group streptococci
    • Neisseria species
    • Usually polymicrobial

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    Citation

    Rosen, Peter, 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: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307360/all/Periodontal_Abscess. Accessed April 25, 2019.
    Periodontal Abscess. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307360/all/Periodontal_Abscess
    Periodontal Abscess [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 April 25]. 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 - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, 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 -