5-Minute Emergency Consult
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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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
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. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307360/all/Periodontal_Abscess. Accessed October 28, 2020.
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 (5th edition). Lippincott Williams & Wilkins. Retrieved October 28, 2020, 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 2020 October 28]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307360/all/Periodontal_Abscess.
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