An unusual periodontal abscess

Fuss, Zvi; Bender, I.B.; Rickoff, Bruce D.

doi:10.1016/s0099-2399(86)80302-8

Cited by 5 publications

(5 citation statements)

References 2 publications

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“…The extreme downhill group suffered the greatest tooth mortality per subject followed by the downhill and the well-maintained groups. A similar trend was found for single rooted teeth where 11 of 38 teeth were lost (Table 3).…”

Section: Resultssupporting

confidence: 81%

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Tooth Loss Due to Periodontal Abscess: A Retrospective Study

McLeod¹,

Lainson

Spivey

1997

Journal of Periodontology

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This retrospective study focused on the frequency of tooth loss due to periodontal abscess among 42 patients who were treated by a single clinician over a 5- to 29-year period. A total of 114 patients were selected from the active periodontal recall schedule of a single periodontist at The University of Iowa College of Dentistry. The criteria for inclusion in the study included having a history of moderate to advanced periodontitis, being on 3 to 6 month recall periodontal maintenance care, and completion of active periodontal therapy prior to October 1987. Other parameters evaluated were age; gender; number of teeth present and missing at the initial, reevaluation, and last periodontal recall visit; initial periodontal prognosis; furcation involvement; non-surgical and surgical periodontal therapy; and reasons for tooth loss. Patients were grouped according to the number of teeth lost following active periodontal treatment into well-maintained (0 to 3), downhill (4 to 9), and extreme downhill (10 to 23) groups. Forty-two of the 114 patients were identified as having one or more periodontal abscesses. A total of 109 teeth were affected by periodontal abscess of which 49 (45%) teeth were lost and 60 (55%) were successfully maintained over an average of 12.5 years (5 to 29 years). More furcated teeth were lost than nonfurcated teeth and teeth given a hopeless prognosis were lost more consistently than those given a questionable prognosis in all groups. The frequency of periodontal abscess and tooth loss per patient was greater in the downhill and extreme downhill response groups than the well-maintained group. This suggests that teeth with a history of periodontal abscess can be treated and maintained for several years.

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Section: Resultssupporting

confidence: 81%

“…When the patients were categorized into response groups (Table 1) 66 subjects in the well-maintained group had moderate Periodontitis compared to 4 and 2 in the downhill and extreme downhill groups, respectively. Thirty people in the well-maintained group had advanced Peri-odontitis, 11 in the downhill and 1 in the extreme downhill group.…”

Section: Resultsmentioning

confidence: 99%

Tooth Loss Due to Periodontal Abscess: A Retrospective Study

McLeod¹,

Lainson

Spivey

1997

Journal of Periodontology

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“… different foreign bodies have been described to be associated with the development of a periodontal abscess, for example: an orthodontic elastic ; a piece of dental floss ; a dislodged cemental tear ; a piece of a toothpick ; or pieces of nails in subjects with nail‐biting habits . The term ‘oral hygiene abscesses’ has been proposed for abscesses caused by the impaction of foreign bodies that are oral hygiene aids . the root surface may be altered by different factors: perforation by an endodontic instrument ; cervical cemental tears ; external root resorption ; an invaginated tooth ; or a cracked tooth . …”

Section: Abscesses In the Periodontiummentioning

confidence: 99%

Acute periodontal lesions

Herrera¹,

Alonso²,

Arriba³

et al. 2014

Periodontology 2000

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This is a review and update on acute conditions affecting the gingival tissues, including abscesses in the periodontium, necrotizing periodontal diseases, and other acute conditions that cause gingival lesions with acute presentation, such as infectious processes not associated with oral bacterial biofilms, muco--cutaneous disorders, and traumatic and allergic lesions. A periodontal abscess is clinically important since it is a relatively frequent dental emergency, it can compromise the periodontal prognosis of the affected tooth, and because bacteria within the abscess can spread and cause infections in other body sites. Different types of abscesses have been identified, mainly by the type of etiology, and there are clear differences between those affecting a previously existing periodontal pocket and those affecting healthy sites. Therapy for this acute condition consists of drainage and tissue debridement, with individual evaluation of the need for systemic antimicrobial therapy. The definitive treatment of the pre--existing condition should be accomplished after the acute phase is controlled.

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“…Periodontal abscesses can also develop in the absence of periodontitis, due to the following causes: (a) Impactation of foreign bodies (Kareha et al 1981), such as an orthodontic elastic (Pini Prato et al 1988), a piece of dental floss (Abrams & Kopczyk 1983), a popcorn kernel (Rada et al 1987), a dislodged cemental tear (Haney et al 1992), a piece of a toothpick (not confirmed) (Fuss et al 1986), a corn husk in peri-implant tissues (Ibbott et al 1993), or an unknown object (Emslie, 1978, Palmer 1984. Periodontal abscesses caused by foreign bodies, related with oral hygiene aids, have been named ''oral hygiene abscesses'' (Gillette & Van House 1980).…”

Section: Periodontal Abscesses In the Absence Of Periodontitismentioning

confidence: 99%

The periodontal abscess: a review

Herrera

Roldán

Sanz

2000

J Clinic Periodontology

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The periodontal abscess is the 3rd most frequent dental emergency, and it is specially prevalent among untreated periodontal patients and periodontal patients during maintenance. Different etiologies have been proposed, and 2 main groups can be distinguished, depending on its relation with periodontal pockets. In the case of a periodontitis-related abscess, the condition may appear as an exacerbation of a non-treated periodontitis or during the course of periodontal therapy. In non-periodontitis related abscesses, impaction of foreign objects, and radicular abnormalities are the 2 main causes. The abscess microflora seems to be similar to that of adult periodontitis, and it is dominated by gram-negative anaerobic rods, including well-known periodontal pathogens. Complications and consequences include tooth loss and the spread of the infection to other body sites. Diagnosis and treatment is mainly based on empiricism, since evidence-based data are not available. The role of systemic antibiotics, in the treatment of periodontal abscesses, is especially controversial.

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An unusual periodontal abscess

Cited by 5 publications

References 2 publications

Tooth Loss Due to Periodontal Abscess: A Retrospective Study

Tooth Loss Due to Periodontal Abscess: A Retrospective Study

Acute periodontal lesions

The periodontal abscess: a review

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