Dentistry Book

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Periapical Abscess

Aka: Periapical Abscess, Apical Periodontitis, Apical Abscess
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  1. See Also
    1. Dental Caries
  2. Pathophysiology
    1. Complication of Irreversible Pulpitis (Dental Caries)
  3. Symptoms
    1. Severe, persistent pain localized to affected tooth
  4. Signs
    1. Apical Abscess may be present
      1. Fluctuant swelling at Buccal mucosa or Palate
    2. Percussion with metal object elicits pain
    3. Regional Lymphadenopathy of the Head and Neck
  5. Management
    1. Incision and Drainage if abscess is present
      1. Local Anesthesia to Gingiva (2% Lidocaine with Epinephrine)
      2. Small stab incision is sufficient
        1. Aim toward alveolar bone
        2. Insert through periosteum
      3. Probe space with Mosquito hemostat
      4. Irrigate abscess cavity
      5. Insert gauze packing or penrose drain if room
      6. Secure gauze or drain with Silk Suture 4-0
      7. Remove drain within 48 hours
      8. Patient should rinse with warm saline
    2. Root canal or tooth extraction by dentist
    3. Antibiotics not required in most cases
      1. Start if Periodontal Cellulitis suspected
      2. For Cellulitis, Augmentin or Clindamycin are recommended
  6. Complications
    1. Periodontal Cellulitis
  7. References
    1. Amsterdam in Marx (2002) Rosen's Emergency Med, p. 897
    2. Douglass (2003) Am Fam Physician 67(3):511-16

Periapical Periodontitis (C0031030)

Definition (MSH) Inflammation of the PERIAPICAL TISSUE. It includes general, unspecified, or acute nonsuppurative inflammation. Chronic nonsuppurative inflammation is PERIAPICAL GRANULOMA. Suppurative inflammation is PERIAPICAL ABSCESS.
Concepts Disease or Syndrome (T047)
MSH D010485
ICD10 K04.5
SnomedCT 39273001
English Apical Periodontitides, Apical Periodontitis, Periapical Periodontitides, Periapical Periodontitis, Periodontitides, Apical, Periodontitides, Periapical, Periodontitis, Apical, Periodontitis, Periapical, Apical periodontitis, NOS, Apical periodontitis NOS, Periapical Periodontitis [Disease/Finding], periapical periodontitis, apical periodontitis, Apical periodontitis (disorder), Apical periodontitis, periodontitis; apical
Swedish Periapikal tandlossning
Czech periapikální periodontitida
Finnish Periapikaalinen periodontiitti
Russian VERKHUSHECHNYI PERIODONTIT, PERIODONTIT VERKHUSHECHNYI, PERIAPIKAL'NYI PERIODONTIT, ВЕРХУШЕЧНЫЙ ПЕРИОДОНТИТ, ПЕРИАПИКАЛЬНЫЙ ПЕРИОДОНТИТ, ПЕРИОДОНТИТ ВЕРХУШЕЧНЫЙ
Japanese 根尖部歯周炎, 歯周炎-根尖性, 歯根尖炎, 根尖炎, 根尖性歯周炎
Italian Periodontite apicale, Periodontite periapicale
Croatian PERIAPEKSNI PARODONTITIS
Polish Zapalenie tkanek okołowierzchołkowych, Zapalenie ozębnej okołowierzchołkowej, Zapalenie przyzębia przyszczytowego
Dutch periodontitis; apicaal, Periapicale periodontitis, Periodontitis, apicale, Periodontitis, periapicale
Spanish periodontitis apical (trastorno), periodontitis apical, Periodontitis Apical, Periodontitis Periapical
French Parodontite périapicale, Périodontite péri-apicale, Périodontite périapicale, Desmodontite périapicale
German Periapikale Periodontitis, Periodontitis, apikale
Portuguese Periodontite Apical, Periodontite Periapical
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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