Dentistry Book

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Dental Incision and Drainage

Aka: Dental Incision and Drainage, Drainage of Dental Abscess
  1. Indications: Dental Abscess
    1. Periapical Abscess
    2. Periodontal Abscess
  2. Approach: Technique
    1. Local Anesthesia to Gingiva (2% Lidocaine with Epinephrine)
      1. Alternatively, regional dental block may be used (e.g. Inferior Alveolar Block)
    2. Identify most fluctuant area
      1. Make a 1 cm incision over the greatest fluctuance or make a small stab incision which is typically sufficient
      2. Aim toward alveolar bone
      3. 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
  3. References
    1. Delaney (2017) EM:Rap 17(10): 4

Drainage of dental abscess (C0554017)

Concepts Therapeutic or Preventive Procedure (T061)
SnomedCT 149018009, 282043004
English abscessed drain tooth, drainage dental abscess, drainage of dental abscess, Drainage of dental abscess, Drain tooth abscess, Drainage of dental abscess (procedure)
Spanish drenaje de absceso dental (procedimiento), drenaje de absceso dental
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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