Tooth abscess is an infectious process that is caused by the accumulation of pus in the inner or outer surface of the alveolar process of the upper jaw or the alveolar part of the lower jaw. Usually, the cause of an abscess is a bacterial infection, which accumulates in a soft, often dead, pulp of the tooth , which can be associated with neglected caries , chipping of the tooth or with various periodontal diseases. Unsuccessful root canal treatment can also cause an abscess.
| Tooth abscess | |
|---|---|
 Tooth abscess | |
| ICD-10 | K04.6, K04.7 |
| ICD-10-KM | |
| ICD-9 | 522.5 , 522.7 |
| Mesh | D005491, D010482 |
There are three types of tooth abscess:
- Gingival abscess (or flux) affects only the gums, without touching the tooth or the periodontal ligament.
- Periodontal - inflammatory process inside the periodontal pocket, developing towards the tooth root
- Periapical - occurs in a tooth with non-viable pulp.
Content
Symptoms
An abscess is characterized by constant throbbing and shooting pains. With pressure or heat applied to the tooth, there can also be pain attacks. The formation of edema at the base of the tooth, gums and / or cheeks is possible, which can be reduced by applying ice.
Acute abscess can be painless, but the edema is still present on the mucous membrane. In some cases, a tooth abscess may perforate the bone, moving to adjacent tissues, and causing swelling of the face. In some cases, there is inflammation of the lymph nodes in the neck, there is a noticeable swelling. Sometimes patients complain of migraine .
Treatment
Successful treatment of tooth abscess consists in the detection and removal of the source of infection, and may consist of both antibiotic prescription [1] and drainage . If the tooth can be restored, then root canal therapy is performed. Teeth that cannot be repaired are removed.
Abscesses may not heal for several reasons:
- Cyst
- Poor root canal therapy
- Vertical fracture of the tooth root
- Related periodontal disease
- Penetration of the roots of the teeth in the maxillary sinus
Notes
- Should How should I manage dental abscess in primary care? Archived December 27, 2011.
Literature
- Dentistry, N.N. Bazhanov, "Medicine", Moscow, 1990