There are three types: O Gingival abscess O Pericoronal abscess O Periodontal abscess. 5. O Among all the abscesses of the periodontium. “Regional” enlargements refer to involvement of gingiva around three or more . Histopathological examination of gingival/periodontal/pericoronal abscess may. The periodontal abscess is an acute destructive process in the periodontium the gingival sulcus or other periodontal sites and not arising from the tooth pulp.

Author: Faelabar Nigami
Country: Iran
Language: English (Spanish)
Genre: Automotive
Published (Last): 18 December 2012
Pages: 43
PDF File Size: 1.78 Mb
ePub File Size: 6.87 Mb
ISBN: 127-7-31304-798-2
Downloads: 61972
Price: Free* [*Free Regsitration Required]
Uploader: Tukazahn

Angiogranulomas may present as: A periodontal abscess most commonly occurs as a complication of advanced periodontal disease which is normally painless. The management following the acute phase involves removing any residual infection, and correcting the factors that lead to the formation of the periodontal abscess.

Surgical exposure of the lesion showing extensive bone formation in the core of the lesion. American Academy of Periodontology. A perfect diagnosis is critically important, since the management of these lesions and prevention gungiva their recurrence is completely dependent on it.

D ICD – Although the pulp is usually still vital, a history of recurrent periodontal abscesses and significantly compromised periodontal support indicate that the prognosis for the tooth is poor and it should be removed. The enlargement starts as beadlike enlargement of the interdental papilla and eventually may involve marginal gingiva. Following this procedure, the gingival cuff tightens around the tooth, which may be enough to trap the bacteria left in the pocket.

Marquez is an associate professor, division of periodontics, department of dental clinical sciences, faculty of dentistry, Abbses University, Halifax, Nova Scotia. Alveolar bone is rarely affected, but presence of pseudo-pockets and abess in maintaining oral hygiene may lead to some periodontal problems.


Parameter on acute absses diseases.

Gingival enlargements: Differential diagnosis and review of literature

Formed completely by underlying bone. Report of a unique case. Malignant tumors could be squamous cell carcinoma or melanoma. Phenotype and genotype in 17 patients with Goltz-Gorlin syndrome. This highly vascular lesion is characterized by purplish red-color and its tendency to bleed. Before pus has formed, the lesion will not be fluctuant, and there will be no purulent discharge.

A clinical scoring system for selection of patients for PTEN mutation testing is proposed on the basis of a prospective study of probands.

Painful joint contractures, diffuse thickening of the skin with absez papules and fleshy nodules and failure to thrive.

How Do I Manage a Patient with Periodontal Abscess? | jcda

Benign and malignant neoplasms of the periodontium. J Oral Maxillofac Pathol. Archived from the original PDF on Debridement Scaling and root planing Full mouth disinfection Full mouth ultrasonic debridement. The cause of the development of periodontal abscess originating from chronic periodontitis is the marginal closure of a periodontal pocket, or the pocket lumen might be too tight to drain the increased suppuration due to changes in the composition of subgingival microflora, alteration of bacterial virulence or host defenses.

Abscesses of the periodontium are acute bacterial infections [3] classified primarily by location.

There was a problem providing the content you requested

Abnormal fingers, nails, nose and ears, splenomegaly, hepatomegaly, hyperextensible metacarpophalangeal joints. Bleeding may occur extemporaneously or on mild stimulation. Occasionally, chronic inflammatory enlargement may also present as firm, resilient, pink and fibrotic enlargement which histologically show abundance of fibroblasts and collagen fibers.


A periodontal pocket contains dental plaquebacteria and subgingival calculus. Gingival enlargement in Niemann-Pick disease: Multiple myeloma presenting as gingival hyperplasia. Oral hobnail hemangioma–a case report.

The etiology of this entity is difficult to establish, but it is considered to be a hypersensitivity reaction with affluent plasma cells seen histologically.

Tooth pain and numb chin as the initial presentation of systemic malignancy. Hereditary gingival fibromatosis and sensorineural hearing loss in a year-old man with Jones agses.

Unilateral cutaneous nevi, unilateral vascular hyperplasia, neurological manifestations and ocular complications. Calcium channel blockers[ 15 ].

J Oral Surg Chic ; Most often the lesion is painless. Fibrous epulis and its subtypes. They can be differentiated from their location and aabses of the associated tooth.

The gingiva appears red and edematous with diffuse shiny surface. Please review our privacy policy. Indian J Hum Genet. Gingival qbses in mouth breathers Although considered as inflammatory, the exact mechanism of enlargement in mouth breathers is not clear. Generalized gingival hyperplasia, during pregnancy and puberty, is influenced by hormonal changes that pretentious the response to local irritants.

If this does not work, incision and drainage is required, as described in Dental abscess Treatment. It can be associated with signs and symptoms of bone marrow failure, such as ecchymoses, night sweats, recent infections and lethargy.

Dwarfism, flexion contractures, hernias, corneal clouding, macroglossia, short mandibular rami, peg-shaped teeth. Anderson-Fabry disease[ 2930 ].