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Periodontal Abscess (Cluster 2) Section 3 - Coggle Diagram
Periodontal Abscess (Cluster 2) Section 3
Do nothing
:forbidden:
there's already swelling undr the tooth --> spreading infection further
eventually cn lead to tooth loss.
Draining the pus :check:
Through pocket
:smiley:
(gap b/w teeth & gums)- using special instruments
Incision
:smiley:
making a small cut on the outside of gums
(area of greatest swelling)
How?
as it is painful, we'll give u a numbing injction.
if mobile tooth - can splint the tooth
Adv of draining
:check:
relieve the pressure - immediate relief from pain
tooth will be saved
Disadv
:green_cross:
anaesthesia is req
condition cn still develop despite cleaning, bacteria cn overgrow.
Other option -
Extraction
:warning:
If abscess if large + tooth badly damaged & can't be saved --> we might hv to pull the tooth out.
Drain the pus + thoroughly irrigate the socket with saline water
Adv
:check:
cost effective
simplest way to drain pus
Quick solution - single visit
Disadv
:green_cross:
lose natural tooth
worry abt replacement options in future + as it is a frnt tooth
Scaling + irrigation
:star:
Aftr tht, we will thoroughly remove all the soft deposits & tartar around the tooth (sticky deposits) - with some intruments.
irrigating gums with saline water --> wash the area with saline water - tht will take away all the germs + food debris accumulated.
Pain management :star:
PCM 1000mgs + IBP 400 mgs
(alternating 2 hrs)
Antibiotics
- if systemic signs & symptoms nt responding to local tt
immunocompromised
Referral to GP
- blood tests
Referral to Gum specialist
nt straight away, if did nt resolve within 1 week - pocket 6mm (could be false pocket)
btr to reasses
- if pockt doesnt resolves + swelling is there - then refer explain wht he will do - reflect gums - do thorough debridement + clean through root surfaces.
Preventive advise
Good oral hygiene
(flossing) s/t small food particles can get stuck.
consider
saltwater M/W -
help with gum swelling.
Smoking cessation
- written brochures.
Other teeth - pockets 4-5 mm, other wise they will continue to progress - for specialist
c/o
extruded tooth
:star:
review if it coz of swelling it ws pushed out --> it might go bck to its normal position.
If didnt - we cn trim a little bit - bt tooth might be sensitive
or wont be able to do ortho tt - coz of bone loss too much + active infection
If
diastema :star:
might settle after the pus
or nt, then masking it with a filling
or seeing a specialist