Apical abscess

Introduction to apical abscess Apical abscess refers to a disease of the periapical tissue such as the periodontal ligament and alveolar bone around the apex. Acute suppurative apical periodontitis is often developed from acute serous apical periodontitis and can also be caused by an acute onset of chronic apical periodontitis. Also known as acute suppurative apical abscess or acute alveolar abscess, it is one of the most serious dental diseases seen in the clinic. Acute or chronic inflammation of the periapical tissue of the root is called periapical periodontitis. When the pulpitis develops to the advanced stage, when the pulp tissue is mostly or completely necrotic, or there is bacterial infection, it causes inflammation of the periapical tissue; when the tooth is subjected to a sharp external force, the periapical tissue is also subjected to violent trauma and causes the apex. Zhou Yan; iatrogenic infections during treatment can also cause apical periodontitis. basic knowledge Sickness ratio: 0.1% Susceptible people: no specific population Mode of infection: non-infectious Complications: sepsis

Cause of apical abscess

Bacterial infection (90%):

Mainly caused by Staphylococcus aureus invasion into tissues or blood vessels. From the apical periodontal ligament, serous inflammation to the periapical tissue forms suppurative inflammation. Suppurative inflammation is characterized by massive neutrophil exudation with varying degrees of tissue necrosis and pus formation.

Apical abscess prevention

The disease is mainly caused by bacterial infection, causing necrosis and dissolution of the inflamed tissue to form a abscess. The key to this disease: First, prevention, second, early detection, early diagnosis, timely treatment, this can often avoid the deterioration of the condition, otherwise it may lead to sepsis, sepsis and life-threatening.

Root tip abscess complications Complications sepsis

May cause sepsis, sepsis and life-threatening.

Symptoms of apical abscess Common symptoms Gingival red or dark red gums, tooth occlusion, weakness, restlessness, facial edema, fever

(A) acute peritonitis

1. Acute serous periapical periodontitis: the teeth move outward due to the pressure at the tip of the root. The patient feels that the teeth are elongated, the teeth are in early contact, the bite is discomfort or a slight bite pain, and the teeth are bitten by the apical blood. Squeezing to the surrounding symptoms temporarily relieved.

2. Acute suppurative periapical periodontitis: the pain is very intense, persistent, pulsating, severe tooth loosening, obvious contact and pain, swelling of the face and face, redness and tenderness at the root end, feeling of tooth elongation, not afraid of the tooth Combination, headache, elevated body temperature, irritability, painful face, swollen lymph nodes, tenderness.

(two) chronic periapical periodontitis

Symptoms and signs of the teeth showed spontaneous and persistent tenderness, and the feeling of elongation increased, so the patient did not dare to occlude. pain (++)-(+++), loosening II-III degrees. The apex of the apex is flushed. But there is no obvious swelling. Minor pain in the percussion. The corresponding submandibular or subfrontal lymph nodes may have swelling and tenderness.

Examination of apical abscess

1. Shallow part: Abscess manifests as local redness, swelling, heat, pain and tenderness, and then fluctuates. 2. Deep: The abscess is a local diffuse swelling, pain and tenderness, and the fluctuation is not obvious. The puncture can be taken out by the test puncture, and it can also be used as an ultrasound consultation. Ultrasonic diagnosis is a diagnostic method that applies ultrasound detection technology to the human body by measuring data and morphology of physiological or tissue structures, discovering diseases, and making prompts.

Diagnosis and diagnosis of apical abscess

diagnosis

Mainly based on the typical clinical symptoms and signs of the teeth, the degree of pain and redness is used to distinguish the stage of inflammation of the affected tooth. According to clinical manifestations, related examinations can be diagnosed.

Differential diagnosis

Can be distinguished from periodontitis, which is a chronic infectious disease involving four types of periodontal support tissues (gum, periodontal ligament, alveolar bone and cementum), often leading to inflammatory destruction of periodontal support tissues.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.