ASSIGNMENT
Najla Manis Al-shahrani
432802924
Periodontal versus pulpal abscess The relationship between periodontal disease and pulpal infection occurs primarily by the intimate anatomic and vascular interactions between the pulp and the periodontium. As such, when we as dentists see these periapical lesions affecting the periodontium and the apical tissue, proper diagnosis and treatment is of utmost importance if we are to give the affected tooth a hopeful prognosis.
Abscess Definition
An abscess is an enclosed collection of liquefied tissue, known as pus, somewhere in the body. It is the result of thebody's defensive reaction to foreign material.
Overview
A periodontal abscess is a localized collection of pus within the gum, formed by
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Since periodontal disease is usually “silent” regular dental check-up is important for early detection.
When to seek help
If you have a toothache or notice evidence of an abscess on your gum, visit your dentist. Even if the abscess drains and the pain decreases, a visit to the dentist for complete treatment is crucial.
Treatment
Treatment includes conventional endodontic therapy followed by conventional periodontal therapy. If the lesion is deemed too severe for treatment, the involved tooth may require extraction.
Successful treatment of a gum abscess focuses on the reduction and elimination of the source of infection. This begins with draining the abscess, which usually relieves pain and removes much of the infection. You may be prescribed antibiotics.
The periodontal abscess will not be cured unless the cause is eliminated. A Periodontist will prescribe a range of treatment from deep scaling to root planning and gum surgery to treat the gum disease. If the abscess has also affected the pulp, then the tooth will also need root canal treatment as well.
Reference - Carranza's Clinical Periodontology Expert
Periodontal disease is the inflammation of the structures that support the teeth. This disease is the primary loss of teeth in dogs. It is caused by a build-up of dental plaque on the surfaces of the teeth and around the gums. Bacteria can accumulate in the dental plaque and irritate the gum tissue which leads to the infection of the bone that surrounds the teeth. Some effects of the disease include: bad breath, bleeding gums, oral pain, dropping food from mouth while eating and loss of appetite. In severe cases the teeth may become loose and fall out.
According to the American Dental Association, gum disease, also referred to as periodontal disease, occurs when the tissues that support and surround your teeth become infected. Many people are unaware they even have gum disease, because it isn’t a painful disease. Periodontal disease is caused by a film of sticky bacteria called plaque forming on the teeth.
The most recent classification system for periodontal diseases was developed in 1999 and is broken into seven major categories. The only reversible category is the first category. All of the subsequent categories are considered a destructive disease because damage caused by the disease cannot be undone and is permanent. The seven categories, in order, are as follows; (1) Gingivitis, (2) Chronic Periodontitis, (3) Aggressive Periodontitis, (4) Periodontitis as a manifestation of a systemic disease, (5) Necrotizing ulcerative gingivitis/periodontitis, (6) Abscesses of the periodontium, and (7) Combined periodontic-endodontic lesions. These seven categories are used to diagnose specific patients, as well as refer to a group of patients that suffer from one of the above conditions. Periodontitis is considered local if less than thirty percent of the mouth is affected, and generalized if more than thirty percent of the mouth is affected.
On his initial examination dated 23/06/13 the patient was seen for a routine full mouth scale and polish with reinforced oral hygiene instruction including flossing technique. He presented with excellent oral hygiene at this appointment which was a reflection of his commitment to good oral hygiene; tooth-brushing twice daily and dental flossing once daily. This was further supported by the patients plaque scores at 5% and bleeding scores at 4% with only minimal supra gingival calculus on lower anterior teeth. There was no erythema or oedema present on the gingival tissues.
The dentist will review your general medical history as well as your dental history and examine your oral cavity properly and in great detail. He/she will also check your bite and also take the appropriate x-rays. All these are aimed to determine if you require treatment.
Periodontal disease involves series of infections that occur within gum tissues of the mouth and the surrounding of teeth. Some infections cause simple inflammation of the gum tissues and in some cases it causes server damage within the soft tissues and bones, and a possibility of losing teeth. Periodontal disease can be prevented if people were more educated on how to keep healthy gums and teeth. People need to also understand that the way you live your lifestyle can also have effect on your health as far as oral hygiene.
After teeth are adjusted, maintaining their shape is fairly easy with retainers and casual check ups. A general dentist’s main focus is the teeth and gums. They take care of cavities and treat and diagnose gum disease (“Dental Schools And Careers”). Dentists recommend semi annual visits to take a closer look at your mouth. The
Periodontal disease also known as periodontitis is the inflammatory disease of the supporting tissues of the teeth caused by specific microorganisms resulting in progressive destruction of the periodontal ligament and alveolar bone with pocket formation, recession, or both. This includes gingivitis, which is the inflammation of the gingiva and is the milder form. This later on progresses to periodontitis and is a more severe form. Periodontitis affects the periodontal ligament, alveolar bone, and cementum.
Eliminating bacteria through good oral hygiene is not possible. The gum tissue begins pulling away from the teeth. This creates pockets that allow bacteria to build up, which leads to an infection. As your body fights the harmful bacteria, the bone and tissue holding the teeth in place begins to break down. The pockets deepen and begin filling with pus.
The root canal is a procedure in which and endodontist or dentist will perform to remove an infection from the pulp of the tooth canal. There are many indications to show that the patient will need this work completed such as pain, tenderness and sensitivity to warm and cold tempetures. When the endodontist is doing the procedure he will use many different tools such as endodontic explorers, files, peso reamers and gutter purcha. Once complete the patient will be a little sore but the initial pain will be gone.
Periodontal disease is an infection of the gingiva and alveolar bone. Periodontal disease increases in prevalence and severity as people age. Periodontal disease is precursored by gingivitis.
Infection control is a central concept to every practice of health care providers. Its main objective is to prevent the transmission of infectious diseases from both patients and health personnel (Martin et al., 2010). In dental clinic, infection control is a continuous concern for its professionals. They have to contact patients routinely and be exposed to their blood, saliva, dental plaque and pus that may contain infectious pathogens. It is important for the dental professionals to treat these fluids as if they are infectious and special precautions must be taken to handle them. In this essay, I will highlight the scope of infection control practices in dental clinics and the ways through which infectious microorganisms are transmitted in the dental clinic. Also, I will talk about some infection control guidelines implemented in dental clinics and how they meet the needs of the patients. Finally, from a personal perspective, I will mention some factors that affect the implantation of infection control guidelines and procedures.
Albuquerque, C., F. Morinha, J. Requicha, T. Martins, I. Dias, H. Guedes-Pinto, E. Bastos, and C. Viegas. "Canine Periodontitis: The Dog as an Important Model for Periodontal Studies." The Veterinary Journal 191.3 (2012): 299-305. University of Michigan Dearborn Library Catalog. Web. 18 Mar. 2014.
In the past, diseased or damaged teeth could not be salvaged and in most cases, had to be pulled out. However, in the last three decades, endodontic dentistry has evolved to quite an extent and today, professionals trained in this specialty can help save teeth and repair any inherent damage. Common endodontic procedures include root canal therapy, fixing of broken teeth and repairing dental trauma.
All dental patients who present to the dental office with a chief complaint of “pain” may not have an odontogenic etiology for their pain. A differential diagnosis of nonodontogenic pain includes myofascial pain, pain of neurovascular origin, toothache of cardiac origin, episodic neuropathic toothache, atypical odontalgia, of a sinus toothache, and toothache of psychogenic origin1. A review of the characteristics of pain from an odontogenic source would be useful in order to recognize any aberrations. Characteristics of pain from an odontogenic source include a dull, achy, throbbing with occasionally sharp pain. Other characteristics of pulpal pain include an identifiable condition that would explain the symptoms and local anesthesia to the affected tooth eliminates the pain. Signs of periodontal pain are an identifiable periodontal condition that explains the symptoms of a dull, aching, or throbbing pain. Also, under a load of occlusal pressure during chewing, the tooth feels sore and discomfort is only felt when biting pressure is released. Local anesthesia to the affected periodontal