An abscess of the periodontium is a localized collection of pus within the gingival tissues or periodontal pocket caused by an infectious process. There are several types classified by location, including gingival, periodontal, and pericoronal abscesses. Common causative bacteria include F. nucleatum, P. intermedia, P. gingivalis, P. micros, and T. forsythia. Treatment involves incision and drainage to alleviate pain and control the spread of infection, along with scaling, antibiotics, surgery in some cases, and treatment of the underlying condition causing the abscess.
Dental Plaque
Soft deposits that form the biofilm adhering to the tooth surface or other hard surfaces in the oral cavity, including removable & fixed restorations”
Bowen , 1976
Bacterial aggregations on the teeth or other solid oral structures
Lindhe, 2003
Pericoronitis is inflammation of soft tissues surrounding the crown of partially erupted tooth including gingiva and dental follicle.
It can be acute, subacute or chronic.
The partially erupted or impacted mandibular third molar is the most common site of pericoronitis.
The lesion may be red swollen,suppurating along with the pain which may radiate to the surrounding tissues.
For more information book an appointment contact :
Dr.Rajat Sachdeva
Director & Mentor
Dr Sachdeva’s Dental Aesthetic And Implant Institute
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalimplantindia.co.in
www.dentalclinicindelhi.com
www.dentalcoursesdelhi.com
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For Dentists : https://goo.gl/6t8DD5
Dental Plaque
Soft deposits that form the biofilm adhering to the tooth surface or other hard surfaces in the oral cavity, including removable & fixed restorations”
Bowen , 1976
Bacterial aggregations on the teeth or other solid oral structures
Lindhe, 2003
Pericoronitis is inflammation of soft tissues surrounding the crown of partially erupted tooth including gingiva and dental follicle.
It can be acute, subacute or chronic.
The partially erupted or impacted mandibular third molar is the most common site of pericoronitis.
The lesion may be red swollen,suppurating along with the pain which may radiate to the surrounding tissues.
For more information book an appointment contact :
Dr.Rajat Sachdeva
Director & Mentor
Dr Sachdeva’s Dental Aesthetic And Implant Institute
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalimplantindia.co.in
www.dentalclinicindelhi.com
www.dentalcoursesdelhi.com
Google+ link: https://goo.gl/vqAmvr
Facebook link: https://goo.gl/tui98A
Youtube link: https://goo.gl/mk7jfm
Linkedin link: https://goo.gl/PrPgpB
Slideshare link : http://goo.gl/0HY6ep
Twitter Page : https://goo.gl/tohkcI
Instagram page : https://goo.gl/OOGVig
For Dentists : https://goo.gl/6t8DD5
Abscess of periodontium is a topic which is must to be read by a dentist or dental surgeon. Also the slide is made from carranza's periodontology, which can help the readers to grasp the concepts in few minutes. thank you.
An oroantral communication is an unnatural perforation between oral cavity and maxillary sinus.
Oroantral fistula is an epithelized, pathological, communication between these two cavities. A fistulous tract present more than 14 days should be considered as chronic fistula.
Tooth resorption is the progressive loss of dentine and cementum by the action of osteoclasts. This is a physiological process in the exfoliation of the primary dentition, caused by osteoclast differentiation due to pressure exerted by the erupting permanent tooth
Abscess of periodontium is a topic which is must to be read by a dentist or dental surgeon. Also the slide is made from carranza's periodontology, which can help the readers to grasp the concepts in few minutes. thank you.
An oroantral communication is an unnatural perforation between oral cavity and maxillary sinus.
Oroantral fistula is an epithelized, pathological, communication between these two cavities. A fistulous tract present more than 14 days should be considered as chronic fistula.
Tooth resorption is the progressive loss of dentine and cementum by the action of osteoclasts. This is a physiological process in the exfoliation of the primary dentition, caused by osteoclast differentiation due to pressure exerted by the erupting permanent tooth
A concise presentation on the abscesses of periodontal tissues, its etiology, diagnosis, management, differential diagnosis and potential sequelae and complications.
Periodontal abcess in dentistry concise view.pptxHazimrizk1
Periodontal abscess concise view discussing its Definition, Etiology and risk factors,
Pathogenesis,signs and symptomes,Clinical features
Diagnosisand diffrential diagnosis
Management
Introduction
Definition
Pathway of odontogenic infection
Classification
Maxillary space infection
Mandibular space infection
Ludwigs angina
Cavernous sinus thrombophlebitis
Occurrence of infectious disease is determined by interaction of host , the microorganism and the environment
In healthy state there is balance among these factors and when the balance is lost disease occurs
Most odontogenic infections arise as a sequel of pulp necrosis caused by caries, trauma, periodontitis
Definition : the fascial spaces are the potential spaces between the various layers of fascia normally filled with loose connective tissue and bounded by anatomical barriers , usually of bone , muscle or fascial layers.
(Moore – 1975)
Invasion of dental pulp by bacteria after decay of a tooth
inflammation edema and lack of blood supply
Venous congestion ,pulpal tissue death
Reservoir for bacterial growth
Periodic egress of bacteria into surrounding alveolar Acute stage
in acute stage ,infection spreading in the soft tissues can take the following forms of in the clinical situation
Abscess
Cellulitis
Fulminating infections
Everything a dentist needs to know about a periodontal abscess is here.
Along with all the relevant facts, references, definitions, classifications, and each and every statement is given with proper detail
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
2. Definition:
ABSCESS :
Localized collection of purulent exudate (pus) in a cavity formed by
the disintegration of tissues due to an infectious process or foreign material.
- Glossary of Periodontal Terms
3. Classification:
• (A) Depending on the location of the abscess,
• Gingival abscesses
• Periodontal/Lateral/Parietal abscesses
• Pericoronal abscess.
• (B) Depending on the course of the lesion,
• Acute
• Chronic
• (C) Depending on the number,
• Single and
• Multiple periodontal abscesses.
4. • F. nucleatum,
• P. intermedia,
• P. gingivalis,
• P. micros, and
• T. forsythia.
Microorganisms associated :
5. Gingival Abscess :
• The gingival abscess is a localized, acute inflammatory
lesion that may arise from a variety of sources,
including microbial plaque infection, trauma, and
foreign body impaction.
• Clinical features include a red, smooth, sometimes
painful, often fluctuant swelling
6. Periodontal abscess :
• A periodontal abscess is a localized accumulation of
pus within the gingival wall of a periodontal pocket.
• Lateral abscess / Parietal abscess
• Periodontal abscess is different from periapical
abscess as the later has pulpal origin of infection.
7. Clinical Features :
An ovoid elevation of the gingiva along the lateral
aspect of the root
The gingiva is edematous and red, with a smooth,
shiny surface.
The shape and consistency - area may be domelike
and relatively firm or pointed and soft.
Pus may be expressed from the gingival margin with
gentle digital pressure..
8. Symptoms
• Pain,
• Swelling,
• Suppuration,
• Bleeding on probing, and
• Mobility of the involved tooth.
Signs
• Cervical lymphadenopathy and
• An elevated white blood cell count.
9. Etiology :
Extension of infection from a periodontal pocket deeply into the supporting
periodontal tissues.
Lateral extension of inflammation from the inner surface of a periodontal pocket.
Deep and tortuous periodontal pockets, a periodontal abscess may form in the cul-
de-sac.
Incomplete removal of calculus during treatment of a periodontal pocket.
Trauma to the tooth or perforation of the lateral wall of the root in endodontic
therapy.
10. Diagnosis should be based on
Patients chief complaint
Clinical signs and symptoms
Additional information can be obtained through a careful medical and dental
history, and radiographic examination.
Suspected area should be probed carefully along the gingival margin in
relation to each tooth surface to detect a channel from the marginal area to the
deeper periodontal tissues. Continuity of the lesion with the gingival margin is
clinical evidence that the abscess is periodontal.
Diagnosis :
12. Periocoronal Abscess :
• The pericoronal abscess results from inflammation of the
soft tissue operculum, which covers a partially erupted tooth.
• This situation is most often observed around the mandibular
third molars.
• As with the gingival abscess, the inflammatory lesion may
be caused by the retention of microbial plaque, food
impaction, or trauma.
13. Treatment of Gingival Abscess, the protocol should include the following.
Elimination of the foreign object, through careful debridement.
Drainage through the sulcus with a probe or light scaling,
Rinsing with warm saline and follow-up after 24-48 hours
Treatment of Gingival Abscess :
14. Treatment of Acute periodontal abscess usually involves two stages
Management of the acute lesion.
The appropriate treatment of the original and / or residual lesion, once the
acute situations has been controlled.
Treatment of Periodontal Abscess:
15. The purpose of treatment of acute periodontal abscess is to
Alleviate pain,
Control the spread of infection, and
To establish drainage.
Treatment Protocol
Incision and drainage (closed or open approach)
Scaling and Root planning
Compression and debridement of soft tissue wall.
Use of different systemically administered antibiotics
Tooth extraction.
16. Treatment of Chronic periodontal abscess
Surgical therapy
Gingivectomy
Flap procedure
(Mainly in abscess associated with deep vertical defects, where the
resolution of the abscess may only be achieved by a surgical
operation)
Objective : To eliminate the remaining calculus and to obtain drainage at the
same time.
17. Treatment of Pericoronal Abscess, the protocol should include the following.
Debride/irrigate under pericoronal flap
Tissue recontouring (removing tissue flap)
Extraction of involved and/or opposing tooth
Antimicrobials (local and/or systemic as needed) Culture and
sensitivity
Follow-up
Treatment of Pericoronal Abscess: