This document provides an overview of periodontal abscesses. It defines a periodontal abscess as a localized collection of pus within the periodontal tissues. Periodontal abscesses are classified based on duration, number, location and etiology. The main causes are periodontitis, trauma from foreign objects, and certain dental procedures. Microbiologically, periodontal abscesses involve anaerobic bacteria normally found in the oral cavity like P. gingivalis, P. intermedia and F. nucleatum. Clinical features include pain, swelling and exudate from the gingiva. Management involves incision and drainage of the acute lesion along with antibiotics and treatment of the underlying condition like scaling or surgery.
INTRODUCTION
DEFINITION
TYPES OF TRAUMA FROM OCCLUSION
GLICKMAN CONCEPT
WAERHAUG CONCEPT
STAGES OF TISSUE RESPONSE TO INJURY
CLINICAL AND RADIOGRAPHIC FEATURES OF TFO
CLINICAL DIAGNOSIS OF TFO
TFO AND IMPLANTS
TREATMENT OF TFO
CONCLUSION
REFRENCES
Phase I periodontal therapy is the first in the chronologic sequence of procedures that constitute periodontal treatment. It is also referred to as cause related therapy or non-surgical periodontal therapy.
INTRODUCTION
DEFINITION
TYPES OF TRAUMA FROM OCCLUSION
GLICKMAN CONCEPT
WAERHAUG CONCEPT
STAGES OF TISSUE RESPONSE TO INJURY
CLINICAL AND RADIOGRAPHIC FEATURES OF TFO
CLINICAL DIAGNOSIS OF TFO
TFO AND IMPLANTS
TREATMENT OF TFO
CONCLUSION
REFRENCES
Phase I periodontal therapy is the first in the chronologic sequence of procedures that constitute periodontal treatment. It is also referred to as cause related therapy or non-surgical periodontal therapy.
Dentists play an important role in the diagnosis and management of desquamative gingivitis. The importance of being able to recognise and properly diagnose this condition is accentuated by the fact that a serious and life threatening disease may initially manifest as desquamative gingivitis.
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
Dentists play an important role in the diagnosis and management of desquamative gingivitis. The importance of being able to recognise and properly diagnose this condition is accentuated by the fact that a serious and life threatening disease may initially manifest as desquamative gingivitis.
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
Federación Odontológica del Perú
IX Jornada Anual
Auditorio del Colegio Odontológico del Perù
Conferencia: Abscesos Periodontales
Prof. Dr. Ricardo Benza Bedoya
Dr. Eirini Georgiou from PerioExperts.
Periodontal disease refers to the periodontal tissues that surround, bind and support the teeth into their socket. These tissues are the gums, the jaw bone, the cementum of the root and the periodontal ligament. In healthy circumstances the gums are light pink, do not bleed and are firmly attached to the tooth, like a nice frame around a picture painting.
Periodontal disease can affect all people regardless age, but as age progresses the incidence of infection increases. It is estimated that in US 80% of people over 45 years old suffer from periodontal disease. Although periodontal disease is nowadays the main cause of tooth loss in adults, early diagnosis and preventive therapy, provide effective treatment.
Recently, periodontal disease is associated with the onset of cardiovascular problems, diabetes melitus, or premature birth and underweight babies, and morbid obesity. Therefore, the preservation and restoration of periodontal health is directly related to the conservation and restoration of general health.
This presentation focusses on definition, history, goals and objectives of SPT, patient compliance, ways to improve patient's compliance, parts of SPT, SPT in daily practice, classification of post treatment patients, AAP Guidelines for periodontist and dentist and studies related to SPT.
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
Dr. Rahul VC Tiwari - Fellowship In Orthognathic Surgery - Jubilee Mission Medical College Hospital and Research Center, Thrissur, Kerala - 31st publication IJAR 1st name
A detailed description about endo perio interrelationship, including introduction, development and etiology, historical aspects, definition, classification, diagnosis, differential diagnosis, management, special consideration in management,controversies prognosis, conclusion.
Periodontitis is a chronic, slowly progressing disease which mainly results in the destruction of tooth supporting apparatus. Earlier it was classified as Chronic and Aggressive periodontitis with different clinical features and etiology. Current classification ( 2017) of periodontal disease involves periodontitis with is further divided into 4 stages and 3 grades depending on severity and rate of disease progression respectively. Diabetes meelitus and smoking are the validated risk factors for the progression of periodontitis.
Influence of systemic disorders on periodontal diseases is well established. However, of growing interest is the effect of periodontal diseases on numerous systemic diseases or conditions like cardiovascular disease, cerebrovascular disease, diabetes, pre-term low birth weight babies, preeclampsia, respiratory infections and others including osteoporosis, cancer, rheumatoid arthritis, erectile dysfunction, Alzheimer's disease, gastrointestinal disease, prostatitis, renal diseases, which has also been scientifically validated. This side of the oral-systemic link has been termed Periodontal Medicine and is potentially of great public health significance, as periodontal disease is largely preventable and in many instances readily treatable, hence, providing many new opportunities for preventing and improving prognosis of several systemic pathologic conditions. in this power point Dr Harshavardhan Patwal , highlights the importance of prevention and treatment of periodontal diseases as an essential part of preventive medicine to circumvent its deleterious effects on general health.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
5. PREVALENCE
3rd most frequent dental emergency
Representing 7-14%
Affecting 6-7%
Effects prognosis of tooth
Gray et al 1994- 27.5% and 59.5%
Mc Leod et al 1997- 37%
5
6. CLASSIFICATION
Based on duration
Based on number
Based on location
Based on etiology
Periodontitis related
Non- periodontitis related
6
7. PERIODONTITIS RELATED ABSCESS
Active periodontal destruction
Exacerbation of a chronic lesion
Post therapy periodontal abscess
Post scaling
Post surgery
Post antibiotic(Topoll in 1990)
(Helevou et al in 1993-broad spectrum
antibiotics)
7
8.
Four types of abscess associated with periodontal
tissues
Gingival abscess
Peri-coronal abscess
Combined periodontal/ endodontic
Lateral Periodontal abscess
8
{Periodontal abscess: A review Punit Vaibhav Patel, Sheela Kumar G, Amrita Patel}
9. NON PERIODONTITIS RELATED ABSCESS
Impaction of foreign body
Orthodontic devices
Root morphology alterations
Invaginated root(Chen et al in 1990)
Fissured root(Goose 1981)
Root tears(Haney et al 1992)
Endodontic perforations(Abrams et al 1992)
9
10. ETIOLOGY OF PERIODONTAL ABSCESS
Etiology
Environmental
factors
Microbiological
factors
Other local
factors
10
12. MICROBIOLOGY
Anaerobes (Newman& Sims)
P. gingivalis- 50-100%(Topoll et al in 1990)
F nucleatum
B forsythus
P gingivalis
P intermedia
Periodontal pathogens usually isolated
from periodontal abscess
12
13. Herrera et al in 2000- 45% anaerobes resembles
periodontitis microbiota
Polymicrobial, non motile, gram negative, rod
shaped anaerobes
Ashimoto et al- P gingivalis
Other microbes include
P intermedia
P melaninogenica
F nucleatum
B forsythus
Spirochetes
13
15. OTHER LOCAL FACTORS
Foreign material such as
1. Pop-corn husk
2. Impacted food
3. Fish bone
4. Tooth brush bristles
5. Irrigating devices
ANACHORETIC EFFECT
15
17. PATHOGENESIS
Entry of bacteria into
soft tissue wall
Trauma to the orifice of the
periodontal pocket
Formation of infiltrate
Destruction of connective tissues
Pus formation
Decreased tissue
resistance
Virulence and
number of bacteria
17
19. CLINICAL FEATURES AND DIAGNOSIS
Acute Abscess
Localized red, ovoid swelling
Periodontal pocket
Mobility
Tooth elevation in socket
Tenderness to percussion or biting
Exudation
Elevated temperature
Regional lymphadenopathy (Smith and Davies „86)
19
20. Chronic Abscess
No pain or dull pain
Localized inflammatory lesion
Slight tooth elevation
Intermittent exudation
Fistulous tract often associated with a deep pocket
Usually without systemic involvement
20
21.
Herrera et al in 2000- blood and urine samples-
reported 30%- elevated leukocytes
and 20-40% neutrophils and monocytes
21
23. MANAGEMENT OF PERIODONTAL
ABSCESS
The treatment of the periodontal abscess usually
includes two stages:
(1) The management of the acute lesion, and
(2) The appropriate treatment of the original and/or
residual lesion, once the emergency situation has been
controlled
23
24. THE MANAGEMENT OF THE ACUTE LESION
Draining the abscess
with digital pressure
Incision and drainage
(Ahl et al 1986)
Scaling and root planing
24
25. THE APPROPRIATE TREATMENT OF THE
ORIGINAL AND/OR RESIDUAL LESION
Periodontal surgery
The use of different systemically administered
antibiotics, and
Tooth extraction.
25
26. ANTIBIOTICS
Antibiotic Options for Periodontal Infections1
Antibiotic of Choice
Amoxicillin, 500 mg
1.0-g loading dose, then 500 mg tid, 3 days
Penicillin Allergy
Clindamycin 600-mg loading dose, then 300 mg
qid, 3 days
Azithromycin (or clarithromycin)
1.0-g loading dose, then 500 mg qid, 3 days
26
27.
Smith and Davies in 1986- metranidazole (200mg tid
5days)
Herrera et al in 1994- tetracycline therapy
There was a rapid control of pain levels, reduction in
edema, redness and swelling, periodontal probing depth
were significantly reduced.
Gingivectomy
Surgical flaps
27
29. RECENT STUDIES
If untreated the periodontal abscess may lead to
cervicofacial necrotizing fasciitis
Medeiros et al 2012
Orthodontic Elastic Separator-Induced periodontal
Abscess: A Case Report
29
Talia Becker and Alex Neronov in 2012