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Signs of trauma on the operculum, such as indentations of the cusps of the upper teeth, [9] or ulceration. [4] Rarely, the soft tissue around the crown of the involved tooth may show a similar appearance to necrotizing ulcerative gingivitis. [11] Trismus (difficulty opening the mouth). [9] resulting from inflammation/infection of the muscles of ...
Removal of microbial plaque and calculus is necessary to establish periodontal health. The first step in the treatment of periodontitis involves nonsurgical cleaning below the gum line with a procedure called "root surface instrumentation" or "RSI", this causes a mechanical disturbance to the bacterial biofilm below the gumline. [ 59 ]
Periapical periodontitis may develop into a periapical abscess, where a collection of pus forms at the end of the root, the consequence of spread of infection from the tooth pulp (odontogenic infection), or into a periapical cyst, where an epithelial lined, fluid-filled structure forms.
Untreated, the infection may lead to rapid destruction of the periodontium and can spread, as necrotizing stomatitis or noma, into neighbouring tissues in the cheeks, lips or the bones of the jaw. As stated, the condition can occur and be especially dangerous in people with weakened immune systems .
Depending on the extent of destruction, various treatments can be used to restore the tooth to proper function, or the tooth may be removed. [6] There is no known method to grow back large amounts of tooth. [9] The availability of treatment is often poor in the developing world. [2] Paracetamol (acetaminophen) or ibuprofen may be taken for pain ...
In a periapical abscess, usually the origin is a bacterial infection that has accumulated in the soft, often dead, pulp of the tooth. This can be caused by tooth decay, broken teeth or extensive periodontal disease (or combinations of these factors). A failed root canal treatment may also create a similar abscess.
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Further endodontic treatment, antibiotics and analgesics, debridement, extraction, bite adjustment A phoenix abscess is an acute exacerbation of a chronic periapical lesion. It is a dental abscess that can occur immediately following root canal treatment .