What is the difference between periodontal abscess and periapical abscess?

There are two main types of dental abscess: periodontal abscess — where bacteria infect the gums; and • periapical abscess — where bacteria infect the pulp inside of the tooth (and which is overall the most common type).
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How can you tell the difference between apical periodontitis and periapical abscess?

It is caused when the infection extends through the apical foramen into the peri-radicular tissue. Periodontal Abscess is caused due to impaction of foreign body in the Gums leading to an abscess. It is different from Acute apical periodontitis as the infection is passed into the periodontium through the root canal.
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What are periodontal abscesses?

A periodontal abscess is a pocket of pus in the tissues of the gum. It looks like a small red ball pushing out of the swollen gum. An abscess can occur with serious gum disease (periodontitis), which causes the gums to pull away from the teeth. This leaves deep pockets where bacteria can grow.
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What are the three most common types of dental abscess?

The three most common types are:
  • Periapical abscess. This is an abscess at the tip of a tooth's root.
  • Periodontal abscess. This is an abscess on the gum next to the root of a tooth. It might also spread to the surrounding tissue and bone.
  • Gingival abscess. This is an abscess on the gums.
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How do you describe periapical abscess?

A periapical abscess is a collection of pus at the root of a tooth, usually caused by an infection that has spread from a tooth to the surrounding tissues.
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Periapical Abcess Vs Periodontal Abcess by dental tricks 《dentistry》



What causes periapical abscesses?

A periapical tooth abscess occurs when bacteria invade the dental pulp — the innermost part of the tooth that contains blood vessels, nerves and connective tissue. Bacteria enter through either a dental cavity or a chip or crack in the tooth and spread all the way down to the root.
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How is periodontal abscess diagnosed?

Diagnosis of a periodontal abscess is based on medical and dental history as well as oral examination (pocket depth, swelling, suppuration, mobility, sensibility of the tooth). The most prevalent group of bacteria: P. gingivalis, P.
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What is apical periodontitis?

Apical periodontitis is a chronic inflammatory disorder of periradicular tissues caused by aetiological agents of endodontic origin. Persistent apical periodontitis occurs when root canal treatment of apical periodontitis has not adequately eliminated intraradicular infection.
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How do I know if my tooth abscess is spreading?

Signs of a tooth infection spreading to the body may include:
  1. fever.
  2. swelling.
  3. dehydration.
  4. increased heart rate.
  5. increased breathing rate.
  6. stomach pain.
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What antibiotics treat an abscess tooth?

The most common ones used for an abscess include:
  • Amoxicillin.
  • Azithromycin.
  • Cefoxitin.
  • Metronidazole.
  • Penicillin.
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How serious is a periodontal abscess?

An abscess can cause a fever and a throbbing pain in nearby teeth. It can also cause long-term damage to your teeth and gums. The teeth may get loose and fall out. The infection can spread to another part of your body.
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Is periodontal abscess common?

Periodontal abscesses are a common and painful dental emergency resulting from bacterial accumulation or foreign body impaction in periodontal pockets. They affect both patients with or without active periodontal disease and require prompt management acute and long-term management.
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How do you treat a periodontal abscess?

Treatment
  1. Open up (incise) and drain the abscess. The dentist will make a small cut into the abscess, allowing the pus to drain out, and then wash the area with salt water (saline). ...
  2. Perform a root canal. This can help eliminate the infection and save your tooth. ...
  3. Pull the affected tooth. ...
  4. Prescribe antibiotics.
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What causes periapical periodontitis?

Periapical periodontitis or apical periodontitis (AP) is an acute or chronic inflammatory lesion around the apex of a tooth root, most commonly caused by bacterial invasion of the pulp of the tooth.
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How long does a periapical abscess last?

Time Span of an Untreated Abscess

To begin with, a tooth abscess does not go or die down on its own, and professional intervention is crucial to treat a dental abscess. In case a person does not treat a dental abscess in its initial stage, then the infection may last anywhere between 5 months to 12 months or even more.
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How do I know if my tooth infection has spread to blood?

If you have any of the following symptoms, you may have sepsis, and you need to go to the emergency room or call 911 right away:
  • Severe pain.
  • A high fever.
  • Shivering or feeling cold.
  • Clammy, sweaty skin.
  • Shortness of breath.
  • High heart rate.
  • Low blood pressure.
  • Confusion.
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Will a tooth abscess go away with antibiotics?

When you are suffering from a tooth infection, you may want an easy solution, such as a course of antibiotics. However, antibiotics won't cure your tooth infection. Oral bacterial infections cause abscesses, which are small pockets of pus and dead tissue in the mouth.
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Can an abscessed tooth affect your eye?

Can a Tooth Infection Lead To Eye Infection? When left untreated, an infected tooth can cause pain and lead to infection in other areas of your body, including your eyes. If your infected tooth is at the upper part of your mouth, the swelling can progress upwards and, in some cases, cause your eye to swell shut.
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What bacteria is involved in periapical periodontitis?

Bacterial named species frequently detected in primary infections, including both acute and chronic apical periodontitis, belong to diverse genera of gram-negative (Fusobacterium, Dialister, Porphyromonas, Prevotella, Tannerella, Treponema, Campylobacter, and Veillonella) and gram-positive (Parvimonas, Filifactor, ...
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How do you know if you have apical periodontitis?

Symptomatic apical periodontitis causes pain and discomfort when a person bites down or makes contact with the surrounding teeth. This type of apical periodontitis is usually acute, meaning it comes suddenly and gets worse quickly. However, it can also be chronic.
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How is apical periodontitis diagnosed?

If no other diagnosis may explain the pain consider a cone-beam computed tomography (CBCT) scan. If an apical radiolucency is observed in the scan, then AP is diagnosed as present. If no bone destruction is seen in the CBCT scan, reconsider other diagnoses (Step 1 and 2) that may mimic the symptoms of AP.
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What does a periodontal abscess feel like?

Typically, dental abscess symptoms begin with soreness and swelling. Over time, however, the side effects of an abscessed tooth worsen. Left untreated, the infection that caused the abscess can spread, resulting in the loss of a tooth, or worse—leading to more serious dental complications.
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Is a periodontal abscess painful?

Also called a periodontal abscess, a gum abscess is a painful condition that can lead to serious complications. It's important to recognize the signs of a gum abscess and get medical treatment if you develop one.
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Do periodontal abscesses hurt?

An abscess in the gum is called a periodontal abscess. Dental abscesses are often painful, but not always. In either case, they should be looked at by a dentist. It's important to get help as soon as possible, as abscesses do not go away on their own.
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How long can a gum abscess go untreated?

Once an abscess has formed, noticeable pain and swelling around the affected tooth usually occur. If left untreated, it may take a few more weeks or months for the infection to spread to other tissues and cause complications. However, once this has happened, death can occur quickly.
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