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Periodontal abscess

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158: 451: 25: 134: 302:. A periodontal abscess represents a change in this balance, related to decreased local or systemic resistance of the host. An inflammatory response occurs when bacteria invade and multiply within the soft tissue of the gingival crevice/periodontal pocket. A pus-filled abscess forms when the immune system responds and attempts to isolate the infection from spreading. 515:
The initial management of a periodontal abscess involves pain relief and control of the infection. The pus needs to be drained, which helps both of these aims. If the tooth is to be removed, drainage will occur via the socket. Otherwise, if pus is already discharging from the periodontal pocket, this
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involvement), then plaque and calculus are trapped inside. Food packing may also obstruct a periodontal pocket. Food packing is usually caused by failure to accurately reproduce the contact points when dental restorations are placed on the interproximal surfaces of teeth. Another potential cause
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An important factor is whether the involved tooth is to be extracted or retained. Although the pulp is usually still vital, a history of recurrent periodontal abscesses and significantly compromised periodontal support indicate that the prognosis for the tooth is poor and it should be removed.
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Antibiotics are of secondary importance to drainage, which if satisfactory renders antibiotics unnecessary. Antibiotics are generally reserved for severe infections, in which there is facial swelling, systemic upset and elevated temperature. Since periodontal abscesses frequently involve
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When pus forms, the pressure increases, with increasing pain, until it spontaneously drains and relieves the pain. When pus drains into the mouth, a bad taste and smell are perceived. Usually drainage occurs via the periodontal pocket, or else the infection may spread as a
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Penetrating injury to the gingiva--for example, with a toothbrush bristle, fishbone, toothpick or periodontal instrument--may inoculate bacteria into the tissues. Trauma to the tissues, such as serious impact on a tooth or excessive pressure exerted on teeth during
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Other measures that are taken during management of the acute phase might include reducing the height of the tooth with a dental drill, so it no longer contacts the opposing tooth when biting down; and regular use of hot salt water mouth washes
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Perforation of a root canal during endodontic therapy can also lead to a periodontal abscess which if left untreated could become "prolonged" ultimately rupture then enter the blood stream and could lead to serious situations such as
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The management following the acute phase involves removing any residual infection, and correcting the factors that lead to the formation of the periodontal abscess. Usually, this will be therapy for periodontal disease, such as
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Communication with the oral environment is maintained via the opening of the periodontal pocket. However, if the opening of a periodontal pocket becomes obstructed, as may occur if the pocket has become very deep (e.g. with
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Periodontal abscesses may be difficult to distinguish from periapical abscesses. Since the management of a periodontal abscess is different from a periapical abscess, this differentiation is important to make (see
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treatment, can be a possible cause as well. Occlusal overload may also be involved in the development of a periodontal abscess, but this is rare and usually occurs in combination with other factors.
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are given (although metronidazole should be used in conjunction with a penicillin given its lack of aerobic gram positive coverage).. Ideally, the choice of antibiotic is dictated by the results of
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Peeran, Syed Wali; Ramalingam, Karthikeyan; Sethuraman, Sathya; Thiruneervannan, Madhumala; Peeran, Syed Wali; Ramalingam, Karthikeyan; Sethuraman, Sathya; Thiruneervannan, Madhumala (2024-03-10).
545: 246:. The surface may be shiny due to stretching of the mucosa over the abscess. Before pus has formed, the lesion will not be fluctuant, and there will be no purulent discharge. There may be regional 399: 218:
The main symptom is pain, which often suddenly appears, and is made worse by biting on the involved tooth, which may feel raised and prominent in the bite. The tooth may be
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incompletely. Following this procedure, the gingival cuff tightens around the tooth, which may be enough to trap the bacteria left in the pocket. A
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Bhuyan, Ruchi; Bhuyan, Sanat Kumar; Mohanty, Jatindra Nath; Das, Srijit; Juliana, Norsham; Juliana, Izuddin Fahmy (2022-10-21).
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testing of a sample of the pus aspirated at the start of any treatment, but this rarely occurs outside the hospital setting.
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can be encouraged by gentle irrigation and scaling of the pocket whilst massaging the soft tissues. If this does not work,
472: 68: 42: 2244: 2239: 263: 821:"Periodontitis and Its Inflammatory Changes Linked to Various Systemic Diseases: A Review of Its Underlying Mechanisms" 1728: 1394:
Rafiuddin, Syed; Yg, Pradeep Kumar; Biswas, Shriparna; Prabhu, Sandeep S; Bm, Chandrashekar; Mp, Rakesh (2015-06-26).
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Harish, Pv; Joseph, Sonila Anne; Sirajuddin, Syed; Gundapaneni, Veenadharini; Chungkham, Sachidananda (2015-06-26).
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Periodontal abscess—a localized, purulent infection involving a greater dimension of the gum tissue, extending
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Rinčić, Goran; Gaćina, Petar; Jukić, Lucija Virović; Rinčić, Nives; Božić, Darko; Badovinac, Ana (2021).
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Latheef, P; Sirajuddin, Syed; Gundapaneni, Veenadharini; Mn, Kumuda; Apine, Ashwini (2015-06-26).
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American Academy of Periodontology (1999). "Consensus report: Abscesses of the Periodontium".
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continually find their way into the soft tissues, but normally they are held in check by the
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Parahitiyawa, N. B.; Jin, L. J.; Leung, W. K.; Yam, W. C.; Samaranayake, L. P. (2009).
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Shi, Meng; Wei, Yiping; Hu, Wenjie; Nie, Yong; Wu, Xiaolei; Lu, Ruifang (2018-05-01).
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Zoumpoulakis, M.; Anagnostou, F.; Dalampiras, S.; Zouloumis, L.; Pliakos, C. (2016).
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Meikai Daigaku Shigaku Zasshi = the Journal of Meikai University School of Dentistry
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of a partially or fully erupted tooth. Usually associated with an acute episode of
204: 1515: 1163:"Iatrogenic Damage to the Periodontium Caused by Periodontal Treatment Procedures" 681: 388: 2349: 2050: 1810: 1805: 1716: 1278: 1045:"Oral Microbes, Biofilms and Their Role in Periodontal and Peri-Implant Diseases" 837: 425: 200: 2389: 1411: 1235: 1178: 669: 2254: 1760: 1649: 1617: 895: 729: 714: 421: 219: 192: 1327: 2455: 2414: 2374: 2096: 2070: 2065: 1880: 1780: 1583: 1523: 1476: 1419: 1372: 1243: 1186: 1129: 1070: 1011: 954: 846: 787: 778: 651:"Parameter on acute periodontal diseases. American Academy of Periodontology" 541: 417: 413: 299: 287: 247: 227: 1286: 375:
There are four types of abscesses that can involve the periodontal tissues:
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A periodontal abscess most commonly occurs as a complication of advanced
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A gingival abscess between the lower left canine and first premolar.
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is unnecessary and has no impact on pain in a periodontal abscess.
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can predispose a person to the formation of periodontal abscesses.
339: 295: 235: 1104:"Furcation Involvement in Periodontal Disease: A Narrative Review" 700: 648: 133: 1800: 1217: 592:(11th ed.). St. Louis, Mo.: Elsevier/Saunders. p. 137. 384: 332: 271: 267: 184: 1498:
Li, X.; Kolltveit, K. M.; Tronstad, L.; Olsen, I. (2000-10-01).
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Frédéric, Lasserre; Michel, Brecx; Selena, Toma (2018-09-22).
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Newman MG, Takei HH, Klokkevold PR, Carranza FA, eds. (2012).
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Andreucci, Vittorio E. (1989). Andreucci, Vittorio E. (ed.).
988:"Microbiology of Odontogenic Bacteremia: beyond Endocarditis" 617:(5th ed.). St. Louis, Mo.: Mosby Elsevier. p. 293. 587: 286:(which is normally painless). A periodontal pocket contains 927:
Könönen, Eija; Gursoy, Mervi; Gursoy, Ulvi (2019-07-31).
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Yousefi, Yasamin; Meldrum, Jane; Jan, Abdul H. (2022),
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Yousefi, Yasamin; Meldrum, Jane; Jan, Abdul H. (2024),
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Periodontitis as a manifestation of systemic disease
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Dentistry involving supporting structures of teeth (
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Collection of pus within tissues surrounding a tooth
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Unsourced material may be challenged and 1751: 1737: 578: 156: 132: 1531: 1427: 1315: 1251: 1194: 1137: 1119: 1078: 1060: 1019: 962: 944: 903: 854: 836: 795: 777: 499:Learn how and when to remove this message 109:Learn how and when to remove this message 1450: 1266: 691: 1896:Combined periodontic-endodontic lesions 644: 642: 640: 638: 636: 634: 606: 546:microbiological culture and sensitivity 435:combined periodontal/endodontic abscess 2454: 1451:Fan, Jingyuan; Caton, Jack G. (2018). 230:. The pain is deep and throbbing. The 2285:Subepithelial connective tissue graft 1732: 1611: 1609: 1607: 213: 1871:Generalized aggressive periodontitis 631: 613:Hupp JR, Ellis E, Tucker MR (2008). 477:adding citations to reliable sources 444: 311:occurs when a periodontal pocket is 47:adding citations to reliable sources 18: 264:fascial spaces of the head and neck 13: 1866:Localized aggressive periodontitis 1604: 1355:Iwakami, K.; Watanabe, Y. (1989). 590:Carranza's clinical periodontology 361:Dental abscess#Diagnostic approach 210:classified primarily by location. 14: 2478: 2189:Full mouth ultrasonic debridement 1677: 1564:Balkan Journal of Dental Medicine 1269:"14 - Esthetics and periodontics" 370: 1886:Necrotizing periodontal diseases 1344:from the original on 2024-05-21. 449: 338:Systemic immune factors such as 179:), is a localized collection of 23: 1641: 1593:from the original on 2024-05-21 1548: 1491: 1444: 1387: 1348: 1309: 1260: 1211: 1154: 1095: 1036: 979: 34:needs additional citations for 920: 871: 812: 753: 721: 379:Gingival abscess—a localized, 1: 1891:Abscesses of the periodontium 1516:10.1128/CMR.13.4.547-558.2000 1504:Clinical Microbiology Reviews 1267:Aschheim, Kenneth W. (2015). 992:Clinical Microbiology Reviews 571: 520:is required, as described in 933:Journal of Clinical Medicine 838:10.3390/biomedicines10102659 440: 383:infection involves only the 353: 187:) within the tissues of the 7: 1412:10.2174/1874210601509010228 1236:10.2174/1874210601509010190 1179:10.2174/1874210601509010203 670:10.1902/jop.2000.71.5-S.863 532:, oral antibiotics such as 319:which is accidentally left 290:, bacteria and subgingival 10: 2483: 2245:Guided tissue regeneration 1400:The Open Dentistry Journal 1224:The Open Dentistry Journal 1167:The Open Dentistry Journal 896:10.20471/acc.2021.60.03.22 715:10.1902/annals.1999.4.1.83 2423: 2322: 2215:Coronally positioned flap 2197: 2166: 2159: 2084: 1988: 1904: 1851: 1844: 1768: 1685: 1457:Journal of Periodontology 1328:10.1007/978-1-4613-1589-6 277: 145: 140: 131: 126: 2270:Pocket reduction surgery 2250:Enamel matrix derivative 2240:Guided bone regeneration 2205:Apically positioned flap 2179:Scaling and root planing 2085:Treatment and prevention 2046:Linear gingival erythema 2001:Clinical attachment loss 1915:A. actinomycetemcomitans 779:10.3389/fcimb.2018.00124 562:oral hygiene instruction 522:Dental abscess#Treatment 317:gingival retraction cord 2323:Important personalities 2184:Full mouth disinfection 2147:Host modulatory therapy 2112:Chlorhexidine gluconate 2092:Periodontal examination 1287:10.1016/C2011-0-08344-8 2041:Horizontal bony defect 1576:10.1515/bjdm-2016-0001 429:mandibular third molar 2467:Periodontal disorders 2265:Open flap debridement 2260:Lateral pedicle graft 1861:Chronic periodontitis 1821:Mucogingival junction 1816:Junctional epithelium 1618:"Periodontal Abscess" 884:Acta Clinica Croatica 730:"Periodontal Abscess" 518:incision and drainage 431:(lower wisdom tooth). 260:odontogenic infection 58:"Periodontal abscess" 2395:Paul Roscoe Stillman 2370:Willoughby D. Miller 2340:Per-Ingvar BrĂĄnemark 2167:Conventional therapy 2076:Vertical bony defect 2021:Gingival enlargement 1971:Entamoeba gingivalis 1826:Periodontal ligament 1796:Free gingival margin 1469:10.1002/JPER.16-0581 1281:. pp. 281–317. 1121:10.7759/cureus.55924 1004:10.1128/CMR.00028-08 473:improve this section 224:periodontal ligament 208:bacterial infections 43:improve this article 2410:James Leon Williams 2275:Socket preservation 2225:Free gingival graft 2107:Bleeding on probing 2061:Periodontal disease 1831:Sulcular epithelium 566:periodontal scaling 410:Pericoronal abscess 393:interdental papilla 284:periodontal disease 169:periodontal abscess 127:Periodontal abscess 2462:Bacterial diseases 2056:Periodontal pocket 2031:Gingival recession 1922:Capnocytophaga sp. 1274:Esthetic Dentistry 1062:10.3390/ma11101802 946:10.3390/jcm8081135 664:(5 Suppl): 863–6. 530:anaerobic bacteria 404:periodontal pocket 402:and adjacent to a 365:root canal therapy 214:Signs and symptoms 197:periapical abscess 191:. It is a type of 2449: 2448: 2424:Other specialties 2380:John Mankey Riggs 2365:Preston D. Miller 2330:Tomas Albrektsson 2318: 2317: 2255:Implant placement 2230:Gingival grafting 2220:Crown lengthening 2155: 2154: 2122:Hydrogen peroxide 1979:Trichomonas tenax 1726: 1725: 1463:(S1): S214–S222. 1337:978-1-4613-1589-6 1296:978-0-323-09176-3 599:978-1-4377-0416-7 509: 508: 501: 422:partially erupted 165: 164: 121:Medical condition 119: 118: 111: 93: 2474: 2441:Prosthodontology 2400:Dennis P. Tarnow 2345:Robert Gottsegen 2164: 2163: 2016:Furcation defect 1849: 1848: 1753: 1746: 1739: 1730: 1729: 1683: 1682: 1671: 1670: 1669: 1668: 1650:"Dental Abscess" 1645: 1639: 1638: 1637: 1636: 1613: 1602: 1601: 1599: 1598: 1592: 1561: 1552: 1546: 1545: 1535: 1495: 1489: 1488: 1448: 1442: 1441: 1431: 1391: 1385: 1384: 1352: 1346: 1345: 1313: 1307: 1306: 1304: 1303: 1277:(3rd ed.). 1264: 1258: 1257: 1255: 1215: 1209: 1208: 1198: 1158: 1152: 1151: 1141: 1123: 1099: 1093: 1092: 1082: 1064: 1040: 1034: 1033: 1023: 983: 977: 976: 966: 948: 924: 918: 917: 907: 875: 869: 868: 858: 840: 816: 810: 809: 799: 781: 757: 751: 750: 749: 748: 725: 719: 718: 703:Ann. Periodontol 698: 689: 688: 686: 680:. Archived from 655: 646: 629: 628: 610: 604: 603: 585: 504: 497: 493: 490: 484: 453: 445: 389:marginal gingiva 244:painful to touch 177:parietal abscess 161: 160: 136: 124: 123: 114: 107: 103: 100: 94: 92: 51: 27: 19: 2482: 2481: 2477: 2476: 2475: 2473: 2472: 2471: 2452: 2451: 2450: 2445: 2419: 2350:Gary Greenstein 2314: 2193: 2151: 2080: 2051:Occlusal trauma 2026:Gingival pocket 1984: 1900: 1840: 1811:Gingival sulcus 1806:Gingival fibers 1764: 1757: 1727: 1722: 1721: 1694: 1680: 1675: 1674: 1666: 1664: 1646: 1642: 1634: 1632: 1614: 1605: 1596: 1594: 1590: 1559: 1553: 1549: 1496: 1492: 1449: 1445: 1392: 1388: 1353: 1349: 1338: 1314: 1310: 1301: 1299: 1297: 1265: 1261: 1216: 1212: 1159: 1155: 1100: 1096: 1041: 1037: 984: 980: 925: 921: 876: 872: 817: 813: 758: 754: 746: 744: 726: 722: 699: 692: 684: 653: 647: 632: 625: 611: 607: 600: 586: 579: 574: 505: 494: 488: 485: 470: 454: 443: 385:soft gum tissue 373: 363:) For example, 356: 280: 216: 201:pulpal necrosis 173:lateral abscess 155: 122: 115: 104: 98: 95: 52: 50: 40: 28: 17: 12: 11: 5: 2480: 2470: 2469: 2464: 2447: 2446: 2444: 2443: 2438: 2436:Orthodontology 2433: 2427: 2425: 2421: 2420: 2418: 2417: 2412: 2407: 2402: 2397: 2392: 2387: 2382: 2377: 2372: 2367: 2362: 2357: 2352: 2347: 2342: 2337: 2332: 2326: 2324: 2320: 2319: 2316: 2315: 2313: 2312: 2311: 2310: 2305: 2300: 2295: 2287: 2282: 2277: 2272: 2267: 2262: 2257: 2252: 2247: 2242: 2237: 2232: 2227: 2222: 2217: 2212: 2207: 2201: 2199: 2195: 2194: 2192: 2191: 2186: 2181: 2176: 2170: 2168: 2161: 2157: 2156: 2153: 2152: 2150: 2149: 2144: 2139: 2134: 2129: 2124: 2119: 2114: 2109: 2104: 2099: 2094: 2088: 2086: 2082: 2081: 2079: 2078: 2073: 2068: 2063: 2058: 2053: 2048: 2043: 2038: 2033: 2028: 2023: 2018: 2013: 2008: 2003: 1998: 1992: 1990: 1986: 1985: 1983: 1982: 1975: 1967: 1960: 1953: 1946: 1939: 1932: 1925: 1918: 1910: 1908: 1902: 1901: 1899: 1898: 1893: 1888: 1883: 1878: 1873: 1868: 1863: 1857: 1855: 1846: 1842: 1841: 1839: 1838: 1833: 1828: 1823: 1818: 1813: 1808: 1803: 1798: 1793: 1788: 1786:Biologic width 1783: 1778: 1772: 1770: 1766: 1765: 1761:Periodontology 1756: 1755: 1748: 1741: 1733: 1724: 1723: 1720: 1719: 1708: 1695: 1690: 1689: 1687: 1686:Classification 1679: 1678:External links 1676: 1673: 1672: 1640: 1603: 1547: 1510:(4): 547–558. 1490: 1443: 1406:(1): 228–234. 1386: 1367:(2): 244–266. 1347: 1336: 1308: 1295: 1259: 1230:(1): 190–196. 1210: 1173:(1): 203–207. 1153: 1094: 1035: 978: 919: 890:(3): 510–518. 870: 811: 752: 720: 690: 687:on 2010-11-28. 658:J. Periodontol 630: 623: 605: 598: 576: 575: 573: 570: 507: 506: 457: 455: 448: 442: 439: 438: 437: 432: 407: 396: 372: 371:Classification 369: 355: 352: 294:. Periodontal 279: 276: 258:or a purulent 215: 212: 193:dental abscess 163: 162: 149: 143: 142: 138: 137: 129: 128: 120: 117: 116: 31: 29: 22: 15: 9: 6: 4: 3: 2: 2479: 2468: 2465: 2463: 2460: 2459: 2457: 2442: 2439: 2437: 2434: 2432: 2431:Endodontology 2429: 2428: 2426: 2422: 2416: 2415:W. J. Younger 2413: 2411: 2408: 2406: 2403: 2401: 2398: 2396: 2393: 2391: 2388: 2386: 2383: 2381: 2378: 2376: 2375:Carl E. Misch 2373: 2371: 2368: 2366: 2363: 2361: 2358: 2356: 2353: 2351: 2348: 2346: 2343: 2341: 2338: 2336: 2333: 2331: 2328: 2327: 2325: 2321: 2309: 2306: 2304: 2301: 2299: 2296: 2294: 2291: 2290: 2288: 2286: 2283: 2281: 2278: 2276: 2273: 2271: 2268: 2266: 2263: 2261: 2258: 2256: 2253: 2251: 2248: 2246: 2243: 2241: 2238: 2236: 2233: 2231: 2228: 2226: 2223: 2221: 2218: 2216: 2213: 2211: 2208: 2206: 2203: 2202: 2200: 2196: 2190: 2187: 2185: 2182: 2180: 2177: 2175: 2172: 2171: 2169: 2165: 2162: 2158: 2148: 2145: 2143: 2140: 2138: 2135: 2133: 2130: 2128: 2125: 2123: 2120: 2118: 2115: 2113: 2110: 2108: 2105: 2103: 2100: 2098: 2095: 2093: 2090: 2089: 2087: 2083: 2077: 2074: 2072: 2069: 2067: 2066:Periodontitis 2064: 2062: 2059: 2057: 2054: 2052: 2049: 2047: 2044: 2042: 2039: 2037: 2034: 2032: 2029: 2027: 2024: 2022: 2019: 2017: 2014: 2012: 2009: 2007: 2004: 2002: 1999: 1997: 1994: 1993: 1991: 1987: 1981: 1980: 1976: 1973: 1972: 1968: 1966: 1965: 1961: 1959: 1958: 1954: 1952: 1951: 1947: 1945: 1944: 1943:P. intermedia 1940: 1938: 1937: 1936:P. gingivalis 1933: 1931: 1930: 1926: 1924: 1923: 1919: 1917: 1916: 1912: 1911: 1909: 1907: 1903: 1897: 1894: 1892: 1889: 1887: 1884: 1882: 1881:Periodontosis 1879: 1877: 1874: 1872: 1869: 1867: 1864: 1862: 1859: 1858: 1856: 1854: 1850: 1847: 1843: 1837: 1834: 1832: 1829: 1827: 1824: 1822: 1819: 1817: 1814: 1812: 1809: 1807: 1804: 1802: 1799: 1797: 1794: 1792: 1789: 1787: 1784: 1782: 1781:Alveolar bone 1779: 1777: 1774: 1773: 1771: 1767: 1762: 1754: 1749: 1747: 1742: 1740: 1735: 1734: 1731: 1718: 1714: 1713: 1709: 1706: 1705: 1701: 1697: 1696: 1693: 1688: 1684: 1663: 1659: 1655: 1651: 1644: 1631: 1627: 1623: 1619: 1612: 1610: 1608: 1589: 1585: 1581: 1577: 1573: 1569: 1565: 1558: 1551: 1543: 1539: 1534: 1529: 1525: 1521: 1517: 1513: 1509: 1505: 1501: 1494: 1486: 1482: 1478: 1474: 1470: 1466: 1462: 1458: 1454: 1447: 1439: 1435: 1430: 1425: 1421: 1417: 1413: 1409: 1405: 1401: 1397: 1390: 1382: 1378: 1374: 1370: 1366: 1362: 1358: 1351: 1343: 1339: 1333: 1329: 1325: 1321: 1320: 1312: 1298: 1292: 1288: 1284: 1280: 1276: 1275: 1270: 1263: 1254: 1249: 1245: 1241: 1237: 1233: 1229: 1225: 1221: 1214: 1206: 1202: 1197: 1192: 1188: 1184: 1180: 1176: 1172: 1168: 1164: 1157: 1149: 1145: 1140: 1135: 1131: 1127: 1122: 1117: 1114:(3): e55924. 1113: 1109: 1105: 1098: 1090: 1086: 1081: 1076: 1072: 1068: 1063: 1058: 1054: 1050: 1046: 1039: 1031: 1027: 1022: 1017: 1013: 1009: 1005: 1001: 997: 993: 989: 982: 974: 970: 965: 960: 956: 952: 947: 942: 938: 934: 930: 923: 915: 911: 906: 901: 897: 893: 889: 885: 881: 874: 866: 862: 857: 852: 848: 844: 839: 834: 830: 826: 822: 815: 807: 803: 798: 793: 789: 785: 780: 775: 771: 767: 763: 756: 743: 739: 735: 731: 724: 716: 712: 708: 704: 697: 695: 683: 679: 675: 671: 667: 663: 659: 652: 645: 643: 641: 639: 637: 635: 626: 624:9780323049030 620: 616: 609: 601: 595: 591: 584: 582: 577: 569: 567: 563: 557: 555: 549: 547: 543: 542:metronidazole 539: 535: 531: 525: 523: 519: 513: 503: 500: 492: 482: 478: 474: 468: 467: 463: 458:This section 456: 452: 447: 446: 436: 433: 430: 427: 423: 419: 418:pericoronitis 415: 411: 408: 405: 401: 397: 394: 390: 386: 382: 378: 377: 376: 368: 366: 362: 351: 349: 343: 341: 336: 334: 330: 324: 322: 318: 314: 309: 303: 301: 300:immune system 297: 293: 289: 288:dental plaque 285: 275: 273: 269: 265: 261: 257: 251: 249: 248:lymphadenitis 245: 241: 237: 233: 229: 228:alveolar bone 225: 221: 211: 209: 206: 202: 198: 194: 190: 186: 182: 178: 174: 171:(also termed 170: 159: 153: 150: 148: 144: 139: 135: 130: 125: 113: 110: 102: 91: 88: 84: 81: 77: 74: 70: 67: 63: 60: â€“  59: 55: 54:Find sources: 48: 44: 38: 37: 32:This article 30: 26: 21: 20: 2405:Hom-Lay Wang 2390:Jørgen Slots 2360:Brian Mealey 2235:Gingivectomy 2137:Tetracycline 2132:Oral hygiene 1977: 1969: 1962: 1957:T. denticola 1955: 1950:T. forsythia 1948: 1941: 1934: 1929:F. nucleatum 1927: 1920: 1913: 1776:Periodontium 1710: 1698: 1665:, retrieved 1653: 1643: 1633:, retrieved 1621: 1595:. Retrieved 1567: 1563: 1550: 1507: 1503: 1493: 1460: 1456: 1446: 1403: 1399: 1389: 1364: 1360: 1350: 1318: 1311: 1300:. Retrieved 1273: 1262: 1227: 1223: 1213: 1170: 1166: 1156: 1111: 1107: 1097: 1055:(10): 1802. 1052: 1048: 1038: 998:(1): 46–64. 995: 991: 981: 936: 932: 922: 887: 883: 873: 831:(10): 2659. 828: 825:Biomedicines 824: 814: 769: 765: 755: 745:, retrieved 733: 723: 706: 702: 682:the original 661: 657: 614: 608: 589: 558: 550: 526: 514: 510: 495: 486: 471:Please help 459: 374: 357: 348:endocarditis 344: 337: 325: 320: 304: 281: 252: 236:erythematous 217: 189:periodontium 176: 172: 168: 166: 105: 96: 86: 79: 72: 65: 53: 41:Please help 36:verification 33: 2385:Jay Seibert 2335:Frank Beube 2174:Debridement 1964:Red complex 1570:(1): 5–14. 939:(8): 1135. 538:clindamycin 534:amoxicillin 329:orthodontic 232:oral mucosa 2456:Categories 2355:Jan Lindhe 2280:Sinus lift 2210:Bone graft 2097:Ante's law 2036:Gingivitis 2006:Edentulism 1667:2022-08-16 1654:StatPearls 1635:2022-08-16 1622:StatPearls 1597:2024-05-21 1302:2024-05-21 747:2024-05-21 734:StatPearls 572:References 554:antiseptic 256:cellulitis 69:newspapers 2160:Treatment 2142:Triclosan 2127:Mouthwash 1974:(amoebic) 1906:Infection 1853:Diagnoses 1836:Stippling 1584:2335-0245 1524:0893-8512 1477:0022-3492 1420:1874-2106 1373:0916-0701 1244:1874-2106 1187:1874-2106 1130:2168-8184 1071:1996-1944 1049:Materials 1012:0893-8512 955:2077-0383 847:2227-9059 788:2235-2988 709:(1): 83. 460:does not 441:Treatment 420:around a 387:near the 354:Diagnosis 308:furcation 296:pathogens 183:(i.e. an 152:Dentistry 147:Specialty 2298:Membrane 2117:Flossing 2102:Brushing 2011:Fremitus 1996:Calculus 1791:Cementum 1662:29630201 1630:32809460 1588:Archived 1542:11023956 1485:29926937 1438:26312093 1342:Archived 1205:26312087 1148:38601385 1139:11004587 1089:30248991 1030:19136433 973:31370168 914:35282488 865:36289921 806:29765908 742:32809460 678:10875694 489:May 2016 426:impacted 400:apically 381:purulent 340:diabetes 292:calculus 99:May 2016 2293:Curette 2198:Surgery 1845:Disease 1801:Gingiva 1769:Anatomy 1717:D005491 1707:: K05.2 1429:4541303 1381:2489671 1253:4541334 1196:4541311 1080:6213094 1021:2620633 964:6723779 905:8907939 856:9599402 797:5938363 772:: 124. 481:removed 466:sources 391:or the 333:Bruxism 321:in situ 240:swollen 238:(red), 185:abscess 83:scholar 2308:Scaler 2289:Tools 2071:Plaque 1660:  1628:  1582:  1540:  1530:  1522:  1483:  1475:  1436:  1426:  1418:  1379:  1371:  1334:  1293:  1250:  1242:  1203:  1193:  1185:  1146:  1136:  1128:  1108:Cureus 1087:  1077:  1069:  1028:  1018:  1010:  971:  961:  953:  912:  902:  863:  853:  845:  804:  794:  786:  740:  676:  621:  596:  313:scaled 278:Causes 220:mobile 154:  85:  78:  71:  64:  56:  2303:Probe 1989:Other 1591:(PDF) 1560:(PDF) 1533:88948 1279:Mosby 685:(PDF) 654:(PDF) 414:crown 272:fever 205:acute 175:, or 90:JSTOR 76:books 1712:MeSH 1658:PMID 1626:PMID 1580:ISSN 1538:PMID 1520:ISSN 1481:PMID 1473:ISSN 1434:PMID 1416:ISSN 1377:PMID 1369:ISSN 1332:ISBN 1291:ISBN 1240:ISSN 1201:PMID 1183:ISSN 1144:PMID 1126:ISSN 1085:PMID 1067:ISSN 1026:PMID 1008:ISSN 969:PMID 951:ISSN 910:PMID 861:PMID 843:ISSN 802:PMID 784:ISSN 738:PMID 674:PMID 619:ISBN 594:ISBN 564:and 464:any 462:cite 424:and 270:and 268:pain 242:and 226:and 62:news 1700:ICD 1572:doi 1528:PMC 1512:doi 1465:doi 1424:PMC 1408:doi 1324:doi 1283:doi 1248:PMC 1232:doi 1191:PMC 1175:doi 1134:PMC 1116:doi 1075:PMC 1057:doi 1016:PMC 1000:doi 959:PMC 941:doi 900:PMC 892:doi 851:PMC 833:doi 792:PMC 774:doi 711:doi 666:doi 475:by 181:pus 45:by 2458:: 1715:: 1704:10 1652:, 1620:, 1606:^ 1586:. 1578:. 1568:20 1566:. 1562:. 1536:. 1526:. 1518:. 1508:13 1506:. 1502:. 1479:. 1471:. 1461:89 1459:. 1455:. 1432:. 1422:. 1414:. 1402:. 1398:. 1375:. 1365:18 1363:. 1359:. 1340:. 1330:. 1289:. 1271:. 1246:. 1238:. 1226:. 1222:. 1199:. 1189:. 1181:. 1169:. 1165:. 1142:. 1132:. 1124:. 1112:16 1110:. 1106:. 1083:. 1073:. 1065:. 1053:11 1051:. 1047:. 1024:. 1014:. 1006:. 996:22 994:. 990:. 967:. 957:. 949:. 935:. 931:. 908:. 898:. 888:60 886:. 882:. 859:. 849:. 841:. 829:10 827:. 823:. 800:. 790:. 782:. 768:. 764:. 732:, 705:. 693:^ 672:. 662:71 660:. 656:. 633:^ 580:^ 568:. 536:, 524:. 350:. 274:. 250:. 167:A 1763:) 1752:e 1745:t 1738:v 1702:- 1692:D 1600:. 1574:: 1544:. 1514:: 1487:. 1467:: 1440:. 1410:: 1404:9 1383:. 1326:: 1305:. 1285:: 1256:. 1234:: 1228:9 1207:. 1177:: 1171:9 1150:. 1118:: 1091:. 1059:: 1032:. 1002:: 975:. 943:: 937:8 916:. 894:: 867:. 835:: 808:. 776:: 770:8 717:. 713:: 707:4 668:: 627:. 602:. 552:( 502:) 496:( 491:) 487:( 483:. 469:. 406:. 395:. 112:) 106:( 101:) 97:( 87:· 80:· 73:· 66:· 39:.

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pus
abscess
periodontium
dental abscess
periapical abscess
pulpal necrosis
acute
bacterial infections
mobile
periodontal ligament
alveolar bone
oral mucosa
erythematous
swollen
painful to touch

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