Acute alveolar abscess

Overview of acute alveolar abscess, more serous from odontogenic inflammation developed from the Abscess initially limited to the apical root hole near the periodontal ligament. The infiltration of inflammatory cells in the apical mainly near the alveolar bone. If the continued proliferation of inflammation, infection can be alveolar bone marrow cavity of the proliferation of alveolar bone plate, and close links to the bone on the nutritional quality and reach Kong under the periosteum. Pott be gathered in the periosteum, the periosteum after penetrating up under the gum. Pathology Disease (1) infection is the most common cause of dental caries infected pulp, which in turn was causing periapical infection. Pulp and root canal of inflammation, pulp bacteria or toxins, purulent exudate so for the source of infection, As pulp can be towards the apical and proliferation. In addition, periodontal infection can be spread through the periodontal pocket to root pulp or weeks. Endodontic therapy, dirty equipment, and the bacteria can enter the pulp or root canal, causing infections. (2) rapid traumatic injury, such as falls, the impact of violence. (3) chemical stimulation in the treatment of pulp and root disease patients, the use of inappropriate drugs to stimulate the root organizations. Such as the use of arsenic when medication caused long apical lesion; Exudative or drugs in the periodontal tissue; or root canal therapy inclose irritation strong drugs, especially in patients with apical coarse; resinifying, Pressure to make plastics such as liquid root beyond the hole, the infection can also cause root. Clinical manifestations of the violent manifestations of pain, mainly pulsatile jump pain. Since periodontal ligament abscess obvious, loose teeth, float flu. Clinical tests obvious knock pain, gum swelling and tenderness there, lymph node swelling and tenderness. Can be associated with facial swelling, there may be systemic symptoms, such as weakness, fever, increased leukocyte. Can be divided into acute alveolar abscess following three. (1) apical abscess period periapical sabotage, suppuration, abscess drainage not. This phase intense pain, medication ineffective. Clinical visible teeth knock pain, inflamed gingival surface. Sometimes can be enlarged lymph nodes. (2) subperiosteal abscess period of time along Pott cancellous bone proliferation, and crossed under the periosteum of the alveolar bone, the periosteum and resilience Tension larger, the pain is quite intense. There may be systemic symptoms, such as fever, increased leukocyte other. (3) submucosal abscess period this period yielded to penetrate mucosal periosteum, the bone Pott from the lips, buccal piercing, facial soft tissue swelling. At this time under the periosteum pressure drop. Pain significantly decreased, the abscess constraints, fluctuations flu obvious and easy to rupture. Treatment (1) acute suppurative pulp open early, every effort should be made to open the pulp, Pott from the drainage canal, reducing stress. As inflammatory exudation in periapical tissue, and sometimes open the pulp still not achieve the purpose of drainage, There was thus a need to remove inflammation of the pulp and light to operate at this time, to avoid the spread of infection pulp deep. After pulling myeloid not sealed to facilitate drainage. (2) Once the abscess incision abscess limitations, we must incision, the incision under local anesthesia, the incision to be as deep as the periosteum, avoid cutting nerves and blood vessels. (3) use of anti-inflammatory drugs and analgesics in acute alveolar abscess significant systemic symptoms, or systemic diseases such as diabetes, abscesses after incision, the government should provide medical treatment and systemic antibiotic therapy. (4) in the treatment of teeth to control inflammation, according to extraction of teeth or root canal therapy.