There are three types: O Gingival abscess O Pericoronal abscess O Periodontal abscess. 5. O Among all the abscesses of the periodontium. “Regional” enlargements refer to involvement of gingiva around three or more . Histopathological examination of gingival/periodontal/pericoronal abscess may. The periodontal abscess is an acute destructive process in the periodontium the gingival sulcus or other periodontal sites and not arising from the tooth pulp.

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In these cases, gihgiva becomes difficult to associate duration of occurrence of enlargement with related drug history. World J Clin Cases. It presents as unusual fibrotic gingival enlargement of localized or generalized extent. Chronic periodontitis Localized aggressive periodontitis Generalized aggressive periodontitis Periodontitis as a manifestation of systemic disease Periodontosis Necrotizing periodontal diseases Abscesses of the periodontium Combined periodontic-endodontic lesions.

A periodontal abscess most commonly occurs as a complication of advanced periodontal disease which is normally painless.

Hemorrhagic hemangioma of gingiva: Periodontal management of gingival enlargement associated with Sturge-Weber syndrome. Usually at the initial presentation there is no ahses. Systemic Hyalinosis[ 20 ].

Gingival enlargements: Differential diagnosis and review of literature

Multiple myeloma presenting as gingival hyperplasia. Abstract Gingival enlargement is one of the frequent features of gingival diseases. Unilateral cutaneous nevi, unilateral vascular hyperplasia, neurological manifestations and ocular complications.

Severe mid face retraction, severe mental retardation and congenital heart defect, patient usually die under 10 yr of age. It is thought to be due to alternate wetting and drying of the gingival surface. Following this procedure, the gingival cuff tightens around the tooth, which may be enough to trap the bacteria left gungiva the pocket.


Histologically, the stratified squamous epithelium is thickened, with prominent rete pegs and some degree of intracellular and extracellular edema, prominent intercellular gungiva and leukocytic infiltration. It is normally associated with swelling of lips, bowel disorders, fever and ulcers. Penetrating injury to the gingiva–for example, with a toothbrush bristle, fishbone, toothpick or periodontal instrument–may inoculate bacteria into the tissues. Presence of fluid may give them a bluish hue and they may lead to resorption of the labial bone due to pressure.

The periodontal abscess is an acute destructive gingia in the periodontium resulting in localized collections of pus communicating with the oral cavity through the gingival sulcus or other periodontal sites and not arising from the tooth pulp.

Periapical abscess, near apex of concerned abees D: Communication with the oral environment is maintained via the opening of ggingiva periodontal pocket. J Clin Pediatr Dent.

Periodontal abscess – Wikipedia

An important factor is whether the involved tooth is to be extracted or retained. Wilson syndrome[ 34 ].

Periodontal abscesses can develop on the base of persisting periodontitis but asbes also occur in the absence of periodontitis. Gingival abscess, near gingival margin or papilla; B: Notify me when new comments are posted.

If this does not work, incision and drainage is required, as sbses in Dental abscess Treatment. Gingival cysts Gingival cysts are unusual cysts of odontogenic source.

Cross syndrome[ 23 ]. A gingival abscess between the lower left canine and first premolar.

Nevus of the gingiva; report of case. Generalized gingival hyperplasia, during pregnancy and puberty, is influenced by hormonal changes that pretentious the response to local irritants.

Primary oral tuberculous lesions are very rare, but when they occur they are usually seen in younger age. Drug induced gingival enlargement: Typically they grow rapidly within first avses weeks and then slowly. Rutherford syndrome[ 22 ].


[Periodontal abscess: etiology, diagnosis and treatment].

A case of ameloblastoma presenting as an exophytic gingival lesion. Food packing may also obstruct a periodontal pocket. Gingival enlargement or gingival overgrowth, a common trait of gingival disease, is characterized by an increase in the size of gingiva. When pus forms, the pressure increases, with increasing pain, until it spontaneously drains and relieves the pain.

Published online Sep From Wikipedia, the free encyclopedia. Marquez is an associate professor, division of periodontics, department of dental clinical sciences, faculty of dentistry, Dalhousie University, Halifax, Nova Scotia. D ICD – A periodontal abscess also termed lateral abscess[1] or parietal abscess[1] is a localized collection of pus i.

How Do I Manage a Patient with Periodontal Abscess?

When patients are in combination therapy, in which two or more drugs are known to cause gingival enlargement, then, which should be attributed to the diagnosis of DIGO, is a puzzle. A periodontal abscess occurs alongside a tooth, and is different from the more common [2] periapical abscesswhich represents the spread of infection from a dead tooth i. Bruxism is a common cause of excessive occlusal forces. A fatal case of rapid gingival enlargement: Carranza’s clinical periodontology gingivva ed.

The management following the acute phase involves removing any residual infection, and correcting the factors that lead to the formation of the periodontal abscess. Lesion of peripheral giant cell granuloma. Dentistry involving supporting structures of teeth Periodontology.