Symptoms of gum abscess?
summary
Periodontal abscess can occur in any type of periodontitis. It is localized suppurative inflammation located in the wall of periodontal pocket or deep periodontal tissue, which can cause the destruction of surrounding collagen fibers and bone. Generally, it is an acute process, and it can also have chronic periodontal abscess. Periodontitis is a chronic infectious disease of periodontal supporting tissue caused by microorganisms in dental plaque, which leads to inflammation and destruction of periodontal supporting tissue, and is the first cause of adult tooth loss in China. Periodontitis develops to the middle and late stage, when deep periodontal pocket appears, it can be accompanied by periodontal abscess. Symptoms of gum abscess? Let's talk about it.
Symptoms of gum abscess?
Acute periodontal abscess occurs suddenly, forming oval or hemispherical swelling processes in the labiobuccal or lingual palatal gingiva of the affected teeth. Gingival redness, edema, bright surface. In the early stage of abscess, inflammatory infiltration is extensive, making tissue tension larger, pain more intense, and pulsatile pain.
The affected teeth have "floating feeling", percussion pain and obvious loosening. In the later stage of the abscess, the pus is limited and the surface of the abscess is soft. Palpation can have wave motion and the pain can be slightly alleviated. At this time, pressing the gum gently can leave pus from the bag, or the abscess will burst from the surface and the abscess will subside.
Patients with acute periodontal abscess generally have no obvious systemic symptoms, but may have local lymphadenopathy or mild leukocytosis. Abscess can occur in a single tooth, molar root bifurcation is more common, can also occur in multiple teeth, or one after another. This kind of multiple periodontal abscess patients are very painful, often accompanied by obvious systemic discomfort. Most of periodontal abscesses can break and drain by themselves because of their shallow location. However, when there are systemic diseases or other adverse factors, there may be spread of inflammation.
matters needing attention
Chronic periodontal abscess can be directly periodontal surgery on the basis of scaling. According to different conditions, abscess resection or flap surgery can be performed to remove the plaque on the root surface. It has been reported that in the short term after the drainage of pus in the acute stage, flap turnover can be performed as soon as possible, because acute inflammation changes the metabolism of tissue, which is conducive to bone regeneration. At this time, operation is conducive to the repair and healing of postoperative tissue, and the chance of new attachment is higher.