Dental AbscessDental abscesses can be of three types: 1. First, there is the periapical dental abscess. This is usually the result of tooth decay, and occurs at the tip of the root, where the nerves and blood vessels leave the tooth and connect with the surrounding bone.
Here is an example of a periapical dental abscess:
When the nerve dies, the abscess forms at the root
tip, and a toothache
usually results. The treatment for this condition is usually either
an extraction or a root canal.
2. The second type of dental abscess is the
periodontal abscess.
This occurs in the bone around the root (not generally
at the root tip) and is usually due to some form of gum disease.
With periodontal disease and the periodontal abscess,
the problem is not blood supply to the nerve at the root tip, but
rather the health of the bone and fibers that hold the tooth in the
socket.
There is an example of early to moderate bone loss and
a periodontal abscess forming along the root of one of the teeth.
The treatment for early periodontal disease can
sometimes be non-surgical, involving scaling and root planing in
conjunction with Arestin therapy.
3. This is an example of advanced periodontal disease,
and third type of dental abscess - the combination endo - perio
abscess.
What happens here is that the infection at the root
tip and the one along the side of the tooth combine into one.
The result can be a loose tooth, a severe toothache,
and sometimes the need to extract the tooth.
Here is an example of severe bone loss that occurs
with the combination endo-perio abscess.
As you can see, the tooth on the right is hopeless,
and will probably have to be removed.
What can you do if you think you have a dental abscess?
Contact our office at 650-965-1234. We will schedule
a convenient examination
appointment for you. If the dental abscess is early and not too bad, sometimes all you need is a
cleaning. The sooner this disease is treated, the less difficult and
more successful the treatment will be.
Additional Subjects of Interest
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