Periapical Abscess

Periapical Abscess . Periapical abscess is a localized collection of pus is limited by bone tissue caused by infection of the pulp or periodontal. Periapical abscess is generally derived from the pulp tissue necrosis. Infected tissues caused some cells die and disintegrate, leaving a cavity which contains tissues and cells that are infected. White blood cells which is the body's defense against infection, moving into the cavity and after memfagosit bacteria, white blood cells will die. White blood cells that die thus form pus that fills the cavity. This is due to accumulation of pus surrounding tissue will be encouraged and become an abscess wall. This is the body's defense mechanism to prevent the spread of further infection. If an abscess broke out in the infection could spread depending on the location of the abscess.
Cause Periapical abscess is the body fight infections with large numbers of white blood cells; pus is a collection of white blood cells and dead tissue. Usually the pus from a tooth infection was initially applied to the gums, so the gums near the tooth root to swell.
Pus can be drained to the skin, mouth, throat or skull, depending on the location of the affected teeth.
Periapical dental abscess symptoms of pain, pain when chewing may also arise. There might be a fever with swollen lymph nodes in the neck. If absesnya very heavy, then there is swelling in the jaw area.
People who have a low body resistance power, are at high risk for suffering from an abscess. Initially, the patient experienced abscess tooth pain that is getting worse. So that the nerves in the mouth can also be infected. If absesnya hidden in the gums, the gums can be colored red. To menterapinya, dentists make its way across the surface of the gum so that pus can run out. And when the pussy is getting way out, most of the pain suffered by patients is reduced drastically. If the abscess is not in the irrigation / drainage well, just broke. Then the infection had spread to other parts of the mouth can even spread to the neck and head.
The initial symptoms are the patient will feel a throbbing pain in the area that there is an abscess. Then the tooth will become more sensitive to heat and cold stimuli as well as pressure and mastication. Furthermore, patients will suffer from fever, lymph nodes in the lower jaw will feel more clot / slightly hardened and sore when touched. Patients also feel pain in the sinus area. If pus gets way out, or in other words the boil rupture, will cause bad smell and taste a little salty in your mouth.
Usually the dentist can diagnose the presence of abscesses in the oral cavity with a check directly. Your dentist can also perform diagnostics pulp, to find out whether your teeth are still vital or not. And to further ensure, dentists also take radiographs. Radiographic image of the abscess is evident in periapical radiolucent diffuse boundary.
Patofisologi: Generally caused by a bacterial infection of the caries process. With the development of caries, or a few antigens can cause the pulp tissue inflammation response. Therefore pulpal dentine covered by a dense structure then there is no room for expansion and inflammatory exudate through the root canal will spread to form a periapical abscess periapical tissues when the process of acute and chronic disorders will be a form of chronic abscesses, granulomas and radicular cysts.
Germs root canal is a major cause of periapical abscesses, and generally in the form of Gram positive, Gram-negative aerobes and anaerobes to be the invasion of periapical tissue and can eventually cause damage.
Patients with a periapical abscess may be with or without signs of inflammation, diffuse or localized. On examination percussion and palpation can be found the signs of sensitivity to varying degrees. Pulp does not respond to thermal stimulation because that has been associated with pulp necrosis. radiographs can vary from the periodontal ligament thinning until radiolucency lesion with unclear boundaries.
Abscess or cellulitis resolved by removing and disposing of pus infection through oral surgery or root canal treatment. To help eliminate the infection are often given antibiotics. The most important action is to repeal the pulp is exposed and removed nanahnya.
On roentgen examination will look at the picture of a diffuse boundary periapical radiolucent. Treatment is incision, drainage and antibiotics.