Lat Perio Abcess

• What is a lateral periodontal lesion?

  An inflammatory process in pulpal tissues
• What causes a lateral periodontal lesion?

  Plaque accumulation on the external root surface
• What should be included in the pain history for a lateral periodontal abscess?

  Severity, duration, and onset of pain
• What are initial signs of a lateral periodontal abscess?

  Deep throbbing pain requiring painkillers
• Why might a tooth feel slightly loose in a lateral periodontal abscess?

  Due to periodontal ligament inflammation
• What changes might occur in the surrounding gingiva of a lateral periodontal abscess?

  Red, swollen, and tender gingiva
• What is the initial state of discharge in a lateral periodontal abscess?

  There is initially no discharge of pus
• What systemic symptoms may accompany a lateral periodontal abscess?

  Increased temperature and malaise
• How can a lateral periodontal abscess affect the face externally?

  Causing swelling of the face, lip, or eyelid
• What changes occur as a lateral periodontal abscess progresses?

  Pus may discharge, and a shiny abscess appears
• What radiographic features indicate a lateral periodontal abscess?

  Radiolucency at the infection site
• What might radiographs show in relation to a lateral periodontal abscess?

  Signs of crestal bone loss and periodontal disease
• What can be a cause of a lateral periodontal abscess as seen on radiographs?

  Subgingival calculus
• What happens in long-standing abscesses?

  There may be bone loss at the side of the tooth
• How is tooth vitality assessed in lateral periodontal abscesses?

  Using thermal or electric vitality tests
• What are common symptoms of a lateral periodontal abscess?

  Swollen gums, toothache, and fever
• What are some causes of a lateral periodontal abscess?

  Gum disease, bruxism, and damaged teeth
• What are the treatment options for a lateral periodontal abscess?

  • Drainage of the abscess
  • Antibiotics to reduce pain and speed healing
  • Scaling and root planing or gum surgery
• What complications can arise from untreated periodontal abscesses?

  Serious complications like sepsis
• What underlying condition may be indicated by multiple periodontal abscesses?

  Diabetes
• What is the first step in managing a lateral periodontal abscess?

  Relief of pain and controlling infection
• How can an abscess be drained effectively?

  By making a surgical incision or using USS
• What should be done to prevent recurrence of a lateral periodontal abscess?

  Remove debris/calculus from the periodontal pocket
• How often should a patient rinse with warm salt water after treatment?

  Every 2 hours for 24 hours
• What should be assessed regarding a patient's oral hygiene instructions (OHI)?

  Ensure subgingival cleaning is adequate
• What method can be used to teach inter-dental cleaning?

  The tell-show-do method
• What angle should a toothbrush be held for the modified Bass technique?

  At a 45-degree angle
• What should be monitored through radiographs after treatment?

  Health of the periodontal tissues
• What antibiotics might be prescribed for a lateral periodontal abscess?

  Amoxicillin or metronidazole
• What should be considered if a lateral periodontal abscess recurs regularly?

  Prognosis of the tooth and possible extraction
• What approach should be taken for a multi-disciplinary management of a lateral periodontal abscess?

  Liase with the dentist for collaboration