Scribd
Upload
32 views17 pages

Periapical Abscess

Uploaded by

Keerthana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
32 views17 pages

Periapical Abscess

Uploaded by

Keerthana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 17

PERIAPICAL ABSCESS

PATIENT DEMOGRAPHIC DATA

NAME :Mr.MUTHUSOLAI
AGE / SEX :39 YEARS/ MALE
Op No :1412230037
DATE :14/12/23
ADDRESS :KARUNGUZHI

CHIEF COMPLAINT:
Patient complains of decay tooth in upper right back tooth region for past
2 weeks

HISTORY OF PRESENTING ILLNESS:


History of pain for past 2 weeks reveals continuous, dull throbbing, radiating to head and
neck, aggravates on mastication and no relieving factors.
History of nocturnal pain is present
PAST MEDICAL HISTORY :
No history of diabetes mellitus,hyper tension asthma, allergy,
wheezing, bleeding disorder, recent hospitalisation, tuberculosis,
epilepsy.

PAST DENTAL HISTORY:


Patient’s first dental visit

PERSONAL HISTORY:
Patient brushes twice daily with toothbrush and toothpaste.

FAMILY HISTORY:
No relevant family history
PHYSICAL EXAMINATION
GENERAL EXAMINATION:
Patient is conscious ,cooperative , moderately built ,well
nourished, well oriented with time place ,persons .No signs of
pallor ,icterus ,clubbing ,cyanosis , lymphadenopathy , pedal edema.

GENERAL ASSESSMENT:

HEIGHT : 167 cm WEIGHT : 71 kg

VITAL SIGNS:

BODY TEMPERATURE: 37 C
PULSE: 72beats/minute
RESPIRATORY RATE :18beats/minute
BLOOD PRESSURE :110/80mmhg
SYSTEMIC EXAMINTION
• CNS: no abnormality detected

• CVS: no abnormality detected

• RS: no abnormality detected

• GI: no abnormality detected

• UG: no abnormality detected

• GENERAL LYMPHATIC SYSTEM: no clinically palpable


regional lymph nodes.
LOCAL EXAMINATION
EXTRA ORAL EXAMINATION

Facial Asymmetry : Apparently symmetrical


Facial profile: Convex
Swelling if any : Nil
Regional lymphnodes : Nil
Temporomandibular joint : TMJ movements within physiological
limits and No
clicking sounds are heard and no tenderness on palpation.
Sinus / fistula ,if any : Nil
Mouth Opening : Normal
EXTRA ORAL IMAGES
INTRAORAL EXAMINATION
HARD TISSUE EXAMINATION

Dentition : Permanent
Number of teeth present: 28
Dental caries : 16
Missing tooth : nil
Cervical erosion/abrasion: Nil
Bone exposure :Nil
SOFT TISSUE EXAMINATION:

Lip : Competent
Labial Mucosa : No abnormalities detected
Buccal Mucosa : No abnormalities detected
Floor Of The Mouth : No abnormalities detected
Hard palate : No abnormalities detected
Soft palate : No abnormalities detected
Gingiva :
Inspection:
presence of well defined solitary swelling apparently round in shape,
size of 1*1 cm, present in relation to 16 extending superiorly 5mm
from marginal gingiva of 16 to buccal vestibule inferiorly medially
mesial aspect of 16 to distal aspect of 17 distally.
Palpation:
All inspectory findings are confirmed tender ,soft in consistency .
Tongue : No abnormality detected.
Sinus/ fistula ,if any : Nil
INTRA ORAL IMAGES
SUMMARY:

A 24 year old male Mr. Muthusolai came to our


hospital with chief complaint of decay tooth in right
lower back tooth region for past 2 weeks . History of
pain, continuous, dull throbbing, radiating in nature.
H/O nocturnal pain. On intraoral examination presence
of well-defined solitary swelling apparently round in
shape, size of 1*1 cm, present in relation to 16
extending superiorly 5mm from marginal gingiva of 16
to buccal vestibule inferiorly medially mesial aspect of
16 to distal aspect of 17 distally. All inspectory
findings are confirmed tender ,soft in consistency.
PROVISIONAL DIAGNOSIS:
Dental caries with Periapical Abscess in 16
Generalized Chronic gingivitis.

DIFFERENTIAL DIAGNOSIS:

Periodontal abscess
Gingival abscess
INVESTIGATIONS

RADIOLOGY:
IOPA in relation to 16

HAEMATOLOGY : NIL

BIO CHEMISTRY :Nil

MICROBIOLOGY: Nil

HISTOPATHOLOGY: Nil
FINAL DIAGNOSIS
Dental caries with Periapical abscess in 16
OTHER FINDINGS
Chronic generalized gingivitis

TREATMENT PLAN
Advised medication.
T. Augmentin 625 mg 1-0-1
T. Flagyl 400mg 1-1-1
T. Zerodol p 1-0-1
T. PanD 40 mg 1-0-1
(1/2 hr before food) - Three days
Oral prophylaxis
Incision and drainage
APPENDIX
A periapical abscess is a collection of pus at the root of a tooth,
usually caused by an infection that has spread from a tooth to the
surrounding tissues. A periapical abscess is a pocket of infection
(pus) around your tooth root. This type of abscess forms when
harmful bacteria from your mouth invade your tooth pulp. The
infection can spread all the way to the tip of the root and into the
surrounding tissues. While a periapical abscess forms inside your
tooth, a periodontal abscess forms in your gums. Periapical abscesses
are the most common type of dental abscess. Most of the time, a
periapical abscess causes discomfort. But some people never develop
pain. Left untreated, a periapical abscess can spread to other parts of
your body and cause serious, life-threatening complications.
ETIOLOGY:
Occurs due to dental caries
Bacterial infection
Poor oral hygiene

TREATMENT:
Medication prescribed

T. Augmentin 625 mg 1-0-1 / 3days


T. Flagyl 400mg 1-1-1 / 3 days
T. Zerodol p 1-0-1 /3 days
T. PanD 40 mg 1-0-1 / 3 days
(1/2 hr before food) / 3 days

Patient asked to report after three days for further management

You might also like