Perio Endo and Periodontal Abscess

Question 1

What is a gingival abscess?

Answer 1

Localised to gingival margin

Question 2

What is a periodontal abscess?

Answer 2

Usually related to pre-existing deep pocket also associated with food packing and tightening of gingival margin post hygiene phase therapy

Question 3

What is a pericoronal abscess?

Answer 3

Associated with partially erupted tooth most commonly 8’s

Question 4

When would you treat periodontal abscess’ with systemic antibiotics?

Answer 4

Only if signs of spread and systemic effects or if symptoms do not resolve with local measures
Penicillin V 250mg (preferred) or Amoxicillin 500mg for 5 days
Or metronidazole 400mg for 5 days