Periapical Abscess: Definition, Types, Causes, Symptoms, Complications and Treatment

We are talking about a pus sac at the root of a tooth caused by an infection.

A periapical abscess is a painful, inflamed pocket of dental pus, but it is found in the part of the tooth closest to the gum line, within the supporting bone.

Causes of periapical abscess

Modern experts in dental and general medicine agree that an acute dental infection is the agent that causes the death of the dental pulp, which, in turn, triggers the periapical abscess.

The by-products of the reproductive bacteria accumulate in the form of dental pus, slowly but surely covering the affected pulp chamber and then the root canal.

Little by little, the pus mixes with the dental fluid and hardens. As the pressure increases, the mixture of dental bacteria accumulates at the apex of the bony supporting area of ​​the tooth.

The sequence of hardening of the pus in the apex bone of the tooth, as described above, forms the periapical abscess.

Therefore, the most common disease-causing agent is a dead tooth that is not treated promptly, so remember that professional monitoring of your tooth is vitally important even after it dies.

As an unsuccessful root canal treatment leads to the breakdown of the bone that surrounds the base of the tooth, it can also be another cause for the development of a periapical abscess or a pus-filled cavity.

Any tooth that suffers trauma can end up with an infected dental nerve or pulp, leading to bone breakdown, making it difficult for the tooth to function and leading to a periapical abscess.

Periodontitis is another potential cause of a periapical abscess. Sometimes gum damage that was not caused by the abscess is also considered one of its main causes.

Types of periapical abscess

There are two types of periapical abscess, which are:

  1.  Acute periapical abscess.
  2.  Chronic periapical abscess.

Acute periapical abscess is triggered by a case of acute periapical periodontitis.

While it is not easily detected in its early stages, dentists can confirm with the help of radiographic tools if your condition has worsened to an acute periapical abscess.

Chronic Periapical Abscess : Chronic periapical abscess is surprisingly painless compared to acute periapical abscess.

Since there are no symptoms of swelling, pain, and fever, the victim may not even know they have an abscess.

However, the abscess continues to develop within the jaw and the infection spot may develop into a fibrous granuloma sac that contains sterile tissue that is not infectious.

It is important to see your doctor if you notice this sac as, although it may not be pus; it must be contained and controlled to prevent possible brain complications.

With the brain and mouth so close to each other, it is not difficult for bacteria to enter and infect the brain to cause some abnormalities in the patient.

Why is the periapical abscess even more dangerous?

Like abscesses of the teeth and gums, the periapical abscess causes gradual infection of the entire body, starting with the oral cavity, then the facial soft tissues and finally devouring the bone structures of the body and the soft tissues of the lungs and the heart.

However, abscesses of the teeth and gums have an immediate and easily controlled negative impact on the human body, while the periapical abscess imposes a remote danger on the dental and general health of the patient, which develops after the Actual abscess appears to be fully treated.

In addition, it can even be treated causing the death of the patient. Periapical abscess complications arrive due to masked infection.

An additional danger is associated with the periapical abscess that affects the upper teeth and is therefore very close to the brain .

This contributes to the extremely rapid spread of the dental infection inhabiting the pus abscess in the brain by ingesting the skull bone tissues.

Therefore, periapical abscess often causes sudden, uncontrolled swelling of the brain when left untreated.

What are the complications around chronic periapical abscess?

Heart attack symptom

Chronic periapical abscess not only poisons the patient’s body with harmful bacteria and its by-products that cause blood sepsis , but it has also been shown to lead to abnormal blood clotting.

This often causes a heart attack or stroke. Also, if an expectant mother suffers from a chronic periapical abscess, it is very likely that she will give birth to a premature baby.

That is why it is so vital to begin prompt and professional treatment of a periapical abscess as soon as you notice the mildest symptoms of the disease.

What are the symptoms of a periapical abscess?

Be very concerned if you experience a sharp stabbing pain near the base of a tooth and / or its supporting gum and bone, especially when the pain increases when chewing the affected tooth or simply lying down.

Pay the utmost attention to the condition of your lymph nodes and immediately contact a healthcare professional if they become tender. The facial inflammation associated with the disease can affect only the area near the affected tooth or the entire face.

A patient with a periapical abscess is also likely to develop a dental gum disorder and experience a bad taste in their mouth. Some of those who have already overcome the torture of this disease note that they have felt that their affected tooth is longer than the others.

As the periapical abscess continues to progress, the affected tooth gradually loosens and eventually falls out when the disease is left untreated.

Apart from that, a patient with this disease becomes extremely anxious and experiences weakness throughout his body. Fever and associated nausea are vivid signs of intoxication of the body, manifested in the advanced stages of periapical abscess.

What are the treatment options for a periapical abscess?

This type of abscess requires a really complex treatment. In general, the infection that causes periapical abscess can be easily cleared with the proper antibiotics in the early stages. Pain relievers are prescribed to relieve acute pain.

Many patients also claim that they get a lot of relief once the pus drains from the tooth, as the pus was pressing on the tooth.

However, if the abscess is advanced, the drainage procedure becomes unavoidable to eliminate the possibility of blood sepsis and uncontrolled body swelling.

 Professional deep tooth cleaning

Generally, root canal scaling and brushing are prescribed after the periapical abscess drainage procedure and / or antibiotic treatment is completed to ensure that there is no dental pus and infection residue in the patient’s affected root canal.

If the affected tooth with the periapical abscess is really dead or badly damaged, it will most likely be extracted.

Other than that, every patient with a periapical abscess needs healthy sleep and nutrition to boost their immune system. Proper oral hygiene is vital to ensure your protection against disease recurrences.

Finally, remember that regular dental check-ups are vital, not only to prevent recurrence of the periapical abscess in patients who have already undergone this painful treatment, but also to identify the disease in its very early stages to insure against dangerous abscess complications. periapical.