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    Periodontal Emergency Treatment Show

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    bukan siapa siapa
    This document discusses the treatment of periodontal emergencies. It covers various types of periodontal emergencies including gingival abscesses, periodontal abscesses, pericoronal abscesses, and periodontal-endodontic problems. For each type of emergency, the document discusses etiology, clinical features, and treatment approaches. The goal is to provide clinicians with knowledge to rapidly assess and effectively manage periodontal emergencies to improve patient health outcomes and satisfaction.

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    Periodontal Emergency Treatment Show

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    bukan siapa siapa
    550 views19 pages
    This document discusses the treatment of periodontal emergencies. It covers various types of periodontal emergencies including gingival abscesses, periodontal abscesses, pericoronal abscesses, and periodontal-endodontic problems. For each type of emergency, the document discusses etiology, clinical features, and treatment approaches. The goal is to provide clinicians with knowledge to rapidly assess and effectively manage periodontal emergencies to improve patient health outcomes and satisfaction.

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    Periodontal Emergency Treatment

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    This document discusses the treatment of periodontal emergencies. It covers various types of periodontal emergencies including gingival abscesses, periodontal abscesses, pericoronal abscesses, and periodontal-endodontic problems. For each type of emergency, the document discusses etiology, clinical features, and treatment approaches. The goal is to provide clinicians with knowledge to rapidly assess and effectively manage periodontal emergencies to improve patient health outcomes and satisfaction.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    550 views19 pages

    Periodontal Emergency Treatment Show

    Uploaded by

    bukan siapa siapa
    This document discusses the treatment of periodontal emergencies. It covers various types of periodontal emergencies including gingival abscesses, periodontal abscesses, pericoronal abscesses, and periodontal-endodontic problems. For each type of emergency, the document discusses etiology, clinical features, and treatment approaches. The goal is to provide clinicians with knowledge to rapidly assess and effectively manage periodontal emergencies to improve patient health outcomes and satisfaction.

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    You are on page 1of 19

    PERIODONTAL EMERGENCY

    TREATMENT
    Drg. Ade Ismail A. K., MDSc. Sp.Perio

    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 1


    Introduction
     Periodontal emergencies are a part of the
    everyday practice of dentistry.
     A periodontal emergency is any circumstance
    that adversely affects the periodontium and
    requires immediate attention.
     The clinician must be able to assess the
    emergent conditions rapidly and accurately in
    order to provide relief for the patient.
     Effective management of periodontal
    emergencies aids in both the patient's physical
    and psychological wellbeing.

    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 2


     An accurate diagnosis and appropriate
    treatment for the emergency patients
    (challenge)
     Diagnosis :
    • Complete history from patients
    • Clinical radiographics exam.

    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 3


    Learning Objectives
     Abscesses of the Periodontium
     Periodontal and endodontic problem
     Dentine hypersensitivity

    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 4


    Abscesses of the
    Periodontium
    • Gingival abscess
    • Periodontal abscess
    • Pericoronal abscess

    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 5


    Gingival Abascess

    A localized purulent infection that involves the


    marginal gingiva or interdental papilla
    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 6
     Etiology
    – Acute inflammatory response to
    foreign substances forced into the
    gingiva (food)
     Clinical Features
    – Localized swelling of marginal gingiva or
    papilla
    – A red, smooth, shiny surface
    – May be painful and appear pointed
    – Purulent exudate may be present
    – No previous periodontal disease
    – Mobility

    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 7


    Treatment
    • Primary treatment : drainage to relieve pressure.
    through the pocket using a periodontal curette or
    an external incision.
    • Foreign material removed from the area, the
    abscess is rinsed thoroughly to remove any
    remaining debris.
    • Occlusal adjustment (extruded in the socket).
    • an acute exacerbation of a chronic condition
    (extensive attach loss) extraction
    • Antibiotic if some systemic invol.

    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 8


    Periodontal Abscess

    A localized purulent infection within the tissues


    adjacent to the periodontal pocket that may lead to
    the destruction of periodontal ligament and alveolar
    bone
    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 9
     Clinical features ≈ gingival abscess
     Usually pre-existing chronic periodontitis
    present.
     Factors associated with abscess
    development
    – Occlusion of pocket orifice (by healing
    of marginal gingiva following supragingival
    scaling)
    – Furcation involvement
    – Systemic antibiotic therapy (allowing
    overgrowth of resistant bacteria)
    – Diabetes Mellitus
    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 10
    Periodontal vs
    Periapical Abscess
    Periodontal Abscess Periapical Abscess
    • Vital • Non vital
    • No caries • Caries
    • Pocket • No pocket
    • Lateral radiolucensy • Apical radiolucency
    • No or minimal mobility
    • Mobility
    • Percussion +
    • Prcussion +
    • Sinus tract via alveolar
    • Sinus tract via gingiva mucosa
    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 11
    Treatment
    • Establish drainage (anastesi)
    • Occlusal adjustment
    • Antibiotics

    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 12


    Pericoronal Abscess
    pericoronitis
     A localized purulent infection within the tissue
    surrounding the crown of a partially erupted
    tooth.
     Most common periodontalemergency

    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 13


    Symptoms
    – Localized red, swollen tissue
    – Area painful to touch
    – Tissue trauma from opposing tooth common
    – Purulent exudate, trismus, lymphadenopathy,
    fever, and malaise may be present
    – radiating pain to ear
    – Systemic complication : fever, malaise

    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 14


    Treatment
    – Debride/irrigate under pericoronal flap
    – Tissue recontouring (removing tissue flap)
    – Extraction of involved and/or opposing
    tooth (occlusal adjustment)
    – Antimicrobials (local and/or systemic as
    needed)

    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 15


    Periodontal and endo
    problem
    • Periodontal and periapical abscess
    • Radiographic
    • Caries, tooth vitality, pocket formation
    • Treatment :
    • combined endo-perio
    • Extraction
    • Mobilty : perio (splint) endo

    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 16


    Dentine Hypersensitivity
    • Etiology : exposed dentine (caries, fracture,
    periodontal disease, instrumentation
    • Thermal or tactile stimule painful
    • Treatment :
    • Eliminating etiology (desensitizing agent)
    • Occlusal adjustment
    • Tooth paste

    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 17


    Conclusion
    • In periodontal emergent conditions, patient
    presents with an acute problem and seeks
    immediate relief.
    • Proper treatment of the emergency may provide
    the practitioner with a life-long patient and may
    contribute to personal satisfaction for the treating
    clinician.

    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 18


    28 Juni 2018 KP Blok 12, FKG UNIMUS SEMARANG 19

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