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Results for “Periapical Abscess”

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At least 739 records · Page 41Linked to original sources
PubMed1989

Presentation and antimicrobial treatment of acute orofacial infections in general dental practice.

Information on the presentation of orofacial infections and the use of antimicrobial agents in general dental practice in the United Kingdom was obtained using a postal questionnaire. Six hundred dentists were randomly selected and a total of 340 replies were received, giving a response rate of 57%. The dental practitioners estimated that acute infection was present in only a minority (approximately 5%) of patients. A total of seven different antibiotics were prescribed, in a variety of regimens, for the treatment of bacterial infection. However, the majority of dentists (46-62%) preferred a 5-day course of penicillin (250 mg, qid) for bacterial conditions other than acute ulcerative gingivitis, for which most practitioners (89%) prescribed 3 days of metronidazole (200 mg, tid). Nystatin was the most frequently selected anticandidal agent and topical acyclovir the most popular therapy for Herpes simplex infection.

Anti-Bacterial Agents↗
PubMed1989

Oral surgery: the diagnosis.

It is because we are experts in our field that patients seek our advice about the varied problems that they have in and around their mouths. In order to be able to give such advice, and to effectively treat the patient, a wide range of knowledge, skills and expertise has to be called upon by the practitioner. Listening to, observing, questioning, examining and performing further tests on the patient are all necessary stages along the pathway leading to a diagnosis. Only then is the practitioner in a position to consider the treatment options and to enter into discussions with the patient as to the best course of action to take. The time spent in this part of patient management is time well spent, and will greatly increase the likelihood of a successful outcome to the treatment.

Humans↗
PubMed1992

A survey of disease changes observed on dental panoramic tomographs taken of patients attending a periodontology clinic.

Dental panoramic tomographs (DPTs) were taken consecutively of 500 patients referred to a specialist periodontal department by general dental practitioners in order to assist in the diagnosis of the severity of the periodontal disease. Analysis of these DPTs showed 316 (63.2%) of these patients to have some form of dental abnormality unrelated to periodontal disease. The DPT was shown to be a valuable screening technique for clinical practice.

Adolescent↗
PubMed1993

Bronchogenic carcinoma presenting as a periapical infection.

This case report describes a metastatic bronchogenic deposit involving the lower lip and the adjacent bone in the lower incisor region. The presenting symptoms were very similar to those of a dentoalveolar infection and extraction of the lower incisor teeth failed to provide any relief. Comparison of radiographs taken 6 months earlier suggested that the metastatic deposit very probably spread from the lower labial sulcus into a site of periapical infection, involving the lower incisors and the adjacent bone.

Aged↗
PubMed1994

'Referred pain'.

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Diagnosis, Differential↗
PubMed2004

Endodontics: Part 3. Treatment of endodontic emergencies.

The swift and correct diagnosis of emergency problems is essential when providing treatment, especially in a busy dental practice. A diagnosis must be made and appropriate treatment provided in usually just a few minutes. The sequence considered here encompasses problems presenting before, during and after dental treatment. Various diagnostic aids are considered, and some unusual presenting conditions discussed.

Acute Disease↗
PubMed2004

Partial caries removal and cariostatic materials in carious primary molar teeth: a randomised controlled clinical trial.

OBJECTIVE: To determine the durability and effectiveness of a black copper cement (BCC) and a conventional glass ionomer cement (GIC) when used to restore primary molars following partial caries removal (PCR) and to compare these results with conventional cavity preparation and restoration. DESIGN: Split-mouth randomised controlled clinical trial. SETTING: Department of Paediatric Dentistry, Dundee Dental Hospital, Dundee, 1998-1999. SUBJECTS: Patients with previously unrestored, matched carious cavities in non-pulpally involved primary molars. INTERVENTIONS: Three treatment groups: (1) Partial caries removal followed by lining with BCC and restoration with GIC (PCR:BCC); (2) Partial caries removal and restoration with GIC alone (PCR:GIC), and (3) Complete caries removal and conventional restoration (CR). Restoration durability and effectiveness was assessed both clinically and radiographically over 24 months.Main outcome measures Median survival time (MST) of restorations. RESULTS: Forty-four patients (F: 31; M: 13), mean age 6.8 years (range: 3.7-9.5), had 120 restorations placed (PCR:GIC: 43; CR: 41; PCR:BCC: 36). Eighty-six molars (29 patients) (PCR:GIC: 30; CR: 29; PCR:BCC: 27) were reviewed at 24 months. The median survival times (MST) with 25% and 75% quartiles in parenthesis were as follows: PCR:BCC, MST = 24 months (6, 24); PCR:GIC, MST = 24 months (24, 24) and CR, MST = 24 months (24, 24). The MST for PCR:BCC restorations was significantly less than for PCR:GIC and CR restorations (W = 1163.5, P = 0.028 and W = 1081.0, P = 0.004 respectively). CONCLUSION: There were no differences in the proportions of restorations lost between restoration types, although PCR:BCC restorations did have significantly more abscess/sinus formation over the 24-month study period.

Aluminum Silicates↗
PubMed2005

An outcome audit of the treatment of acute dentoalveolar infection: impact of penicillin resistance.

OBJECTIVES: The aim of this audit was to measure the outcome of treatment of acute dentoalveolar infection and to determine if this was influenced by choice of antibiotic therapy or the presence of penicillin-resistance. SUBJECTS AND METHODS: A total of 112 patients with dentoalveolar infection were included in the audit. All patients underwent drainage, either incisional (n=105) or opening of the pulp chamber (n=7) supplemented with antibiotic therapy. A pus specimen was obtained from each patient for culture and susceptibility. Clinical signs and symptoms were recorded at the time of first presentation and re-evaluated after 48 or 72 h. RESULTS: A total of 104 (99%) of the patients who underwent incisional drainage exhibited improvement after 72 h. Signs and symptoms also improved in five of the seven patients who underwent drainage by opening of the root canal although the degree of improvement was less than that achieved by incisional drainage. Penicillin-resistant bacteria were found in 42 (38%) of the 112 patients in this study. Of the 65 patients who were given penicillin, 28 had penicillin-resistant bacteria. There was no statistical difference in the clinical outcome with regard to the antibiotic prescribed and the presence of penicillin-resistant bacteria. Strains of penicillin-resistant bacteria were isolated more frequently in patients who had previously received penicillin (p<0.05). CONCLUSION: Incisional drainage appeared to produce a more rapid improvement compared to drainage by opening of the root canal. The presence of penicillin-resistant bacteria did not adversely affect the outcome of treatment. The observations made support surgical drainage as the first principle of management and question the value of prescribing penicillin as part of treatment.

Adolescent↗
PubMed2005

Mixed messages.

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Anti-Bacterial Agents↗
PubMed2006

An investigation of the relationship between untreated decayed teeth and dental sepsis in 5-year-old children.

OBJECTIVES: To investigate the prevalence of dental sepsis in 5-year-old children in Scotland and the relationship between sepsis, treated and untreated decayed teeth, oral cleanliness (visible plaque on anterior teeth) and socio-economic deprivation. SUBJECTS AND METHODS: Six thousand, nine hundred and ninety-four children of mean age 5.3 years were examined as part of a survey conducted under the Scottish Health Board's Dental Epidemiological Programme. The presence of dental sepsis was recorded, in addition to caries status, and presence of plaque. Postal code information was used to obtain a measure of material deprivation. Relationships between sepsis and its possible contributory factors were explored using stepwise logistic regression. MAIN RESULTS: In the whole sample, 4.8% of children examined had dental sepsis, ranging from 2% in the most affluent areas to 11% in the most deprived. Children with sepsis had much higher caries experience (mean dmft 6.30) than those without sepsis (mean dmft 2.36). However, when these factors and the presence of plaque were entered into a logistic regression model to predict presence or absence of dental sepsis, the most important factor was not deprivation, but untreated decay. CONCLUSIONS: The proportion of children with sepsis increases markedly with caries experience. This disadvantage can be mitigated if more of the caries experience is treated. These findings would not support a policy of non-intervention for deciduous caries if oral sepsis is to be minimised.

Child, Preschool↗
PubMed1997

Surgical treatment of a periradicular lesion on an invaginated maxillary lateral incisor (dens in dente).

The complex anatomy of invaginated teeth make their root canal treatment difficult. Moreover, this treatment may compromise the future of the tooth if it is destined to support a post-retained coronal restoration. This case reports the successful surgical root canal treatment of an invaginated tooth using a retrograde filling with gutta-percha. After surgical exposure of the root-end and cleaning of the root canal, the gutta-percha was compacted in the root canal which had been coated previously with a zinc oxide-eugenol cement. The gutta-percha was then cold-burnished. Periapical radiographic examination after 1, 2, 3, 6 and 12 months showed periapical healing with osseous formation. This procedure, resulting in minimal loss of hard tissues, permitted subsequent restoration of the tooth.

Adult↗
PubMed1997

Cutaneous odontogenic sinus tract to the chin: a case report.

We report a case of cutaneous odontogenic sinus tract to the chin. The patient first noticed the cutaneous condition in 1977. Inappropriate medical and dental treatment was ineffective. Correct diagnosis and treatment was completed in 1993. We offer diagnostic and treatment guidelines for the management of similar cases.

Adult↗
PubMed1998

Acute apical periodontitis: incidence of post-operative pain using two different root canal dressings.

A clinical study using non-vital maxillary central incisors exhibiting acute apical periodontitis was carried out to evaluate the incidence of post-operative pain after biomechanical preparation and dressing with a calcium-hydroxide paste or a corticosteroid-antibiotic solution. Sixty teeth from 48 patients were prepared and dressed on the first visit and re-evaluated clinically 7 days later. No difference was observed in the incidence of post-operative pain between the two groups.

Adult↗
PubMed1998

Gaining access through a calcified pulp chamber: a clinical challenge.

Dental pulp is prone to dystrophic mineralization; this mineralization can be so extensive that the entire root canal system is obliterated. As a result, root canal treatment can become a difficult if not impossible task. This article presents the endodontic management of a tooth with an obliterated pulp chamber and associated with a discharging sinus in a teenage patient. The role of a calcium hydroxide lining to induce mineralization and cause the obliteration of the pulpal space is also discussed.

Adolescent↗