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Acute Periapical Dental Abscess

Pulp necrosis-related acute apical abscess - drainage, root canal treatment and antibiotic.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ağız ve Diş Sağlığı department. Book Appointment →

What is Acute Periapical Dental Abscess?

Acute periapical abscess is an acute infection of necrotic pulp origin progressing with painful purulent collection at the apex of the tooth.

Treatment principles are pulp chamber drainage, periapical drainage if necessary, root canal treatment (RCT) and selective antibiotic use; the antibiotic is not sufficient on its own.

Symptoms

Severe, throbbing tooth pain
Severe percussion sensitivity
Tooth elevation feeling (extruded sensation)
Periapical or vestibular swelling
Fever, malaise (in advanced cases)
Submandibular lymphadenopathy

Risk Factors

Untreated deep caries
Old root canal treatment failure
Tooth fracture, crack
Periodontal disease
Diabetes (bacterial spread)
Immunosuppression

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Severe tooth pain + swelling
  • Tooth percussion sensitivity
  • Fever or facial swelling
  • Trismus (limited mouth opening)
  • Suspected airway involvement (Ludwig angina)

Treatment Methods

01
Pulp chamber drainage (immediate pain relief)
02
Incisional drainage (in periapical/vestibular collection)
03
Root canal treatment (RCT - definitive treatment)
04
Antibiotic (in systemic involvement; amoxicillin 500 mg tid 5 days)
05
Metronidazole (in severe cases combination)
06
NSAID for analgesia (ibuprofen 600 mg tid)
07
Tooth extraction (in unsalvageable tooth)
08
Apical resection (in failure of repeat RCT)
09
Hospitalisation in suspected Ludwig angina (airway protection)

Which Department to Visit?

You can visit our Ağız ve Diş Sağlığı department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ağız ve Diş Sağlığı Department

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Diş çürüğü, ağız bakterilerinin şekeri fermente ederek ürettiği asitlerin diş minesi, dentin ve pulpayı tahrip etmesiyle oluşan kronik bir hastalıktır.

Diş Eti Hastalıkları (Periodontal Hastalıklar)

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Impacted Tooth

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An impacted tooth — most often a wisdom tooth — has not erupted fully and remains in the jaw bone or gum. It can lead to pericoronitis, caries and cysts.

Dental Implants

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A dental implant is a titanium screw placed in the jawbone that supports a crown, bridge or denture, providing the closest possible function and aesthetics to a natural tooth.

Teeth Whitening

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Teeth whitening lightens tooth color using hydrogen peroxide or carbamide peroxide gels. In-office (professional) bleaching uses higher concentrations with light activation for faster results; home bleaching uses custom trays with lower concentrations over 1–4 weeks. Safety depends on healthy teeth, correct concentration, isolation of gums and transient sensitivity management.

Orthodontics

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Orthodontics is the dental specialty that corrects the alignment of the teeth and jaws, providing both aesthetic and functional benefits at any age, from childhood through adulthood.

Gingival Recession (Gum Recession)

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Gingival recession is the apical displacement of the gingival margin with exposure of the root surface. It may be localized or generalized and results from mechanical trauma, periodontal disease, thin biotype or anatomic factors. Recession can cause root sensitivity, caries and aesthetic concerns; management includes cause elimination and surgical root coverage when indicated.

Bad Breath (Halitosis)

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Halitosis is a chronic problem that affects a substantial part of the population. It is most often of oral origin and can interfere with social interactions.

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.