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Generally, the abscess can be eradicated through surgical drainage alone; however this is sometimes inadequate. Therefore, systemic antibiotic treatment may be required, but only if there is evidence of spreading infection. [9] As the bacteria involved are known, antibiotic therapy selection can be specific, based on published susceptibilities. [9]
In periodontics, there are four reasons to seek medication.Those four reasons include infection, swelling, pain, and sedation. Although some patients may experience pain, swelling, and infection as a result of an acute periodontal problem such as advanced periodontal disease, periodontic patients usually do not need medication until they are faced with surgery.
Antibiotic in case of a sudden onset of symptoms in less than 24 hours. [ 8 ] Periapical periodontitis or apical periodontitis [ 9 ] ( AP ) is an acute or chronic inflammatory lesion around the apex of a tooth root , most commonly caused by bacterial invasion of the pulp of the tooth . [ 10 ]
There has yet to be much research into the effects of LDA in AgP, but current studies report an insignificant difference to the adjunctive effect of systemic antibiotics. [46] Periodontal surgery: If it is a localised problem and if the case is non-response to non-surgical treatment despite the oral hygiene being consistently excellent.
It is one of the bacteria that might be implicated in destructive periodontal disease. Although it has been found more frequently in localized aggressive periodontitis, [3] prevalence in any population is rather high. It has also been isolated from actinomycotic lesions (mixed infection with certain Actinomyces species, in particular A. israelii).
Necrotizing periodontal diseases are a type of inflammatory periodontal (gum) disease caused by bacteria (notably fusobacteria and spirochaete species). The diseases appear to represent different severities or stages of the same disease process, although this is not completely certain. These diseases usually have a sudden onset.
Necrotizing periodontal diseases are caused by a mixed bacterial infection that includes anaerobes such as P. intermedia [1] and Fusobacterium as well as spirochetes, such as Treponema. [ 3 ] Necrotizing gingivitis may also be associated with diseases in which the immune system is compromised, including HIV/AIDS. [ 1 ]
Mouth care: increase oral intake, practice good oral hygiene, use sugar free gum (to increase saliva flow), regular use of mouth rinses, pilocarpine medication, reduce alcohol intake and smoking cessation. Saliva substitutes are also available as a spray, gel, gum or in the form of a medicated sweet; Dry skin: creams, moisturising soaps