Periodontal Abscess and Its Management Dr Bharathi Dental Clinic and Implant Centre, West Mambalam A periodontal abscess is a localized, pus-filled infection within the tissues supporting the teeth, often resulting from untreated periodontal (gum) disease. Unlike periapical abscesses which stem from the tooth’s pulp, periodontal abscesses originate from the periodontal pockets around the teeth and can cause significant discomfort and damage if left untreated. Causes of Periodontal Abscess Periodontal abscesses are usually associated with deep periodontal pockets, often found in patients with chronic periodontitis. They may develop when bacteria become trapped in these pockets due to: Blocked periodontal pockets (food debris or calculus) Incomplete scaling or root planing Trauma from tooth brushing or dental procedures Foreign objects lodged in the gums (e.g., popcorn husks, fish bones) Immunocompromised conditions like diabetes The bacterial infection leads to the formation of pus, causing pain, swelling, and sometimes fever. The affected area may appear red and shiny with visible swelling on the gums. In some cases, the tooth may become mobile due to loss of supporting bone. Clinical Features Sudden pain in the gums or jaw Swelling and redness of the gums Pus discharge or bad taste in the mouth Tooth mobility or tenderness while biting Fever or malaise in advanced cases Diagnosis Diagnosis involves clinical examination, periodontal probing, and radiographs. Vitality tests help differentiate it from a periapical abscess. Probing depths are increased in periodontal abscesses, and radiographs may show bone loss around the root rather than at the apex. Management of Periodontal Abscess The primary aim is to eliminate the infection, relieve pain, and preserve the affected tooth. Drainage of Abscess: This is done through the pocket or via a small incision on the gingiva to allow pus to escape, immediately relieving pressure and pain. Scaling and Root Planing: Removal of subgingival plaque and calculus to eliminate the source of infection. Irrigation: Chlorhexidine or saline may be used to irrigate the pocket to reduce bacterial load. Antibiotic Therapy: Systemic antibiotics like amoxicillin and metronidazole may be prescribed in moderate to severe cases, especially if there's systemic involvement. Pain Management: Analgesics like ibuprofen help manage pain and inflammation. Follow-Up Periodontal Therapy: Once the acute infection subsides, long-term periodontal treatment including deep cleaning, surgery, or maintenance therapy is necessary. Prevention Good oral hygiene practices including brushing twice daily and flossing Regular dental check-ups and professional cleaning Control of systemic conditions like diabetes Early intervention for gum disease At Dr Bharathi Dental Clinic and Implant Centre, West Mambalam, we specialize in identifying and treating gum infections early, helping you retain your natural teeth and enjoy a healthy smile. If you notice any swelling or pain in your gums, don't ignore it—prompt periodontal care is the key to preventing complications. Dental Clinics in West Mambalam Dentists in West Mambalam Dentists in Ashok Nagar Best dentist near me Best Dental Clinics in West Mambalam Oral surgeon in West Mambalam Dental Implants in West Mambalam Oral surgeon in Ashok Nagar Painless tooth removal at West Mambalam Rootcanal treatment at West Mambalam Top rated dentist in West Mambalam