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How to treat a dental abscess caused by periapical periodontitis in children

Nov 08, 2024 Source: Cainiu Health
Dr. Zhou Xiaofeng
Introduction
Periapical abscess in children may be caused by irritation during tooth eruption, dental caries, dental trauma, periapical cysts, pulpitis, and other conditions. Treatment typically includes oral hygiene, medication, root canal therapy, incision and drainage of the abscess, and necessary surgical interventions, depending on the specific cause. If any abnormalities are noticed, prompt medical attention is recommended.

Periapical abscesses in children may be caused by irritation during tooth eruption, dental trauma, dental caries, periapical cysts, or pulpitis. Treatment typically includes oral hygiene, medication, root canal treatment, incision and drainage of abscesses, and necessary surgical interventions, depending on the specific cause. If abnormalities occur, timely medical attention is recommended. Detailed analysis is as follows:

1. Irritation during tooth eruption: During the eruption of primary or permanent teeth, physical irritation caused by the teeth breaking through the gums can sometimes lead to mild inflammation of the periapical tissues, forming an abscess. Oral hygiene should be maintained to prevent worsening infection. Saltwater rinses and local disinfection by a dentist may be necessary.

2. Dental trauma: Teeth may sustain injuries during play or sports activities, causing damage to the periapical tissues and resulting in inflammation and abscess formation, possibly accompanied by tooth mobility and pain. Treatment may involve tooth stabilization, root canal therapy, and incision and drainage of the abscess. Severely damaged teeth may require extraction or implant restoration.

3. Dental caries: Poor dietary and oral hygiene habits may lead to dental caries, allowing bacteria to invade the pulp cavity and subsequently infect the periapical tissues, causing a periapical abscess, often accompanied by toothache and swollen gums. Root canal treatment is generally recommended to remove the infection, followed by filling the tooth to restore its normal shape and function. If the abscess is large, incision and drainage are also necessary.

4. Periapical cyst: A periapical cyst is a chronic lesion of the periapical tissue. The fluid within the cyst may compress surrounding tissues, leading to the formation of a periapical abscess. Associated symptoms may include tooth displacement and difficulty in occlusion. The dentist may recommend root canal treatment along with cyst removal to restore the normal structure of the periapical tissues.

5. Pulpitis: Infections of the tooth structure may lead to pulpitis. If left untreated, the inflammation may spread to the periapical tissues, causing a periapical abscess, often accompanied by severe toothache and nocturnal pain. Root canal treatment should be performed first to remove the infected pulp tissue, followed by filling the tooth. Incision and drainage of the abscess may also be required for larger abscesses.

In daily life, parents should educate children to maintain good oral hygiene, undergo regular dental checkups, and promptly identify and address dental problems. Additionally, precautions should be taken to prevent dental trauma during play or sports activities to reduce the occurrence of periapical abscesses.

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