Directory 1 pinyin 2 English reference 3 summarizes 4 clinical manifestations of periodontal abscess 5 diagnosis 6 treatment of periodontal abscess 6. 1 incision and drainage 6.2 oral drugs 7 reference attachment: 1 acupoint treatment of periodontal abscess 2 Chinese patent medicine for treating periodontal abscess 3 drugs related to periodontal abscess 1 pinyin yá zh not u nó ng zh ǒ ng

2 English reference periodontal abscess [National Guide to Clinical Application of Essential Drugs: 20 12 Edition]. Chemicals and biological products]

Xiangya medical dictionary

Lateral abscess [Landau Chinese-English Dictionary]

Apical abscess [Landau Chinese-English Dictionary]

3 Summary Periodontal abscess is a localized purulent inflammation located in the periodontal pocket wall or deep periodontal tissue, which is generally an acute process or chronic periodontal abscess [1].

4 Clinical manifestations of periodontal abscess Acute periodontal abscess occurs suddenly, and an oval or hemispherical swelling process is formed on the labial or lingual gingiva of the affected tooth [1]. The gums are red and swollen, the surface is bright, the pain is severe, and there may be pulsating pain. The affected tooth has a "floating feeling", with obvious pain and looseness [1]. In the late stage of abscess, the surface of abscess is soft, and the pain can be slightly relieved after consultation. When the gum is gently pressed, pus may flow out of the bag, or abscess may burst from the surface [1]. Abscess can occur in a single tooth, and the furcation of molar root is more common, and it can also occur in multiple teeth at the same time, or successively [1]. Multiple periodontal abscesses are often accompanied by obvious general malaise [1].

5. Diagnosis of periodontal abscess 1. Acute periodontal abscess is sudden, forming an oval or hemispherical swelling on the labial or lingual gingiva of the affected tooth [1]. The gums are red and swollen, the surface is bright, the pain is severe, and there may be pulsating pain. The affected tooth has a "floating feeling", with obvious pain and looseness [1].

2. In the late stage of abscess, the surface of abscess is soft, and the pain is slightly relieved after consultation. Gently press the gums, pus may flow out of the bag, or abscess may burst from the surface [1].

3. Abscess can occur in a single tooth, the furcation of molar root is more common, it can also occur in multiple teeth at the same time, or it can occur successively [1].

4. Multiple periodontal abscesses are often accompanied by obvious general malaise [1].

6. Treatment of periodontal abscess 6. 1 Incision and drainage of periodontal abscess mainly focus on local treatment, and abscess incision and drainage [1].

6.2 Oral medication Oral medication is an auxiliary treatment for periodontal abscess [1].

(1) metronidazole: 200 ~ 400 mg, three times a day [1].

Adverse reactions: nausea, vomiting, loss of appetite and other digestive tract symptoms, as well as headache and dizziness; Pregnant women, lactating women, active nervous system diseases and hematological diseases are prohibited [1].

(2) Tinidazole: 2g on the first day, then 0.5g, twice a day; Take it continuously for 3 ~ 4 days [1].

Adverse reactions: not as common as metronidazole, mainly nausea, vomiting, abdominal pain, loss of appetite and other symptoms, as well as headache and dizziness. It is forbidden for people who are allergic to tinidazole or pyrrole drugs, patients with active central nervous system diseases and hematological diseases [1]. /kloc-disabled for patients under 0/2 years old [1].

(3) Amoxicillin: 500mg, every 6-8h 1 time [1].

Adverse reactions: nausea, vomiting, diarrhea and other digestive tract symptoms, penicillin allergy is prohibited, and there is a certain cross-allergy with cephalosporin [1].

(4) Amoxicillin clavulanate potassium [200mg: 28.5mg (7: 1)]: 457 ~ 914mg, every12h1time [1].

Adverse reactions: Common gastrointestinal reactions, such as nausea, vomiting and diarrhea. Infectious mononucleosis, penicillin allergy and pregnant women are prohibited [1].

(5) Erythromycin: 1 ~ 2g daily, 3 ~ 4 times orally [1].

Adverse reactions: Gastrointestinal reactions are the most common, such as diarrhea, nausea and vomiting [1]. People who are allergic to macrolides and pregnant women are prohibited [1].