TY  - CHAP
M1  - Book, Section
TI  - Periapical Abscess
A1  - Jauch, Edward C.
A1  - Valdez, J. Amadeo
A2  - Knoop, Kevin J.
A2  - Stack, Lawrence B.
A2  - Storrow, Alan B.
A2  - Thurman, R. Jason
PY  - 2021
T2  - The Atlas of Emergency Medicine, 5e
AB  - Acute  pain,  swelling,  and  mild  tooth  elevation  are  characteristics  of  a  periapical  or  dentoalveolar  abscess.  Exquisite  sensitivity  to  percussion  or  chewing  on  the  involved  tooth  is  a  common  sign.  The  involved  tooth  may  have  had  dental  caries,  a  filling,  or  a  root  canal.  Periapical  abscesses  can  enlarge  over  time  and  “point,”  either  internally  on  the  lingual  or  buccal  mucosal  surfaces,  or  extraorally  with  swelling  and  redness  of  the  overlying  skin.  Occasionally,  these  lesions  may  track  up  to  the  alveolar  periosteum  and  gingival  surface  to  form  a  parulis.  Radiographically,  these  abscesses  appear  as  well-circumscribed  areas  of  radiolucency  at  the  dental  apex  or  along  the  lateral  aspect  of  the  root.  Early  acute  periapical  abscesses  may  not  demonstrate  any  radiographic  changes.  Both  deep  periodontal  and  periapical  abscesses  may  have  sinuses  draining  purulent  material  onto  the  gingival  surface.  If  the  infection  is  allowed  to  progress,  it  can  erode  through  cortical  bone,  manifesting  itself  in  a  variety  of  locations.  Panorex  films,  dental  radiographs,  or  a  CT  scan  may  aid  in  the  diagnosis.  
SN  - 
PB  - McGraw-Hill
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1181040616
ER  -