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前舌侧区域急性牙周脓肿酷似急性根尖脓肿的处理:1例报告

Management of Acute Periodontal Abscess Mimicking Acute Apical Abscess in the Anterior Lingual Region: A Case Report.

作者信息

Alharbi Omar A, Ahmad Muhammad Zubair, Agwan Atif S, Sadaf Durre

机构信息

Conservative Dentistry, Qassim University, College of Dentistry, Buraydha, SAU.

出版信息

Cureus. 2019 Sep 8;11(9):e5592. doi: 10.7759/cureus.5592.

DOI:10.7759/cureus.5592
PMID:31700705
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6822886/
Abstract

Purulent infections of periodontal tissues are known as periodontal abscesses localized to the region of the involved tooth. Due to the high prevalence rate and aggressive symptoms, it is considered a dental emergency; urgent care is mandatory to maintain the overall health and well being of the patient. This case report describes the management of a patient who presented with an acute periodontal abscess secondary to poor oral hygiene. Clinically and radiographically, the lesion was mimicking an acute apical abscess secondary to pulpal necrosis. Periodontal treatment was started after completion of antibiotic therapy. The clinical presentation of the condition and results of the recovery, along with a brief review of relevant literature are discussed.

摘要

牙周组织的化脓性感染被称为局限于患牙区域的牙周脓肿。由于其高发病率和侵袭性症状,它被视为牙科急症;必须进行紧急治疗以维护患者的整体健康和福祉。本病例报告描述了一名因口腔卫生不良继发急性牙周脓肿患者的治疗过程。在临床和影像学上,该病变类似于继发于牙髓坏死的急性根尖脓肿。在完成抗生素治疗后开始进行牙周治疗。本文讨论了该病症的临床表现、恢复结果以及相关文献的简要回顾。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2b6/6822886/db20c5c56c0c/cureus-0011-00000005592-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2b6/6822886/0b48b86b373f/cureus-0011-00000005592-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2b6/6822886/6aa39f530de1/cureus-0011-00000005592-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2b6/6822886/2560e9a0808c/cureus-0011-00000005592-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2b6/6822886/db20c5c56c0c/cureus-0011-00000005592-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2b6/6822886/0b48b86b373f/cureus-0011-00000005592-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2b6/6822886/6aa39f530de1/cureus-0011-00000005592-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2b6/6822886/2560e9a0808c/cureus-0011-00000005592-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2b6/6822886/db20c5c56c0c/cureus-0011-00000005592-i04.jpg

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本文引用的文献

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Empirical or microbiologically guided systemic antimicrobials as adjuncts to non-surgical periodontal therapy? A systematic review.经验性或微生物导向的全身抗菌药物作为非手术牙周治疗的辅助手段?系统评价。
J Clin Periodontol. 2019 Oct;46(10):999-1012. doi: 10.1111/jcpe.13164.
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Treatment of Acute Periodontal Abscesses Using the Biofilm Decontamination Approach: A Case Report Study.采用生物膜去污方法治疗急性牙周脓肿:一项病例报告研究
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Odontogenic Infections: A 1-year Retrospective Study.
牙源性感染:一项为期1年的回顾性研究。
J Contemp Dent Pract. 2015 Apr 1;16(4):253-8. doi: 10.5005/jp-journals-10024-1671.
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Human cytomegalovirus and Epstein-Barr virus type 1 in periodontal abscesses.牙周脓肿中的人巨细胞病毒和1型爱泼斯坦-巴尔病毒
Oral Microbiol Immunol. 2004 Apr;19(2):83-7. doi: 10.1046/j.0902-0055.2002.00118.x.
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Diagnosis of acute periodontal lesions.急性牙周病变的诊断
Periodontol 2000. 2004;34:204-16. doi: 10.1046/j.0906-6713.2003.003432.x.
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Emergency management of acute apical abscesses in the permanent dentition: a systematic review of the literature.恒牙急性根尖脓肿的应急处理:文献系统综述
J Can Dent Assoc. 2003 Nov;69(10):660.
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A systematic review on the effect of systemic antimicrobials as an adjunct to scaling and root planing in periodontitis patients.关于全身性抗菌药物作为牙周炎患者龈下刮治和根面平整辅助治疗效果的系统评价。
J Clin Periodontol. 2002;29 Suppl 3:136-59; discussion 160-2. doi: 10.1034/j.1600-051x.29.s3.8.x.
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Microbiology and treatment of dental abscesses and periodontal-endodontic lesions.牙脓肿及牙周牙髓病变的微生物学与治疗
Periodontol 2000. 2002;28:206-39. doi: 10.1034/j.1600-0757.2002.280109.x.